Registered Nurse Enterostomal Therapy Home Health

St. Luke's University Health Network•Bethlehem, PA

About The Position

This position provides nursing care and instruction to home health patients with stomas, as well as treatment and services for patients with fistulas, draining sinus tracts, or wound exudates. The nurse evaluates and assesses patients referred for continence issues, stoma therapy, and wound care; determines eligibility for admission; develops an initial care plan; and coordinates admission, referrals, and community resources. The role provides comprehensive nursing care, health teaching, guidance, and supervision to patients and families, supports rehabilitation and daily-living adjustments, and instructs and in-services VNA staff on complex stomal and wound care. Ongoing assessment guides service frequency, treatment-plan changes, and discharge in accordance with agency policy and philosophy. Documentation should be clear and accurate, use a caregiver-oriented approach, and record goals and plans in coordination with the patient and/or caregiver.

Requirements

  • May be either a Public Health Nurse or a Registered Professional Nurse who has graduated from an Enterostomal Training Program.
  • Ability to meet the listed physical requirements: occasionally lift and/or carry 100 pounds; frequently lift and/or carry 50 pounds; stand and/or walk at least six hours in an eight-hour workday; frequently stoop and crouch; frequently handle/grasp; and occasionally perform fingering/fine manipulation.

Nice To Haves

  • Two years as a professional nurse in nursing practice or previous community health experience as a professional nurse is preferred.

Responsibilities

  • Evaluate and comprehensively assess patients referred for continence issues, stoma therapy, and wound care for home care services.
  • Determine eligibility for admission according to agency policy.
  • Formulate an initial care plan based on patient needs, process admission, and refer patients to other agency disciplines and community resources as needed.
  • Provide comprehensive nursing care, health teaching, guidance, and supervision to stoma and wound patients and their families.
  • Assess wound status and provide treatment.
  • Irrigate, apply and care for appliances, address skin problems, measure for permanent appliances, and order appropriate osmotic supplies and appliances.
  • Assess and treat continence issues.
  • Assist patients with rehabilitation and instruct them on daily-living adjustments, including diet, exercise, job, and individual concerns.
  • Instruct and provide in-services to VNA staff on complex stomal and wound care.
  • Conduct ongoing assessments to determine service frequency, changes to the Plan of Treatment, and discharge in compliance with agency policy and philosophy.
  • Document clearly and accurately using a caregiver-oriented approach, and record goals and plans in consultation with the patient and/or caregiver.
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