Nurse-Midwife; Certified Nurse-Midwife

exam number

y5359f

april 5, 2017 at 8:00 a.m. (pst)

open competitive job opportunity

this announcement is a rebulletin to update the examination content information regarding notification of exam results. Persons who have already applied need not reapply, but may contact the exam analyst if they would like to submit additional information.

the los angeles county department of health services (dhs) is the second largest municipal health system in the nation. Through its integrated system of 25 health centers and four acute hospitals – and expanded network of community partner clinics – dhs annually provides direct care for 600,000 unique patients, employs over 23,000 employees, and has an annual budget of over $6.9 billion.

Through academic affiliations with the university of california, los angeles (ucla), the university of southern california (usc), and the charles r. Drew university of medicine and sciences (cdu), dhs hospitals are training sites for physicians completing their graduate medical education in nearly every medical specialty and subspecialty. In addition to its direct clinical services, dhs also runs the emergency medical services (ems) agency and the county's 911 emergency response system, as well as housing for health and the office of diversion and re-entry, each with a critical role in connecting vulnerable populations, including those released from correctional and institutional settings, to supportive housing.

for additional information regarding dhs, please visit (Use the "Apply for this Job" box below)..

to advance the health of our patients and our communities by providing extraordinary care.

positions allocable to this class are assigned to the department of obstetrics and gynecology and work under the administrative direction of supervising nurse-midwives and the medical direction of physicians. These positions are responsible within legal restrictions and agency policy for managing normal pregnancy cases by providing complete care through the full cycle of antepartum, intrapartum, postpartum and neonatal. The nurse-midwife exercises independent judgment in determining whether the mother and fetus are progressing within normal limits of obstetrical and gynecological practice or whether a patient's condition requires referral to a physician.

• reviews patient's chart and searches for abnormalities which would indicate other than prediction of a normal birth.
• obtains patient's medical history and performs an evaluative obstetrical examination including taking vital signs, checking neurological reflexes, listening to fetal heartbeat, taking external measurements of the uterus, locating the position of the fetus and estimating its size and weight, and examining breasts and nipples.
• performs internal pelvic examination to determine extent of dilation, station and position of the fetus and general condition of the membranes.
• interprets the results of each element of the obstetrical examination with normal ranges and determines whether consultation with a physician is indicated.
• draws blood and completes routine laboratory request forms.
• performs hematocrit analysis by centrifuging blood sample, examining with a microscope and recording the results for review by a physician.
• functions under standing orders by a physician when patient is admitted for delivery and manages the patient during labor, starting ivs, administering medications, prepping the patient, instructing the patient in labor procedures, giving supportive counseling to the patient, maintaining surveillance of progress in labor and keeping the physician informed of progress or impending problems.
• with indications of impending delivery, notifies a physician and transfers the patient to the delivery room.
• assists the patient in the delivery room by giving emotional support to the patient and performs delivery procedures including pudendal block, episiotomy and repairs and resuscitation of the newborn.
• makes periodic postpartum visits to the mother and baby to evaluate condition and progress and to instruct the mother in recuperative…