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-care patients with stomas, as well as specialized 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 under agency policy; develops an initial care plan; processes admissions; and refers patients to other agency disciplines or community resources as needed. The role provides comprehensive nursing care, health teaching, guidance, and supervision to patients and families. Care includes assessing wound status and continence issues; administering treatment; irrigating; applying and caring for appliances; addressing skin problems; measuring for permanent appliances; and ordering appropriate supplies and appliances. The nurse also supports patient rehabilitation and teaches adjustments to daily living, including diet, exercise, work, and individual concerns. The position instructs and provides in-service training to VNA staff on complex stomal and wound care, reassesses patients to determine service frequency and changes to the plan of treatment, and makes discharge decisions in accordance with agency policy and philosophy. Records should be clear and accurate, emphasize a caregiver-oriented approach, and document goals and plans in collaboration 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.
  • Two years as a professional nurse in nursing practice or previous community health experience as a professional nurse is preferred.

Nice To Haves

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

Responsibilities

  • Evaluate and comprehensively assess patients referred for continence issues, stoma therapy, and wound care for home-care services.
  • Determine patient eligibility for admission according to agency policy.
  • Formulate an initial care plan, process admissions, 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 continence issues and provide appropriate treatment.
  • Irrigate and apply and care for appliances; address skin problems; measure for permanent appliances; and order appropriate supplies and appliances.
  • Assist patients with rehabilitation and instruct them on daily living adjustments, including diet, exercise, work, and individual concerns.
  • Instruct and provide in-service training to VNA staff on complex stomal and wound care.
  • Provide ongoing assessments to determine service frequency, changes to the plan of treatment, and discharge from service in accordance with agency policy and philosophy.
  • Maintain clear, accurate records documenting goals and plans using a caregiver-oriented approach, and meet with patients and/or caregivers.
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