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.
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Job Type
Full-time
Education Level
No Education Listed