Registered Midwife

Role Overview

Registered Midwife at NMC Healthcare. The post holder will work collaboratively with other team members to provide safe and outstanding care to patients and their families at all times.

Company Overview

NMC Healthcare is committed to providing clinical excellence through safe, compassionate, and individualized care to every patient, every time.

Role Purpose

To exemplify clinical excellence by delivering safe, compassionate, individualized midwifery care across the antenatal, intrapartum, postnatal, and newborn periods while upholding the NMC Nursing Strategy and core values of Safety, Excellence, Ethics, Trust, and Collaboration.

Key Responsibilities

Antenatal, Intrapartum, and Postnatal Care

• Provide safe and compassionate care during the antenatal, intrapartum, postnatal, and newborn periods.
• Support women during childbirth, reflective of the woman's birthing plan and in accordance with the WHO Mother Baby Friendly Hospital Initiative.
• Monitor the progress of labouring mothers, perform CTG monitoring and interpret findings of foetal heart rates.
• Recognize when to escalate to the obstetrician, reflective of scope of practice, competence, and clinical privileging.
• Perform immediate post-delivery care of the mother, including fundal massage, placental examination, quantifiable blood loss assessment and monitoring of vital signs.
• Recognize and escalate to the obstetrician as needed, in accordance with scope of practice.
• Perform immediate post-delivery care of the newborn(s), including taking of cord blood gases, performing the initial steps of newborn care, newborn identification, physical assessment and monitoring of vital signs.
• Recognize and escalate to the neonatologist as needed, in accordance with scope of practice.

Delivery Support and Procedures

• 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.
• Assist the obstetrician with required procedures or perform as per scope of practice, competence, and clinical privileging, such as artificial rupture of membranes (AROM) and sterile vaginal examinations.
• Perform episiotomy when clinically indicated and reflective of evidence-based practice, scope of practice, competence, and clinical privileging.
• Repair perineal laceration first and second degree as per scope of practice, competence, and clinical privileging.
• Provide wound care management, education and support to women following caesarean sections, episiotomy, and vaginal tears.

Breastfeeding and 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.
• Be 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.

Patient Assessment and Care Planning

• Perform systematic patient assessment, re-assessment and collect pertinent data about the patient's health or situation.
• 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 bystanders.
• 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.

Vital Signs and Abnormality Recognition

• Record vital signs, recognize, address and escalate all abnormalities or deviations as per policy.

Medications and Treatments

• 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.

Clinical Skills and Emergency Response

• Maintain and update technical and clinical skills related to midwifery practice.
• Maintain essential life support as per regulatory requirements and scope of practice, such as but not limited to 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.
• Assist in medical procedures invasive and non-invasive as needed for the patient and to obtain specimens as ordered.

Patient Preparation and Support

• Prepare patients for medical examination and treatment.
• Employ strategies to promote patients' health and a safe environment.
• Understand different diagnostic tests and laboratory examinations.
• Be responsible for providing and coordinating patient care, educating patients and the public about various health conditions, and providing advice and emotional support to patients and their family members.

Admission, Transfer, and Discharge

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

End-of-Life and Bereavement Support

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

Professional Practice and Governance

• Practice in accordance with the regulator Scope of Practice, ensuring completion of all competencies and required clinical privileging prior to providing direct patient care.
• Uphold and live the NMC Nursing Strategy.
• Exemplify the NMC Nursing Mission: do the right thing, be the patient's advocate, be open and transparent, deliver safe compassionate care, recognize the uniqueness of each patient, contribute to an outstanding patient's experience, engage with and contribute to a learning culture, and lead and influence changes in healthcare.

Qualifications & Experience

• Appropriate license to work as a registered midwife in the relevant regulatory health authority with all the qualifications and experience these mandates require.
• Valid American Heart Association Basic Life Support Provider card.
• Registered Midwife qualification.

Skills & Competencies

• 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.
• Clear and effective communication in English (spoken and written).
• Communication in Arabic (desirable).
• Knowledge of CTG monitoring and interpretation.
• Knowledge of neonatal resuscitation.
• Knowledge of PROMPT training.
• Clinical competence in midwifery assessment and diagnosis.
• Competence in perineal repair and episiotomy.
• Competence in immediate newborn care and cord blood gas sampling.
• Evidence-based practice knowledge and application.
• Knowledge of WHO Mother Baby Friendly Hospital Initiative.

Additional Information

• Willingness to work across departments when necessary.
• Must manage their own professional re-licensure.