Overview

At Houston Methodist, the Nurse Midwife position is responsible for managing and providing women's health care services related to pregnancy, childbirth, the postpartum period, family planning and routine gynecological needs. This position will deliver patient care in an inpatient and outpatient setting in an organized and effective manner. The Nurse Midwife position scope of practice embodies the behaviors associated with the Leadership, Art and Science of Nursing as the advanced clinician at the Expert level of Benner's model of clinical practice. This position practices relationship-centered care in concert with Houston Methodist values of Integrity, Compassion, Accountability, Respect and Excellence.

Houston Methodist Standard

PATIENT AGE GROUP(S) AND POPULATION(S) SERVEDRefer to departmental "Scope of Service" and "Provision of Care" plans, as applicable, for description of primary age groups and populations served by this job for the respective HM entity.

HOUSTON METHODIST EXPERIENCE EXPECTATIONS

Provide personalized care and service by consistently demonstrating our I CARE values:
- INTEGRITY: We are honest and ethical in all we say and do.
- COMPASSION: We embrace the whole person including emotional, ethical, physical, and spiritual needs.
- ACCOUNTABILITY: We hold ourselves accountable for all our actions.
- RESPECT: We treat every individual as a person of worth, dignity, and value.
- EXCELLENCE: We strive to be the best at what we do and a model for others to emulate.

Practices the Caring and Serving Model

Delivers personalized service using HM Service Standards

Provides for exceptional patient/customer experiences by following our Standards of Practice of always using Positive Language (AIDET, Managing Up, Key Words)

Intentionally collaborates with other healthcare professionals involved in patients/customers or employees' experiential journeys to ensure strong communication, ease of access to information, and a seamless experience

Involves patients (customers) in shift/handoff reports by enabling their participation in their plan of care as applicable to the given job

Actively supports the organization's vision, fulfills the mission and abides by the I CARE values

Responsibilities

PEOPLE ESSENTIAL FUNCTIONS

Communicates in a comprehensive, unbiased, and open way, which includes active listening and teaching, with all interprofessional health team members in the department and across the organization.

Facilitates the promotion of teamwork and active involvement of others in team meetings, department activities, and process improvement. Mentors others in time management and resource utilization.

Identifies, plans, and implements patient care education for the clinic in collaboration with the Physician for the team members. Develops informational and educational resources for specific population in the clinic setting. Advocates on patient/family's behalf to identify and resolve clinical and ethical concerns; empowers patients/families to speak/represent selves when possible.

Contributes towards improvement of department scores for employee engagement, i.e. peer-to-peer accountability.

SERVICE ESSENTIAL FUNCTIONS

Develops comprehensive plans of care in collaboration with physicians, patients and families; incorporates education and family planning.

Manages assignment of complex patients and other clinic demands. Coordinates with the healthcare team to facilitate communication with patient and family across the continuum of care, authorizing prescription refills as appropriate.

Assists interprofessional healthcare team with issue resolution. Contributes to meeting department target for patient satisfaction.

QUALITY/SAFETY ESSENTIAL FUNCTIONS

Provides safe and effective care to complex patients and leads interprofessional care planning for identified patient populations by initiating outcome, quality and safety improvement activities. Integrates and contributes to professional practice standards, policies, procedures, protocols and leads improvements in patient safety-related processes.

Anticipates/prevents and resolves/elevates early declines in patient condition and emergent situations. Identifies normal/abnormal health characteristics, develops plan of care, initiates appropriate interventions, and evaluates care outcomes on defined patient populations(s). Labors with the patient and may deliver the baby.

Leads/assists in improvements/initiatives in patient safety processes at the clinic and service line level, through peer-to-peer accountability, reporting near misses and identifying solutions by collaborating with the interprofessional team. Role models situational awareness, using teachable moments to improve safety.

FINANCE ESSENTIAL FUNCTIONS

Implements department strategies to achieve financial target and mentors others to do the same through timely documentation of care, decreasing length of stay, optimizing efficiency, and other areas according to department specifications.

Utilizes resources with cost effectiveness and value creation in mind. Self-motivated to independently manage time effectively and prioritize daily tasks, assisting coworkers as needed.

GROWTH/INNOVATION ESSENTIAL FUNCTIONS

Leads colleagues and staff in identifying areas for improvement in patient care or department operations and developing solutions by participating in department projects or interprofessional team activities. Submits noteworthy resources and best practice advances for consideration for implementation.

Serves as instructor in continuing education or formal program and expert consultation. Seeks opportunities to identify self-development needs and takes appropriate action. Ensures own career discussions occur with appropriate management. Completes and updates the My Development Plan on an on-going basis.

Supportive of change process. Adapts to unexpected changes. Facilitates and leads the change process.

This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.

Qualifications

EDUCATION

Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section

Master of Science - Advance Practice Nurse Certified Nurse Midwife (CNM)

WORK EXPERIENCE

Two years of experience as an Advanced Practice Nurse, Certified Nurse Midwife or four years of clinical experience in L&D or Women's Health services

License/Certification

LICENSES AND CERTIFICATIONS - REQUIRED

RN - Registered Nurse - Texas State Licensure and/or Compact State Licensure within 60 days OR
RN-Temp - Registered Nurse - Temporary State Licensure within 60 days AND
APRN - Advanced Practice Registered Nurse - Texas Board of Nursing AND
APRN-CNM - Certified Nurse Midwife NP - State Licensure AND
AP - Prescriptive Authority - Texas Board of Nursing AND
DEA - Narcotics License (DEA) within 6 months AND
BLS - Basic Life Support (AHA) AND
ACLS - Advanced Cardiac Life Support (AHA)

KSA/ Supplemental Data

KNOWLEDGE, SKILLS, AND ABILITIES

Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations

Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security

Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles

Demonstrates highly developed assessment, clinical, documentation, and analytical skills

Uses therapeutic communication to establish a relationship with patients, families and interprofessional team to collaborate on the plan of care

Strong assessment, organizational and problem-solving skill as evidenced by capacity to prioritize multiple tasks and role components

Ability to function independently and exercise judgment in interactions with physicians, interprofessional care team and patients and their families

Demonstrates proficient time management skills

Uses critical thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice Act

SUPPLEMENTAL REQUIREMENTS

WORK ATTIRE

Uniform No
Scrubs Yes
Business professional Yes
Other (department approved) No

ON-CALL**Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.

On Call* Yes

TRAVEL****Travel specifications may vary by department**

May require travel within the Houston Metropolitan area Yes
May require travel outside Houston Metropolitan area No

Company Profile

Houston Methodist Specialty Physician Group - As one of the nation’s leading hospitals and academic medical centers Houston Methodist has brought together some of the nation’s leading experts in multiple specialties to serve our patients. As part of Houston Methodist Specialty Physician Group (HMSPG), these specialists not only provide excellent clinical care, but are on the forefront of research, developing leading-edge technologies and treatments, and teaching the medical pioneers of tomorrow. This combination of clinical service, research and academics ensures patients have access to the latest in treatments and technologies while providing the best in comprehensive patient care. Established as a non-profit corporation and certified by the Texas State Board of Medical Examiners, HMSPG enables physicians to maintain autonomy with respect to their clinical practice while growing their practice within an academic environment.

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