Registered Nurse-Mid Wife

Location: Naval Medical Center Portsmouth, VA

Hours of Performance: Services shall be provided Sunday through Saturday between 0600 and 0600 for one hundred thirty-five (135) hour
per week.

Benefits: Vest vacation, sick leave, holiday leave, Life, Accidental Death and Dismemberment, Short Term Disability

Optional Benefits: Medical, Dental, Vision, 401(K) matching with employee participation in 401(K) plan

-The HCW shall provide services as an advanced practice nurse with specialty education and
clinical skills. Providing independent management of women’s health care, focusing particularly
on pregnancy, childbirth, the postpartum period, care of the newborn, family planning, postmenopausal and gynecological needs of women. The HCW shall utilize professional knowledge
and skill in physical assessment, clinical management of gynecological and obstetrical problems,
health maintenance, disease prevention and management of total health care needs of women and
newborns. The primary work settings are the Obstetrics and Gynecology (OBGYN) and Labor
and Delivery Departments, although the HCW may provide services in other areas of the
hospital. The HCW shall provide technical guidance of patient care and work with other
members of the healthcare team as consultant, clinical guide, mentor, teacher, and/or team
member. Services shall be provided in accordance with the Standards for the Practice of
Midwifery, as defined by the American College of Nurse Midwives (ACNM).
-The HCW may be upright in motion and without rest for more than twenty-four (24) hours
straight. Clinic and call time rotates and may include weekends and holidays as specified in the
position-specific statement of work.
-Provide a full range of nurse midwife services in accordance with privileges granted by the MTF
Director.
-Perform physical assessment and exam with special emphasis on the reproductive health, sexual
health, psychosocial and OBGYN history of the patient.
Manage the care of normal antepartum women to include teaching, counseling and support.
Manage uncomplicated pregnancies independently (inclusive of teaching, counseling and
support).
-Manage complicated pregnancies through consultation and/or collaboration with OBGYN
medical staff.
-Consult with other specialists, clinics, or health resources as indicated.
-Write prescriptions for needed medications including but not limited to
contraceptive, diabetic, psychiatric, thyroid, sexually transmitted diseases (STDs) and pain
management

-Order laboratory tests and radiographic procedures as needed for diagnosis.
-Assess and treat the acute OBGYN patient with episodic illnesses and consults when needed.
-Assess and treat minor gynecological problems and sexually transmitted diseases (STDs).
-Treat partners of OBGYN patients with STDs.
-Develop health promotion and maintenance plans including disease prevention and health
education counseling.
-Provide periodic health screening.
-Admit and discharge patients to and from OBGYN inpatient services.
-Facilitate transfer of care to another facility.
-Manage patients in labor, including inpatient orders, amniotomy, external and internal
monitoring, initiation of induction/augmentation agents and analgesia using
-intramuscular and intravenous narcotics and potentiators, and local anesthesia administration.
-Manage cephalic deliveries, including repair of laceration or episiotomy.
-Assess and manage uncomplicated postpartum patients.
-Manage newborns, including airway management, resuscitation, endotracheal intubation,
assignment of Apgar scores and initial examination.
-Identify and manage medical emergencies including but not limited to shoulder dystocia,
postpartum hemorrhage, uterine inversion, cord prolapse, and eclampsia.
-Provide clinical guidance for residents, trainees, students, rotators, new or temporary department
members and other hospital staff.
-Maintain communications with professional organizations as necessary for career development,
licensure and clinical continuing education.
-Provide comprehensive primary care to a select population of essentially healthy women and their
babies in a variety of settings to include prenatal care, intrapartum management, postpartum care,
immediate newborn care, and well-woman visits.

Degree/Education: Master's degree in nursing. Graduate from a certified nurse midwife
education program accredited by the American College of Nurse Midwives.

Experience: Have a minimum of two (2) years of full-time experience working as a CNM within the
past three (3) years. As required to meet clinical competency requirements specified in
the Service-specific credentialing instructions.

Licensure: Possess and maintain a current unrestricted license to practice as a registered nurse in
anyone (1) of the 50 States, the District of Columbia, the Commonwealth of Puerto Rico,
Guam or the U.S. Virgin Islands.

Certifications: Certified by the American Midwifery Certification Board. Current Neonatal
Resuscitation Program (NRP) certification.

Provide two (2) letters of recommendation written within the last two (2) years attesting
to the HCW’s clinical skills. A minimum of one (1) of the letters must be from a
supervisor. The other letter must be from either clinic or hospital administrators or
practicing physicians. Reference letters shall attest to the quality and quantity of experience including, but not limited to, the communication skills between practitioner
and patient and among peers, and must include name, title, phone number, date of
reference, address and signature of the individual providing reference.

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