Academic Advice, Academic Intervention, Best Practices, Biofeedback, CPR Certification, Catheterization, Certified Medical Assistant, Clinical Assessment, Clinical Training, Communication Skills, Consulting, Corporate Policies, Cross-Functional, Customer Support/Service, Data Collection, Data Quality, Dietary Management, Federal Bureau of Investigation (FBI), Federal Laws and Regulations, HIPAA (Health Insurance Portability and Accountability Act), Health Insurance, Healthcare, Hospital, Hospital Systems, Information/Data Security (InfoSec), Leadership, Legal Standards, Medical Assistance, Needs Assessment, Nursing, Nursing Credentials, Ostomy, Outpatient Care, Paint Shop Pro Tubes, Patient Assessment, Patient Care, Patient Education, People Management, Policy Development, Procedure Development, Procedure Implementation, Psychology, QoS (Quality of Service), Quality of Care, Registered Nurse (RN), Regulatory Compliance, Research Administration, Risk Analysis, Security Policy, Skin Care, State Laws and Regulations, Statistical Reports, Team Player, Training/Teaching, Wound Care
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Wound Care Consultant Nurse-St. Vincent Hospital-Casual
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Erie PA 16502
232 West 25th St
Company: Allegheny Health Network
Job Description: St. Vincent Hospital
St. Vincent Hospital is a Magnet®-designated hospital for excellence in nursing serving the people in the Lake Erie region since 1875 with a quality of care and service second to none. Allegheny Health Network
At AHN employees trust working together and place patients at the center of all they do. This 9 Hospital system a part of Highmark Health is transforming the future of healthcare by providing highly effective services to customers, patients, and communities. AHN has commitment and dedication to being inclusive, valuing fresh perspectives, and offering the best growth and educational opportunities to employees.
General Overview
The hospital-based Wound Ostomy Nurse serves as a clinical resource and consultant for the acute and rehabilitative care of patients with selected disorders of the gastrointestinal, genitourinary, and integumentary systems, such as acute and chronic wounds, e.g., complex draining wounds, fistulae, pressure ulcers, vascular ulcers, ostomies, percutaneous tubes, and continence disorders. Professional responsibilities are carried out through direct patient care, clinical consultation, education, research, and administration.
Essential Responsibilities
- Utilizes the nursing process when directing or delivering care to patients with WOC needs, including assessment, diagnosis, outcomes, identification, planning, and implementation, e.g., coordination of care delivery, health teaching, and promotion, consultation, and evaluation.
- Utilizes and maintains current physical, psychosocial, clinical assessment, and therapeutic communication skills to determine individual patient needs and expected outcomes.
- Participates in committees or task forces related to wound ostomy and continence issues.
- Provides consultation for individuals with altered skin integrity, e.g., pressure ulcers, draining wounds, fistulae, to develop individualized plans of care and attain expected outcomes.
- Provides guidance to staff in implementing protocols to identify, control, or eliminate etiologic factors for skin breakdown, including selection of appropriate support surfaces.
- As applicable, with a physicians order, provides appropriate debridement of devitalized tissue, e.g., conservative sharp debridement, silver nitrate, AgNO3, cauterization of non-proliferative wound edges, hypergranulation tissue, or to control minor bleeding.
- Provides appropriate education to patients, caregivers, and staff regarding skin care, wound management, care of percutaneous tubes and draining wounds, fistulae management.
- Validates pressure ulcer data collection for nursing quality indicators, e.g., pressure ulcers, and restraint use.
- Provides pre- and postoperative education to patients who are undergoing ostomy surgery and their families, with consideration of the need for physical and psychological adaptation.
- As applicable, marks the stoma site preoperatively by determining the appropriate site for stoma placement, with consideration of the patients anatomical markings, physical capabilities, and lifestyle.
- Assesses the stoma and stoma functioning and initiates appropriate procedures for stoma care, e.g., removes rods, sutures, measures, fits a pouching system, teaches care of stoma, peristomal skin, and pouch.
- Provides appropriate educational information to patients, including postoperative and discharge instructions, about care, referrals, and supply needs.
- Serves as a resource for patients after discharge through telephone consultation or outpatient services.
- Identifies risk factors for urinary or fecal continence disorders.
- Assesses patients with urinary and/or fecal continence disorders.
- Establishes an appropriate management program to include dietary and fluid management, bowel training or stimulated defecation program, bladder retraining, prompted voiding, or a scheduled voiding program, pelvic muscle reeducation without biofeedback, indwelling catheter management, recommendations regarding containment, absorptive products, and devices, and skin care and education and counseling for patients and caregivers.
- Identifies patients requiring referral for assessment and management of complex urinary or fecal continence disorders.
- Participates in developing and implementing procedures and protocols based on current national guidelines to deliver care to patients with the following urinary or intestinal disorders resulting in the need for an ostomy: Conditions requiring wound management, Impaired or altered skin integrity, Urinary and/or fecal continence issues.
- Assists the nursing and medical staff in maintaining current knowledge and competence in WOC care by providing the following: Formal or informal continuing education programs, Clinical rounds, Lunch and learn sessions, Orientation sessions, Collaborative practice committees, Nursing councils.
- Attends continuing education programs related to WOC nursing to maintain current knowledge and skills.
- Collaborates with leadership and multidisciplinary clinical practice teams to establish protocols which support best practices to achieve optimal clinical benefits for patients needing WOC care.
- Maintains and submits required activity and statistical reports to the appropriate department supervisor.
- Contributes to the selection of cost-effective supplies and equipment related to WOC care, which might need to be individualized for different units and departments.
- Participates in policy review and development as it relates to wound skin care and ostomies.
- Collaborates with frontline managers and staff on data collection, including prevalence studies, and the review of reports related to hospital-acquired pressure injuries for purposes of determining accuracy, recommending interventions, and educational opportunities.
Qualifications
- Minimum: Bachelors degree in Nursing or relevant experience and/or education as determined by the company in lieu of a bachelors degree.
- Graduation from a WOCN-accredited wound ostomy and continence WOC nursing education program or satisfactory completion of an accredited program within 18 months after assuming the position.
- OR Completion and certification from a WCC OMS program-Wound Care Certified and Ostomy Management Specialist.
- Act 34 Criminal Background Clearance Certificate.
- Act 33 Child Abuse Clearance Certificate.
- Act 73 FBI Fingerprinting Criminal Background Clearance Certificate.
- Current State of PA RN licensure or Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC).
- CPR certification.
- Current certification in tri-specialty CWOCN by the Wound Ostomy and Continence Nursing Certification Board.
- Preferred: MSN.
- Two to four years of recent relevant nursing experience.
- Current certification in tri-specialty CWOCN by the Wound Ostomy and Continence Nursing Certification Board.
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Companys Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employees responsibility to comply with the companys Code of Business Conduct, which includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
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