RN Wound Ostomy PRN

Corewell Health•Dearborn, MI
•Onsite

About The Position

The hospital-based Wound Clinician serves as a clinical resource and consultant for the acute care of inpatients with disorders of the gastrointestinal, genitourinary, and integumentary systems. Care includes patients with acute and chronic wounds, such as complex draining wounds, fistulae, pressure injuries, and vascular ulcers; ostomies; percutaneous tubes; and continence disorders. Professional responsibilities are carried out through direct patient care, clinical consultation, education, research, and administration. The clinician uses the nursing process to assess patients with wound, ostomy, and continence needs, identify outcomes, plan and implement care, and evaluate results. The role includes individualized wound and skin care consultation, ostomy education and management, continence assessment and care planning, staff education, development of evidence-based procedures and protocols, collaboration on best practices, and administrative reporting and supply-related input.

Requirements

  • Bachelor's degree in Nursing (BSN).
  • Two years of relevant experience; the posting also specifies two to four years of recent, relevant nursing experience.
  • Registered Nurse (RN) license for the State of Michigan, required upon hire.
  • At least one certification from the preferred list, required upon hire.

Nice To Haves

  • Wound Ostomy Nurse, Certified (CWON) certification through the Wound, Ostomy and Continence Nursing Certification Board (WOCNCB).
  • Basic Life Support (BLS) certification from the American Heart Association or American Red Cross.

Responsibilities

  • Use the nursing process to assess, plan, deliver, coordinate, and evaluate care for patients with wound, ostomy, and continence needs.
  • Maintain current physical, psychosocial, and clinical assessment skills and use therapeutic communication to determine patient needs and expected outcomes.
  • Participate in committees or task forces related to wound, ostomy, and continence issues.
  • Consult on altered skin integrity and develop individualized plans of care to achieve expected outcomes.
  • Guide staff in implementing protocols to identify, control, or eliminate causes of skin breakdown, including selecting appropriate support surfaces.
  • Educate patients, caregivers, and staff about skin care, wound management, percutaneous tube care, and draining wound or fistula management.
  • Provide consultation for negative pressure wound therapy, including subsequent dressing changes, and collaborate on care for the patient's next care setting.
  • Validate pressure injury data collection for nursing quality indicators.
  • Educate patients and families before and after ostomy surgery, accounting for physical and psychological adaptation.
  • Mark preoperative stoma sites based on the patient's anatomy, physical capabilities, and lifestyle.
  • Assess stomas and their function and initiate appropriate stoma care, including removing rods or sutures, fitting pouching systems, and teaching stoma, peristomal skin, and pouch care.
  • Provide postoperative and discharge education and instructions about ostomy care, referrals, and supplies.
  • Identify risk factors for urinary or fecal continence disorders and assess patients with these disorders.
  • Establish continence management programs, including recommendations for containment or absorptive products, devices, skin care, and patient or caregiver education and counseling.
  • Participate in developing and implementing procedures and protocols based on current national guidelines for ostomy, wound management, altered skin integrity, and continence care.
  • Support nursing and medical staff in maintaining WOC care knowledge and competence through continuing education, orientation, committees, and nursing councils.
  • Attend continuing education programs related to WOC nursing to maintain current knowledge and skills.
  • Collaborate with leadership and multidisciplinary clinical practice teams to establish protocols supporting best practices and optimal clinical benefits.
  • Maintain and submit required activity and statistical reports to the appropriate department supervisor.
  • Contribute to the selection of cost-effective WOC supplies and equipment, which may be individualized for different units or departments.

Benefits

  • Comprehensive benefits package intended to support financial, health, and work/life balance goals.
  • On-demand pay program powered by Payactiv.
  • Discounts directory offering deals on items such as restaurants, phone plans, and spas.
  • Optional identity theft protection, home insurance, and auto insurance.
  • Traditional and Roth retirement options with service contribution and match savings. Eligibility for benefits is determined by employment type and status.
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