Microsoft word - nurse midwife-certified.doc

In collaboration with an obstetrician, provides primary obstetrical/gynecological healthcare to essentially normal women, including prenatal care, postpartum care, gynecological care and family planning within the scope of training and in accordance with established policies, procedures and protocol. II. POSITION
1. Current Michigan RN licensure 2. Current specialty licensure as a Nurse-Midwife in Michigan 3. Current ACNM certification 4. Knowledge and ability to apply the science and art of midwifery to practice, involving use of physical assessment skills and nursing, medical and midwifery theory to diagnose and treat patients. 5. Independent judgment to continuously monitor and appropriately respond to changes in 6. Analytical ability to interpret and synthesize data, develops treatment plans and prescribes III. REPORTING
1. Must know, understand and provide Age-Specific Care 2. Must participate in Quality Improvement activities 3. Maintain patient confidentiality in all matters and provide patients with needed information 4. Maintain a positive professional relationship with all programs, agencies and intra-agency 5. Attends meetings, seminars, workshops and conferences, as needed 6. Adheres to all Agency policies and procedures 7. Must maintain Basic Life Support certification. 8. Promotes and maintains awareness of Agency programs, services and activities VI. UNIQUE SKILLS AND RESPONSIBILITIES
1. Obtain comprehensive medical, surgical, reproductive, psychosocial and family history on patients. Identify needs and deviations from normal. Make appropriate referrals to MSS/ISS, WIC, etc. 2. Performs a comprehensive physical examination on patients and identifies deviations from C:\Documents and Settings\ACampbell\Local Settings\Temporary Internet Files\OLKD\Nurse Midwife- Certified.docC:\Documents and Settings\ACampbell\Local Settings\Temporary Internet Files\OLKD\Nurse Midwife- 3. Provides continuing care to assigned patients in the clinic setting, anticipating and recognizing deviations from normal, initiating treatment, and consulting with a physician as appropriate. This includes but is not limited to: Routine prenatal care; Major and minor; complications of pregnancy; Pre-term labor; Post-dated pregnancy; Yearly gynecological exams; Routine family planning counseling, prescribe and follow-up; Abnormal uterine bleeding; Vaginitis and STD; Complications of birth control 4. Performs minor office procedures. This includes but is not limited to: Cervical Biopsy; Colposcopy; Endometrial biopsy; IUD insertion/removal; Norplant removal 5. Orders diagnostic tests, medications and lab tests as indicated. Analyzes, interprets and synthesizes data and applies information to patient management. This includes, but is not limited to: Analgesia, antibiotics, vitamins, antitussives, antiemetics, etc.; Mammography, ultrasounds, NSTs, etc. 6. Provides emotional and educational support to the patient and family, including them in the decision making process and assisting them with psychological adjustment to pregnancy, childbirth and childrearing, and life changes. This includes, but is not limited to: Prenatal education; Anticipatory guidance for physiological changes; Warning signs of complications; Psychological adjustment to labor; Preventive health care education; Adjustment to menopause 7. Participates in quality improvement activities through chart review, data collection for outcome statistics, maintenance of practice guidelines in compliance with ACNM standards and ongoing evaluation of practice for areas of improvement. VII. ACKNOWLEDGEMENTS
This Position Description has been reviewed, discussed and clarified with the understanding that: Performance (including attitude and work behavior) expectations have been made clear; educational opportunities have been identified; assessments of competency can be periodically evaluated. C:\Documents and Settings\ACampbell\Local Settings\Temporary Internet Files\OLKD\Nurse Midwife- Certified.docC:\Documents and Settings\ACampbell\Local Settings\Temporary Internet Files\OLKD\Nurse Midwife-


021700 gas embolism

The Ne w E n g l a nd Jo u r n a l o f Me d ic i ne Pathophysiology The most frequent form of venous gas embolismis the insidious venous aeroembolism, in which a se-ries of gas bubbles resembling a string of pearls en- GAS EMBOLISM ters the venous system. Rapid entry or large volumesof gas put a strain on the right ventricle because ofCLAUS M. MUTH, M.D., AND ERIK S. SHANK, M.D. the migra

Topic: Antipsychotic and Physical Health in Dementia Paper Type: Assignment Word Count: 3450 words Pages: 14 pages Referencing Style: Harvard Referencing Educational Level: Graduate Antipsychotic and Physical Health in Dementia [Student’s Name] [Name of Institution] Antipsychotic and Physical Health in Dementia Introduction This report concerns the use

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