Clinical Services Nurse (RN), Wound Ostomy

Clinical Services Nurse (RN), Wound Ostomy

The Wound, Ostomy, and Continence Nurse Clinician (WOC NC) provides leadership in the care of patients with stomas, draining wounds, or incontinence, throughout the organization. This includes the utilization of clinical expertise to provide preoperative and postoperative care, counseling, and teaching to patients 0-99 years of age in need of wound, ostomy, and/or continence management. S/he has primary responsibility for educating nurses to ensure knowledge and competency in basic wound, ostomy, and continence management; and works collaboratively with the interdisciplinary team in a variety of specialties in planning and coordinating the care. The WOCN Nurse Clinician is an integral part of multiple teams, as a clinician, educator, consultant, and leader.

Independently plan and provide professional nursing care for patients in accordance with physician orders and established policies and procedures. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing. Nurses hired into this limited benefited classification will commit to work a minimum number of hours in a designated inpatient nursing department. Compensation is a flat rate.

Plan and provide professional nursing care for patients in accordance with physician orders and established policies and procedures (Direct Care)

Identifies patient caseload through referrals and active case finding

Conducts complete and accurate patient assessment

Provides specialized nursing treatment, care and education to patients with wounds

Provides specialized nursing treatment, care, stomal siting, and education to patients undergoing urinary or stool diversion in accordance with physician/nursing orders and established policies and procedures

Provides specialized nursing treatment, care, and education to patients with draining wounds or requiring continence management or other specialized urologic interventions (such as clean intermittent self-catheterization or continuous bladder irrigation)

Selects, develops and/or implements evidence-based clinical interventions and systems to achieve defined patient and system outcomes

Serves as a resource to patients and families, providing preoperative counseling and follow-up problem solving after discharge from the hospital

Utilizes comprehensive assessment skills in the evaluation of stoma and wound care products and supplies in an effort to provide quality, cost-effective care

Assist patients and families with the understanding of their diagnosis and the management thereof

Identifies patient/family education needs and priorities

Coaches patients and families to help them navigate the healthcare system

Utilizes teaching and learning theories to assist patients and families with physical and emotional impact of body changes and chronic illness

Provides additional information/community resources to enhance the patient's quality of life as it relates to the alterations in body image and life style

Participates in developing, implementing and evaluating patient education resources and programs appropriate to the patient's developmental level, health literacy level, learning needs, readiness to learn, and cultural values and beliefs

Assesses learning needs of nursing staff; participate in planning and implementing appropriate educational forums and opportunities to address critical learning needs and skills

Assist nursing personnel in the delivery of nursing care functioning as an integral member of the multidisciplinary team

Establishes collaborative relationships within and across departments that promote patient safety, culturally competent care, and clinical excellence

Serves as a resource and consultant to nursing members of the healthcare community and to the larger community in areas of wound, ostomy, and continence management strategies

Practices collegially with medical staff and other members of the healthcare team

Participates in and supports accreditation and regulatory activities of Duke Hospital

Facilitates the provision of clinically competent care by staff/team through education, role modeling, teambuilding, and quality monitoring

Role models advanced practice professional nursing through conduct, appearance, communication, mutual respect, leadership, ethical decision-making, critical thinking, continuous learning and problemsolving skills

Uses effective strategies for changing clinician and team behavior to encourage adoption of evidencebased practices and innovations in care delivery

Assist in the development and implementation of general policies and procedures and quality improvement designed to effect efficiency of operations

Participates in nursing and interdisciplinary process improvement projects, product evaluation, outcome evaluation studies, and / or clinical research

Uses quality-monitoring data to assess the quality and effectiveness of clinical programs in meeting outcomes

Promotes evidence-based practice through participation in developing, implementing, and evaluating process standards such as plans of care, protocols, and guidelines

Applies principles of evidence-based practice and quality improvement to all patient care

Work requires graduation from an accredited Bachelors Degree in Nursing program.

2 years of appropriate clinical experience required

Must have current licensure in the State of North Carolina or compact RN licensure.

BLS required.

Nationally recognized certification in Wound and Ostomy management is required.

Knowledge of scope of the registered nurse, licensed practical nurse and unlicensed staff

Knowledge of and appropriate application of the nursing process

Knowledge of professional theory, practice and procedure

Ability to assess nursing needs of acute and chronically ill patients and their families

Ability to independently seek out resources and work collaboratively

Ability to establish and maintain effective working relationships

Ability to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others

Ability to teach patients and families in accordance with the nursing plan of care

Ability to use sensory and cognitive functions to process and prioritize information, treatment, and follow-up

Ability to use fine motor skills

Competent in BLS and/or other specialized life support requirements designated by work area

Ability to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status

Ability to use computer and learn new software programs

Able to document and communicate pertinent information using computer and/or paper documentation tools

Ability to navigate the entity to provide clinical care for patients

Ability to withstand prolonged standing and walking

Ability to remain focused and organized

Working knowledge of procedures and techniques involved in administering routine and special treatments to patients

Working knowledge of infection control procedures and safety precautions

Working knowledge and completion of appropriate The Joint Commission (TJC) and other regulatory requirements

Pre-employment Physical Capacity Testing Required