MAJOR DUTIES: Supervisory Controls: Incumbent applies a mastery of nursing within the evolving profession of theadvanced practice, Certified Nurse-Midwife. Provides independent and collaborative primary care orspecialty, comprehensive and therapeutic health care services, at Evans Army Community Hospital(EACH). Practices evidence-based care, with competency in assessment, diagnosing andmanagement of a full range of healthcare services for women from adolescence to beyondmenopause; nursing theory; research; and advanced clinical practice in an obstetrics/gynecologydepartment, primary care clinic, inpatient obstetrical unit or other medical treatment facility. 1. Implements and adapts medical theories and technologies, paralleling the latest advancements inscientific evidence, medical initiatives, and evolving obstetrics/gynecology healthcare technologies.Adapts treatment to new, experimental, and ground-breaking theories in the focus of diversepatient care for women, ranging from inpatient to outpatient settings, as well as from available riskmanagement data, supporting the investigation of new drugs. Analyzes epidemiological,biostatistical, environmental, and other appropriate scientific data, related to individual, aggregate,and population health. Duties reflect the growing significance of evidence-based practice, evidence-based interventions, and population-based chronic care management. Critically appraises existingmedical literature/journals to determine and implement the optimal evidence for patient care plan. Initiates and implements strategies to evaluate outcomes of practice, practice patterns, andsystems of care for women against National benchmarks. Serves as project lead or associate in thedesign, implementation, monitoring, and evaluation of obstetrics/gynecology healthcare. 2. Incumbent integrates the art and science of both nursing and midwifery into practice. Assessesacute and non-acute clinical problems. Obtains and records a problem-oriented health history;orders and interprets related laboratory and diagnostic tests; performs a systematic physicalexamination and interprets abnormal and normal findings to form a diagnosis regarding physical,emotional, or social disabilities. Independently manages labor and childbirth in accordance withclinical privileges. Utilizes experimental theories and new developments in the solution of complexhealth care problems, not susceptible to treatment by accepted methods. Prescribes medications;initiates emergency care, as appropriate. Conducts interdisciplinary and intradisciplinarycollaboration with physicians regarding patient management, to include evaluating and revisingtherapeutic plans and managing high-risk, unstable, or extremely complex patients, including theintrapartum setting. 3. Participates in patient care rounds and conferences, presenting patient cases/topics andcommunicating patient management strategies to members of the patient care team. Implementsthe patient therapeutic care plan, with significant emphasis in the areas of patient/family education,assessment, and support. Responsible for initiating, implementing, and overseeing diseasemanagement/education programs for women, addressing the education/self-care needs, identifiedby the patient/family. Provides teaching to patients and their families regarding disease processesand diagnostic tests; therapeutic regimen, including medication, diet, follow-up care; and methodsof adapting medication and treatment to current lifestyles. Performs within a holistic paradigm,providing counseling to patients and their families in prevention of illness, maintenance of health,and attainment of physical, mental, and social well-being. Oversees compliance/adherence with thepreventive health care needs of all adult patients visiting the obstetrics/gynecology clinic. Developsa therapeutic environment, which facilitates a trust relationship with the practitioner. 4. Serves in a leadership position and is recognized as a consultant and role model to other healthcare professionals, colleagues, professional groups, and universities. Evaluates care delivery modelsand strategies, using concepts related to community, environmental/occupational health, andcultural and socioeconomic dimensions of health. Designs, directs, and evaluates qualityimprovement methodologies. Acts as a preceptor to graduate students enrolled in physicianassistant programs, and medical students. Integrated fully into Graduate Medical Educationprograms as staff providers/supervisors for interns and residents in the outpatient and inpatientsettings. Coordinates and/or conducts in-service education programs for health care professionalsand serves as an advisor/member of committees, as assigned. Prepares manuscripts, studies, andlectures for professionals and/or community groups, consistent with proper channels ofcommunication. Develops, reviews, and updates policies, protocols, standards of nursing practice,operating procedures, and scope of practice, in collaboration with multidisciplinary members of thehealthcare team. Participates in national and international conferences and workshops, sharing newmethodologies which facilitate advancement in the obstetrics/gynecology healthcare profession. Performs other duties as assigned.