Registered Midwife

Role Overview

Registered Midwife at NMC Healthcare. The post holder will work within the scope of practice, putting the health, wellbeing and safety of patients first as they assess, plan, implement and evaluate their needs.

Role Purpose

To provide safe, compassionate, evidence-based midwifery care to women and newborns across antenatal, intrapartum and postnatal settings, ensuring all clinical competencies and regulatory requirements are met while maintaining the highest standards of professional conduct.

Key Responsibilities

Scope of Practice & Patient Care Standards

• Practice in accordance with the regulator Scope of Practice, ensuring completion of all competencies and required clinical privileging prior to providing direct patient care.
• Provide care to the woman and newborn in different practice settings.
• Perform systematic patient assessment, re-assessment and collect pertinent data about the patient's health or situation and escalate immediately when appropriate.
• Understand and analyse the assessment information and data.
• Determine actual and potential midwifery diagnoses, problems, and issues.
• Define the predicted and expected outcomes of the patient's planned care.
• Create and evaluate patient care plans with the interprofessional team, in collaboration with the patient and patient's family members.
• Assess and identify patients' needs and implement and monitor the patient's medical plan and treatment.
• Work with a team of physicians and other health care specialists or allied health in various settings.
• Maintain and update technical and clinical skills related to midwifery practice.
• Employ strategies to promote patients' health and a safe environment.

Antenatal, Intrapartum & Postnatal Care

• Provide safe and compassionate care during the antenatal, intrapartum, postnatal, and newborn periods.
• Provide safe and evidence-based practice care in relation to spontaneous vaginal deliveries, assist with instrumental vaginal deliveries, and caesarean deliveries (both emergent and elective) for the mother and newborn, reflective of scope of practice, life support provider status and clinical privileging.
• Monitor the progress of labouring mothers, perform CTG monitoring and interpret findings of foetal heart rates and recognise when to escalate to the obstetrician, reflective of scope of practice, competence, and clinical privileging.
• Support women during childbirth, reflective of the woman's birthing plan, knowledgeable regarding stem cell collection and monitoring in all stages of labour and monitoring the condition of the fetus, reflective of evidence-based practice and the WHO Mother Baby Friendly Hospital Initiative.

Obstetric & Midwifery Procedures

• Assist the obstetrician with required procedures or perform as per scope of practice, competence, and clinical privileging, such as artificial rupture of membranes and sterile vaginal examinations.
• Perform episiotomy, reflective of evidence-based practice and when clinically indicated only, as per scope of practice, competence, and clinical privileging.
• Repair perineal laceration first and second degree as per scope of practice, competence, and clinical privileging.
• Prepare patients for medical examination and treatment.
• Assist in medical procedures invasive and non-invasive as needed for the patient and to obtain specimens as ordered.

Maternal Post-Delivery Care

• Perform immediate post-delivery care of the mother to include fundal massage, placental examination, quantifiable blood loss assessment and monitoring of vital signs, with immediate recognition and escalation to the obstetrician as needed, in accordance with scope of practice.
• Provide wound care management, education and support to women following caesarean sections, episiotomy, and vaginal tears.

Newborn Care

• Perform immediate post-delivery care of the newborn(s) to include taking of cord blood gases, performing the initial steps of newborn care, newborn identification, physical assessment and monitoring of vital signs, with immediate recognition and escalation to the neonatologist as needed, in accordance with scope of practice.

Breastfeeding & Bonding Support

• Provide education and support strategies to the mother and newborn that encourage early breastfeeding and skin-to-skin bonding.
• Support, promote, and protect the ten steps within the WHO Mother Baby Friendly Hospital Initiative recommendations during the antenatal, intrapartum, postnatal, and newborn periods.

Vital Signs & Clinical Monitoring

• Record vital signs, recognize, address and escalate all abnormalities or deviations as per policy.
• Understand different diagnostic tests and laboratory examinations.

Medication & Treatment Administration

• Administer medications and monitor patients closely for any side effects and reactions, for example during an induction of labour.
• Administer treatments such as IV fluids, IV medications and blood products, monitoring patients for any reactions.

Life Support & Emergency Management

• Maintain essential life support as per regulatory requirements and scope of practice such as Basic Life Support, PROMPT, CTG and Neonatal Resuscitation.
• Demonstrate in-depth knowledge and clinical skills of obstetric emergencies, midwifery management of such emergencies and care.

Patient & Family Education & Support

• Provide education and support strategies to patients and the public about various health conditions, and provide advice and emotional support to patients and their family members.
• Provide parents with bereavement support, advice and compassion during end-of-life care in relation to congenital birth defects, loss of pregnancy, miscarriage, stillbirth and neonatal death.

Admission, Transfer & Discharge

• Facilitate the process of safe patient admission, transfer and discharge, inclusive of the mother and newborn.

Regulatory Compliance

• Comply with regulatory and NMC policy requirements with the disposal of human tissue.

Qualifications & Experience

• Hold an appropriate license to work as a registered nurse in the relevant regulatory health authority with all the qualifications and experience these mandates require.
• Manage own professional re-licensure.

Skills & Competencies

• Hold a valid American Heart Association Basic Life Support Provider card.
• Communicate clearly and effectively in English (spoken and written).
• Work across departments when necessary.
• Evidence of ability to work as part of an inter-professional team.
• Organizational and administrative skills with which to use the electronic medical record platform for clinical documentation.