The Gyn Specialties and Generalists Division of The Department of Obstetrics & Gynecology is seeking a Certified Nurse Midwife to work collaboratively within a multi-disciplinary health team, responsible for providing comprehensive gynecologic and obstetric care to both well and/or ill patients and to educate patients.
This provider will practice within the guidelines of the department, and the Institution in accordance with the State of Maryland Board of Nursing. The Nurse Midwife is granted affiliate staff privileges by the Johns Hopkins University School of Medicine and the Johns Hopkins Bayview Medical Center; these privileges are reviewed annually. S(he) is responsible to the preceptor and department head for nursing and clinical standards and practice. S(he) will report to the Director of the Division of Gynecologic Specialties.
Primary Duties and Responsibilities: Provides care to women across the age spectrum as it relates to general health maintenance, contraception, menopause, and other female related issues, in a timely, professional, and friendly manner. Provides primary care to established patients seeking OB or GYN care, which may include diagnosis and management of UTIs, vaginitis, STDs, as well as various other female-related issues. Provides independent management of OB and GYN complaints, including counseling, testing, diagnosis, treatment, and/or follow-up, referring patients appropriately to other physician providers as needed, in the case of issues too complex or complicated to be managed by the nurse practitioner, physician assistant, or certified nurse midwife. Performs health screening, orders, performs and interprets tests.
Establishes medical and nursing diagnoses; orders, performs and evaluates diagnostic studies; performs and monitors therapeutic procedures; assesses and/or manages follow-up plans. Performs follow-up visits on obstetrical (antepartum and postpartum), including but not limited to physical examinations, microscopy and screening for sexually transmitted infections, bacterial vaginosis and cervical cancer. Documents patient chart information as needed, including but not limited to problem identification, treatment and follow-up, obstetrical flow sheets and other program forms as needed. Records and documents health assessment data necessary to maintain, coordinate, and/or expedite required services.
Provides consultation and collaboration with and referral to physician colleagues as indicated, for high-risk conditions that include but are not limited to HIV infection, hypertension, diabetes, pyelonephritis, and other abnormalities. Prescribes and regulates medications per written agreement. Reviews daily laboratory, radiology and other reports and provides for appropriate treatment and follow-up as indicated. Reports abnormal patient findings to appropriate physician colleagues and is responsible for coordinating the reporting of all STDs to state agencies, as indicated and appropriate.
Supports clinical activities of the Green Spring/JHOC- GYN practice, by providing patient and family education, developing teaching materials and other support activities as time permits.
Assumes responsibility and accountability for time management, professional relationships and interpersonal interactions. Develops, conducts, and/or evaluates formal or informal in-service and continuing education programs in areas of expertise for peer groups and other disciplines. Assumes responsibility for his/her own professional development and remains current in clinical practice by attending relevant continuing education. Participates on department, functional unit, and Hospital committees, as assigned. Serves as clinical preceptor for nursing students, including nurse practitioner or nurse midwife candidates as time permits. Participates in the development and implementation of quality assurance program. Adheres to Hospital and nursing policies and procedures. May be required to work at other JHU/JHH GYN/OB outpatient facilities as needed.
Master's degree in Nursing; Registered Nurse license and Certified as a Nurse Midwife. Must be licensed as a Nurse Midwife in the State of Maryland. Current CPR certification required. Must maintain current licensure and certification during duration of employment. Completion of the JHH credentialing process is required prior to start date.
Additional Knowledge, Skills and Abilities: Experience and capability to use electronic medical records.
Physical Requirements: Sitting, standing and walking for extended period of time. Reaching by extending hand(s) or arm(s) in any direction. Finger dexterity required to manipulate objects with fingers rather than with whole hand(s) or arm(s). Ability to move standard equipment through a hospital or clinical environment.
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