POSITION: Community Based Doula (CBD)
††††††††† NON-EXEMPT PART TIME POSITION
LOCATION:† Red Cliff Community Health Center
REPORTS TO:† Certified Nurse-Midwife/ Bami Oniijaanisi Dept.
†††††††††††††††† Director Health Administrator††††††††††††††††††††††††††††††
SCHEDULE:† 16 hrs/wk in year 1 [plan to decrease to 12 hrs/wk in years 2&3]
WAGE:† Negotiable, depending upon qualifications
The community based doula (CBD) is a trusted community member who supports young families during pregnancy, birth and the early months of parenting.† Their role is to provide culturally appropriate support, serve as role models and as liaisons to the health care system.† By developing a trusting relationship, the doulas are able to assess the health and environmental concerns that mothers reveal, and they can encourage and support the mothersí use of medical or community resources.† The doulas often serve as a bridge between the mother, her family, and the health care system and/or the social services available in the community.† CBDs work in the context of an active system of supervision, support and referral.
The CBD is hired by the Red Cliff Community Health Center to
i. Weekly home visits.† Less or more is acceptable; depending on client need and time of pregnancy/post-partum.
ii. May accompany client to prenatal visits/groups with midwife or doctor.
iii. Should involve families/support network to establish relationships.† Father of baby/male partner and other family members should be involved early in the intervention
iv. Encourage prenatal participation in educational/supportive groups such as: Centering Pregnancy, Childbirth and Breastfeeding classes and Noonaawaso (breastfeeding) groups.
v. Provide education and resources; empowering the mother and family to make healthy lifestyle choices and be proactive in their care.
vi. Goals include: enhancing knowledge, self-confidence, access to and utilization of available services and resources, and promotion of positive health behaviors and attendance at appointments.
i. Being on-call according to established schedule and abiding by on-call guidelines to ensure availability to client.
ii. Client will be asked to call CBD during early labor.† At this time the CBD will be available to provide encouragement and emotional support over the phone or in some cases, in the clientís home.
iii. The doula will come to the hospital and join the client when active labor is established if not sooner and will be expected to stay with the laboring woman throughout the labor and through at least 2 hours post-partum.
iv. Doulas offer continuous support throughout childbirth, including comfort measures, emotional support of client, family members, and significant others, and patient advocacy.
v. Breastfeeding support is given immediately after delivery and on an ongoing basis.
i. A visit to the new mother/infant within 24 hours after birth to assess their well-being, offer breastfeeding support, encourage use of community resources as needed and help facilitate the familyís discharge to home.
ii. Offer Newborn Behavioral Observation (NBO) to family if opportunity arises.
iii. After discharge to home, doula will (ideally) make home visits approximately 3-5 times during the first week, 2-3 times the second week and at least once weekly during the next eight weeks or longer.†
iv. After eight weeks, bi-monthly to monthly visits should take place for the first year if desired.
v. Attendance of the doula at the first well-baby clinic visit is encouraged.
vi. Post-partum visits will include processing the birth, supporting breastfeeding, teaching infant care and parenting skills, fostering positive maternal and paternal/infant attachment and mothering the new mother.
vii. Involvement of family members and significant others will be encouraged.
viii. Facilitation of mother/infantís medical care will continue, and referrals to other community support services will be offered and made as appropriate.
i. Maintain a cooperative relationship with other Health Center staff and employees.
ii. Demonstrate tact, courtesy, and respect in communication and interaction with Health Center patients, visitors, and staff and with outside agencies and programs.
iii. Promote a working environment noted for effective cooperation and collaboration between programs, services, and co-workers.
iv. Dress appropriately to promote professionalism within the Health Center.
o. Attend staff and other meetings, in-services, and other events as directed by supervisor.
p. Participate in the implementation of grants, contracts, or projects being carried out under the auspices of the Red Cliff Community Health Center and at the direction of the Administrator of the Health Center.† These activities are to comply with the directives of Tribal and Health Center Administration and to fulfill the conditions and stipulations of the grant, contract, or project.† The specific duties will reflect the individual grant, contract, or project and the concurrent needs and resources of the Health Center.† These assignments will vary from time to time due the cyclical nature of these program efforts.
SUPERVISORY AUTHORITY:† Clinical supervision of Honoring Our Children Outreach Worker
a. Training and experience as a doula (attending to women in families during birth as well as prenatally and post-partum) strongly preferred.
b. Experience working with Native American communities and knowledge of the Red Cliff community required.
c. Excellent written and verbal communication skills.
d. Must possess strong organizational and basic computer skills.
e. Training or willingness to train in breastfeeding support.
f. Experience with or willingness to learn home visiting and case management skills.
g. Must be able to identify and delegate tasks if needed.
h. Ability to work well with groups and build inter-disciplinary, community/professional teams.
i. Interest and concern for empowering community members to take charge of programs designed with their active partnership.
j. Strong powers of observation, ability to understand different perspectives, and mediate conflict.
k. Valid Wisconsin driverís license, availability of a car and proof of liability insurance within three weeks.
l. Native American preference will be applied in the event of equally qualified applicants.
Daily contact with patients, visitors, primary care providers, Tribal and Health Center Administration, and other Health Center staff.
1.†† Red Cliff Community Health Center; office and clinic settings.
2.†† Exposure to hazards of the health care industry.
3.†† Work setting must be maintained as a clean, nonsmoking, well-ventilated area in compliance with all applicable safety regulations.
The duties assigned to this position involve bending, stooping, lifting, and carrying. Items may be placed on overhead storage. Lift up to 50 pounds, assisting patients onto exam tables as necessary.† Work requires regular and recurring periods of standing or walking.
Must have valid WI driverís license, vehicle, and at least liability insurance.† If no insurance, must get within three weeks.† Must also be eligible for the Tribeís vehicle insurance.
May require overnight travel to attend meetings or training. May be asked to perform visits to patient homes.† May be required to travel to deliver or pick up x-rays, laboratory, specimens, or Health Center/Clinic supplies.
POSTED:†††††† MARCH 1, 2011
DEADLINE:† MARCH 15, 2011 AT 4:00 PM
FOR FURTHER INFORMATION CONTACT:
††††††††††††††††††††††† Red Cliff Personnel Office
††††††††††††††††††††††† 88385 Pike Road, Highway 13
††††††††††††††††††††††† Bayfield, WI† 54814
††††††††††††††††††††††† (715) 779-3706 ext. 267 or 268
The Red Cliff Community Health Center is a Drug-Free Workplace in accord with the Drug-Free Workplace Act of 1988, P.L. 100-690, and has a Drug-Free Workplace Policy in effect. All new hires are subject to drug test prior to starting.
All applicants for employment with the Red Cliff Tribe will be subject to the background investigation and other requirements of RCCL Chapter 43, and are under a continuing obligation to supplement this application for employment with information concerning any convictions that occur after commencement of employment with the Tribe.
This job description is subject to change at employerís discretion, after consultation with the employee.