RN Wound Ostomy, West Penn Hospital

Highmark Health•Pittsburgh, PA

1d•Onsite

About The Position

WEST PENN HOSPITAL: West Penn Hospital has four-time Magnet® recognition, private patient rooms, free employee parking and a generous benefit package (for full-time and part-time status employees). They are nationally recognized for their burn care, and the only pediatric burn center in western Pennsylvania to be verified by the American Burn Association and the American College of Surgeons. They are also ranked in the nation's top-50 hospitals for OB-GYN care by the US News and World Report. 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.

Requirements

Minimum Bachelor’s degree in Nursing or relevant experience and/or education as determined by the company in lieu of bachelor's 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 cardiopulmonary resuscitation

Nice To Haves

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

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 physician’s order, provides appropriate debridement of devitalized tissue (e.g., conservative sharp debridement, silver nitrate [AgNO3] cauterization of nonproliferative 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 wound/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 patient’s anatomical markings, physical capabilities, and lifestyle
Assesses the stoma and stoma functioning and initiates appropriate procedures for stoma care (e.g., removes rod/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/caregivers.
Identifies patients requiring referral for assessment/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/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.