Wound Ostomy Continence Nurse
3 weeks ago
The Certified Wound Ostomy Nurse (CWON) provides high-quality, cost-effective management of a caseload of inpatients, outpatients, home care, and long-term care patients in the Northwest Region who have complex wound or ostomy care needs.
Upon referral from physicians and other healthcare providers, the CWON assesses, plans, implements, and evaluates patient care. The CWON provides expert consultation, coordination of services, and education for patients and families and the healthcare team to achieve optimal patient care and adequate staff knowledge of wound and ostomy care.
Key Responsibilities:- Staffs hospital, outpatient chronic wound clinics, home health/hospice in multiple locations throughout the region.
- Assesses, examines, counsels, and determines treatment for prevention and healing of wounds and ostomy care.
- Determines and orders appropriate topical products, compression therapy, sharp debridement, referrals to specialty providers, and labs and x-rays under approved physician orders and protocols and based on established KPNW Certified Wound Ostomy Nurse standards of care within scope of practice.
- Organizes and plans patients' ostomy care and rehabilitation through assessment, examination, pre-and post-operative teaching, counseling, and recommending treatment and product use.
- Acts as an expert resource for staff and utilizes knowledge in clinical areas of practice.
- Consults with physicians, nurses, and other healthcare providers in hospital, clinic, home health/hospice, and skilled nursing facilities regarding wound, ostomy, and continence management for individual patients; recommends treatment modalities to promote healing, contain drainage, and promote skin integrity.
- Consults with contracted home health agencies, Kaiser Permanente utilization reviewer, and primary care clinicians regarding appropriate clinical wound, ostomy, and continence care and utilization for home care and skilled nursing facility patients.
- Provides formal education of nursing, medical, and other healthcare staff regarding wound and ostomy management.
- Actively participates/leads committees/task forces as needed.
- Educates team on financial implications of supply and equipment usage.
- Develops state-of-the-art protocols, staff, and patient written resources in collaboration with regional Wound supervisor and other KP CWOCNs.
- Consults with local outpatient materials management, pharmacy, reception staff regarding issues related to the delivery of effective wound/ostomy/continence care.
- Participates in quality management/improvement activities in the NW Region as appropriate, including occurrence reporting, focused studies, process and outcome measurement, and continuous quality improvement projects.
- Consults with DME, Materials Management regarding optimum use of supplies and equipment.
- Participates as a member of the CWOCN team, including team meeting and case conferences.
- Supports quality management plans at the UBT level.
- Minimum three (3) years of RN nursing experience in home care, long-term care, hospital, or clinic setting.
- Bachelors degree in Nursing or related field.
- Registered Nurse License (Washington) within 6 months of hire OR Compact License: Registered Nurse within 6 months of hire Registered Nurse License (Oregon) within 6 months of hire Drivers License (in location where applicable) Wound Ostomy Care Nurse Certificate required at hire Basic Life Support required at hire
- Ability to travel between multiple offices, clinics, hospitals, and/or homes within the NW Region.
- Thorough knowledge of current wound, ostomy, continence nursing practice.
- Experience with vascular assessment, including Doppler measurement of arterial flow.
- Experience with sharp instrument wound debridement.
- Ability to complete concise, thorough clinical documentation of patient assessments and care.
- Working knowledge of quality management and resource utilization methodologies.
- Thorough knowledge of universal infection control.
- Knowledge of adult learning theory.
- Strong group presentation skills to facilitate provision of in-service training.
- Strong verbal and written communication skills.
- Problem-solving, organizational, and time management skills.
- Ability to work in interdisciplinary team as a consultant and direct care provider.
- Demonstration of customer-focused service skills.
- Ability to proficiently operate personal computer.
- Must have sufficient manual dexterity to perform precise procedures, such as limited sharp debridement.
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