Advanced Practice Nurse (Midwife)      Joint Base San Antonio

Time to invest in some new footwear because if you’re San Antonio-bound, you’d better show up in boots! The Alamo City is one of the military’s most envied postings and is often referred to as “Military City USA”. Low cost of living, affordable homes, and the lack of state tax on retirement income are a few financial perks to living and retiring in this Texas city. A robust job market that seems partial to government and defense/security contracting ensures employment opportunities for spouses or transitioning service members. San Antonio is the country’s seventh fastest growing city yet has somehow managed to retain a “small town feel.” Quality schools and friendly locals (most with military ties) are additional  perks to living in San Antonio.

Some things you should know before you get here: trucks are the norm (the bigger, the better), love for The Spurs (NBA) runs deep, the H-E-B obsession is real (it’s a grocery store), rodeos are life, and don’t call it “San Antone”—that’s just wrong. The community boasts a vibrant Hispanic population, and enhances everything from the food, to the music, to community events. You don’t necessarily need to speak Spanish to get around, but you’d better know how to say barbacoa, tamales, and cascarones.

Name brand shopping (IKEA is the latest arrival of note), restaurants, and all variety of entertainment all add to San Antonio’s quality of life. SeaWorld, the San Antonio Zoo, Six Flags Fiesta Texas, and downtown museums are all fun outings for kids and families. Tube or kayak down a river, play or fish in the lakes, or relax by San Antonio’s famous downtown River Walk. Museums, art galleries, and historical landmarks—remember The Alamo?—round out San Antonio’s cultural offerings. Tex-mex cuisine arguably originated here, and some up and coming culinary trendsetters are making a name for themselves in the Pearl District downtown, alongside several notable breweries.

San Antonio has over 300 days of sunshine with some hot summers, mild winters and pleasant spring and fall seasons. San Antonio is in Bexar County (it’s pronounced “BEAR”) in south central Texas, and is just south of the gorgeous Hill Country. It’s only about two hours from Austin, the beach, or the desert.

Working for the Department of Defense comes with an abundance of benefits and perks to include competitive compensation packages, paid-time off, medical benefits, student loan repayments, and retirement package with Thrift Savings Plan to include matching employer contributions.

INTRODUCTION:

Brooke Army Medical Center (BAMC) at Fort Sam Houston, Texas, provides quality care to our military service members, their families, veterans and civilian emergency patients as the most robust and productive healthcare organization within the Military Health System (MHS). Both inpatient and outpatientservices are provided by approximately 8,500 staff members, including active duty military personnel from each of our uniformed services, Public Health personnel, federal civilians, contract employees, and volunteers. A central part of our medical center is the San Antonio Military Medical Center (SAMMC),which provides safe, quality, evidence-based care for up to 425 military and civilian inpatients. As the sole verified Level I Trauma Center within the Department of Defense (DoD), BAMC simultaneously provides emergency services during 80,000 Emergency Department visits annually and serves as the premiermedical readiness training platform for both the Army and the Air Force.
The incumbent of the position applies a mastery of nursing within the evolving profession of the advanced practice, Certified Nurse-Midwife. Provides independent and collaborative primary care or specialty, comprehensive and therapeutic health care services, at San Antonio Military Medical Center, Brooke ArmyMedical Center (BAMC). Practices evidence-based care, with competency in assessment, diagnosing and management of a full range of healthcare services for women from adolescence to beyond menopause; nursing theory; research; and advanced clinical practice in an obstetrics/gynecology department,primary care clinic, inpatient obstetrical unit and/or other medical treatment facility.

MAJOR DUTIES:

1. Implements and adapts medical theories and technologies, paralleling the latest advancements in scientific evidence, medical initiatives, and evolving obstetrics/gynecology healthcare technologies. Adapts treatment to new, experimental, and ground-breaking theories in the focus of diverse patient care forwomen, ranging from inpatient to outpatient settings, as well as from available risk management data, supporting the investigation of new drugs. Analyzes epidemiological, biostatistical, environmental, and other appropriate scientific data, related to individual, aggregate, and population health. Duties reflectthe growing significance of evidence-based practice, evidence-based interventions, and population-based acute and/or chronic care management. Critically appraises existing medical literature/journals to determine and implement the optimal evidence for patient care plan. Initiates and implements strategies toevaluate outcomes of practice, practice patterns, and systems of care for women against National benchmarks. Serves as project lead or associate in the design, implementation, monitoring, and evaluation of obstetrics/gynecology healthcare. 

2. Incumbent integrates the art and science of both nursing and midwifery into practice. Assesses acute and non-acute clinical problems. Obtains and records a problem-oriented health history; orders and interprets related laboratory and diagnostic tests; performs a systematic physical examination andinterprets abnormal and normal findings to form a diagnosis regarding physical, emotional, or social disabilities. Independently manages labor and childbirth in accordance with clinical privileges. Utilizes experimental theories and new developments in the solution of complex health care problems, notsusceptible to treatment by accepted methods. Prescribes medications; initiates emergency care, as appropriate. Conducts interdisciplinary and intradisciplinary collaboration as indicated with physicians regarding patient management, to include evaluating and revising therapeutic plans and managing high-risk,unstable, or extremely complex patients, including the intrapartum setting within scope of practice. 

3. Participates in patient care rounds and conferences, presenting patient cases/topics and communicating patient management strategies to members of the patient care team. Implements the patient therapeutic care plan, with significant emphasis in the areas of patient/family education, assessment, andsupport. Responsible for initiating, implementing, and overseeing disease management/education programs for women, addressing the education/self-care needs, identified by the patient/family. Provides teaching to patients and their families regarding disease processes and diagnostic tests; therapeuticregimen, including medication, diet, follow-up care; and methods of 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 the preventive health care needs of all patients visiting the obstetrics/gynecology clinic. Develops a 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 health care professionals, colleagues, professional groups, and universities. Evaluates care delivery models and strategies, using concepts related to community, environmental/occupational health, and cultural andsocioeconomic dimensions of health. Designs, directs, and evaluates quality improvement methodologies. Acts as a preceptor to graduate students enrolled in physician assistant programs, graduating nursing students and medical students. Integrated fully into Graduate Medical Education programs as staffproviders/supervisors for interns and residents in the outpatient and inpatient settings. Coordinates and/or conducts in-service education programs for health care professionals and serves as an advisor/member of committees, as assigned. Prepares manuscripts, studies, and lectures for professionals and/orcommunity groups, consistent with proper channels of communication. Develops, reviews, and updates policies, protocols, and standards of nursing practice, operating procedures, and scope of practice, in collaboration with multidisciplinary members of the healthcare team. Participates in national andinternational conferences and workshops, sharing new methodologies which facilitate advancement in the obstetrics/gynecology healthcare profession. 

Performs other duties as assigned

Basic Requirements:

US Citizenship required

Position requires current, active, valid, and unrestricted license from a one of the 50 U.S. states, District of Columbia or U.S. territories.

Position requires current Basic Life Support certification and Advanced Cardiac Life Support certification by the American Heart Association (AHA).

If assigned to unit which cares for the pediatric patient, required to pass Child Background investigation.

Pre-employment physical required.