Midwife

QUALIFICATIONS
* Graduate of an educational program approved by the College of Midwives of Manitoba (CMM)
* Active registration or eligibility register with the College of Midwives of Manitoba
* Two (2) years experience in the past five (5) years as a Registered Midwife
* Current Basic Cardiac Life Support (BCLS) Training as delineated in Prairie Mountain Health Policy PPG-00002 CPR Training
* Completion of Fetal Health Surveillance within the past two (2) years
* Completion of Emergency Skills Workshop within the past two (2) years
* Neonatal Resuscitation (NRP) certification with intubation within the past 12 months
* Proficiency with Electronic Medical Records (EMRs)
* Province of Manitoba Class 5 Drivers License, and access to a personal vehicle to provide service within Prairie Mountain Health
* Proficiency with Microsoft programs (Outlook, Word, Excel, Access and PowerPoint), as well as Internet applications and other Information Technology
* Demonstrated organizational skills and ability to work independently
* Demonstrated problem solving and decision making skills
* Demonstrated flexibility to facilitate changes in techniques and procedures in a changing environment
* Demonstrated knowledge and competence of skills and concepts related to the position
* Demonstrated communication skills
* Ability to respect and promote confidentiality
* Ability to perform the duties of the position on a regular basis
* Ability to respect and promote a culturally diverse population
* Ability to work effectively and maintain positive working relationships with co-workers, clients and within interdisciplinary team

POSITION SUMMARY:

The role of the midwife is to be the primary care provider to clients and their newborns during the childbearing year. The Midwife works collaboratively with other professionals and functions as a member of an inter-disciplinary health care team to provide effective comprehensive service to childbearing clients and their families. The Midwife is an autonomous primary health care provider who provides midwifery service to clients in a variety of settings such as in the client’s home, in community clinics, and in hospitals. The midwife may facilitate continuity of care beyond the childbearing year, such as well female care, Cervical Screening and contraception, in collaboration with other health care providers or services. All midwifery services are delivered in accordance with the policies and procedures of Prairie Mountain Health (PMH), the Midwifery Scope and Model of Practice, and the Midwifery Standards of practice as per the College of Midwives of Manitoba (CMM).

Overview:

Assessment and Care

1. Provides prenatal, intrapartum, postpartum care and newborn care up to 6 weeks according to CMM standards.
2. Practice expectation includes being responsible for managing augmentations and inductions of labor, with oxytocin once the consult with the Obstetrician has occurred.
3. Responsible for managing epidurals once placed by anesthetist.
4. Provides shared on-call coverage within a group practice, 24 hours a day, 7 days a week
5. Provides back-up services for other midwives - second on call.
6. Respect the right of pregnant clients to make informed choices about all aspects of their care.
7. Actively encourage informed decision making through commitment to providing clients complete, relevant and objective information in a non-authoritarian manner.
8. Adheres to Brandon Regional Health Centre (BRHC) specific policies procedures and protocols as relevant to the responsibilities of the position.
9. Maintains confidential client health records according to regional policies and procedures and the Personal Health Information Act (PHIA).
10. Provides supplementary client services such as preconception education and support, prenatal education and well-woman care.
11. Respects and responds appropriately to clients of diverse backgrounds.
12. Performs advanced comprehensive and focused health assessments.
13. Communicates with clients about assessment findings, discusses outcomes and prognosis.
14. Continually monitors, with client, response to chosen treatment plan and makes adjustments as indicated.
15. Adopts a family-centered approach as the means to ensuring continuity of care throughout the child bearing year.
16. Encourages maximum independence and accountability for self-care according to the client’s capacity.
17. Applies principles of harm reduction and trauma informed care
    Consultation and Collaborative Practice
18. Participates in dialogue with other obstetrical and Maternal Child Health (MCH) care providers to provide clients with a comprehensive, seamless delivery of care. (ie. physician, OBGYN, facility nurse, Public Health Nurse, Pediatrician, Social Worker etc.)
19. Provides a shared-care model within the practice.
20. Provides appropriate prenatal and postpartum referral to ensure optimal continuity of care and access to a full range of hospital and community based health and family services
21. Participates in case conferences and team meetings as a member of the inter-disciplinary team.
22. Consults and refers to Public Health Nurse and other community programs and services, as appropriate.
23. Maintains effective working relationships with clients, colleagues, supervisor and the community at large.
24. Acts as a clinical expert/resource to empower the client as well as establishing and maintaining appropriate care delivery.
25. Demonstrates consultation and collaboration with all disciplines, health care professionals, clients and their families
    Prescribing Drugs
26. Applies principles of pharmacology in selecting and prescribing drugs as part of the treatment plan as per CMM standards.
27. Monitors and discusses with client their response and adherence to drug therapy and makes changes as necessary to achieve desired effect.
28. Applies health teaching principles when prescribing, educating, and supporting client in recommended drug use.
    Screening and Diagnostic Tests
29. Orders investigative procedures such as ultrasounds, lab tests consistent with CMM standards and PMH policies.
30. Orders appropriate screening and diagnostic investigation and interprets reports of these investigation based on sound clinical reasoning, scientific evidence, and critical thinking.
31. Consults with specialists for clarification of diagnostic interpretation when necessary. Follows up with the client or alternate decision maker regarding the test results and develop plan of care accordingly.
    Injury/Illness Prevention
32. Provides education and counseling to clients and their families based on a population health approach.
33. Identifies the need for health promotion, primary and secondary prevention strategies for individuals, families and groups and collaborates with other service providers
34. Focuses on preventing illness and/or disability, minimizing complications, maintaining optimal physical and emotional well-being, and promoting self-determination/management by the individual client.
35. Conducts risk assessments related to the prevention of injury and/or disability and develops appropriate plans to reduce/prevent risk, in collaboration with the client and other service providers.
    Professional Responsibilities/Accountability
36. Documents clinical care in a timely, accurate, and relevant manner in accordance with Prairie Mountain Health documentation practices and policies.
37. Completes statistical data and reports as required.
38. Demonstrates cultural competence.
39. Participates in and contributes to research relevant to practice
40. Adopts an evidence-informed approach to midwifery practice by staying up to date with research related to maternity care, critically appraising studies, and incorporating relevant findings. .
41. Provides clinical supervision, education, and mentoring for Midwifery students and other health care professionals.
42. Explains and promotes the role of the Midwife to clients, the public, and other health care professionals.
43. Develops and implements an education plan to maintain clinical competency.
44. Commits to professional self-development on an ongoing basis through continuing education programs, literature/journal reviews, lectures, conferences, and/or committee work.
45. Proposes, maintains, and updates policies and procedures relevant to this position in consultation with Manager.
46. Sundry duties as assigned.