Full-time Staff RN

Clinical · Buffalo, New York
Department Clinical
Employment Type Full-Time
Minimum Experience Mid-level


Registered nurses support midwifery model care in the community birth setting, directly assist the midwife in caring for clients during the course of prenatal, labor, postpartum, and newborn care, and maintain clinical responsibilities that facilitate smooth operation of the birth center. The full-time Staff RN will have two nine-hour office days that also encompass an 8a-8p birth assistant call shift and two 24-hour call shifts per week, including rotating weekend call that may be 48-72 hours long. 

Duties & Responsibilities:

  • Upon initiation of employment, the nurse will complete an orientation and will be expected to read and understand The Coit House policies and procedures manual.
  • BeckOnCall: Most of the time, the midwife will assume responsibility for the call system. On occasion, such as during times of midwife’s unavailability or travel, the nurse will answer calls to the on call number, triage them, and refer to or contact the midwife, covering provider, or hospital as appropriate.
  • Orientation sessions & group prenatal care: The RN will participate in these sessions with other staff members
  • Maintain stock of medications, sterile instruments, and supplies in the birth rooms, clinic rooms, and midwife’s home birth bag.
  • Call shifts: While on call, the RN will result normal labs & ultrasounds in Athena, answer portal messages within their scope of practice and assign portal messages as needed to the midwife, perform home/office/telemedicine postpartum visits, and attend births as applicable.
  • Medical records: The RN will assist the midwife in reviewing medical records of transfers into the practice and alert the midwife of any significant medical history, labs, or ultrasounds.
  • Prenatal care: The RN may conduct prenatal care visits in accordance with their scope of practice in NYS and will communicate prenatal data to the midwife in a timely manner. The midwife will be readily available in person or by phone if needed during a prenatal or postpartum visit to communicate the prenatal assessment and the plan of care for the client.
    • Perform venipuncture, non-stress tests
    • Assist clients with self-care and collection of specimens
    • Phone triage and Athena inbox during office/on call hours
    • Assist with office flow
    • Assist midwife by conducting return OB visits, lactation/two-week postpartum visits, or performing initial intake for new OB, routine postpartum, or annual visits.
  • Intrapartum care: the nurse will, at the direction of the CNM, provide or conduct
    • Labor support (i.e., fluids, positioning, tub bath, sibling support).
    • Supplies and/or equipment as needed to complete the set-up of the room for birth.
    • Monitoring of vital signs and fetal heart tones.
    • Delivery assistance as needed
    • Assist with resuscitation if needed.
    • Assist with third stage or other maternal emergency as needed (fundal massage, administration of oxytocic, prepare IV therapy, call physician or ambulance).
    • RN may care for client in early labor at the Center under the direction of the midwife.
  • Immediate postpartum care:
    • Eldon cards
    • Ongoing assessment of postpartum person: vital signs, fundus, bleeding, voiding, fluids and eating, parenting adjustment, breastfeeding, physical and comfort needs.
    • Ongoing assessment of newborn: vital signs, respiratory status, color, temperature, neurological status, feeding, activity, Eldon card, and newborn exam.
    • Review early home care instructions
    • Assist family in preparations for going home
    • Schedule home visit and subsequent office visits
    • Accompany family to car
    • Restocking of birth room and home birth bags
    • Ongoing postpartum follow-up
    • Daily and weekly phone calls.
    • Repeat home or office visits as needed.
    • Consultation with midwife for problems.
  • Continuing Competency
    • Maintains current certification in BLS and neonatal resuscitation.
    • Assist in planning of and implementation of in-service and drill programs for staff
    • Attendance at staff in-service programs and emergency drills.
  • Continuous Quality Improvement: The nurse will be responsible for continuous quality improvement activities as assigned by the Director, including twice yearly CQI reviews, perinatal data registry, monthly chart reviews, and planning and implementing drills.
  • The nurse will orient new birth assistants and will be asked to participate in designing and implementing a midwifery fellowship program and the orientation of a midwife fellow.
  • The nurse will attend regularly scheduled staff meetings.

Benefits: Fika Midwifery offers a competitive benefits package including health and dental insurance, generous 401(K) match, cell phone and mileage reimbursement, paid sick time, paid vacation time, 8 paid holidays, and a continuing education stipend.


  • Nursing license in NYS
  • Background check
  • Physical ability to carry birth equipment up and down stairs, clean up after birth, and squat, bend, and reach to accommodate the woman’s chosen laboring positions
  • Technical skills to perform basic charting functions
  • NRP certification
  • CPR/BLS certification
  • Belief in midwifery model of care, out of hospital birth, physiologic birth, and breastfeeding

Thank You

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  • Location
    Buffalo, New York
  • Department
  • Employment Type
  • Minimum Experience