Nurse-Midwife; Certified Nurse-Midwife

Position/Program Information

Exam Number: Y5359F

Filing

Start Date:

April 5, 2017 at 8:00 a.m. (PST)

This examination will remain open until the needs of the service are met and is subject to closure without prior notice.

Type Of Recruitment: OPEN COMPETITIVE JOB OPPORTUNITY

Rebulletin Information: 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.

About Los Angeles County Department Of Health Services (DHS): 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.

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 that 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 procedures and baby care.
• Participates in the informal training of nurses and students and refresher program for nurse‑midwives.
• Provides gynecological care to normal women under medical direction including the performance of pelvic examinations for cancer and other abnormalities and referral of problems to physicians.
• Provides direct family planning services such as fitting diaphragms and intrauterine devices and dispenses oral contraceptives.
• Counsels and provides referrals regarding family planning.

SELECTION REQUIREMENTS:

• A current and active license to practice as a Registered Nurse issued…