Registered Nurse (RN), Wound Ostomy Continence, FT Days - Windy Hill Hospital
On-siteKennesaw, Georgia, United States
Job Summary
Act as a consultant to physicians, developing evidence-based plans of care for complex wounds, fistulas, ostomies, and continence issues. Respond to consult requests by writing orders within scope, determining wound care frequency, and marking patients for ostomy surgery while providing pre- and post-op education. Perform the nursing process using analytical critical thinking, coordinate interdisciplinary communication through unit rounds and case reviews, and deliver relationship-based patient-centered care with comprehensive hand-off processes. When working in the outpatient Wound Care and Hyperbaric Unit, demonstrate knowledge of HBO therapy protocols, deliver care before, during, and after treatments, and monitor patients for adverse reactions. Operate HBOT chambers to pressurize and depressurize according to physician orders, maintain accurate logs of chamber settings, and perform maintenance and cleaning in accordance with infection control policies. Serve as a clinical expert in hospital committees and community groups, leading outcome evaluations and developing product formularies to support best practices.
Required Qualifications
- Licensed caregiver
- Certified
- Knowledgeable
- Upholds the practice of nursing as outlined by the Georgia Professional Nurse Practice Act
- Implements the Scope of Practice and Code of Ethics Standards put forth by the American Nurses Association
- Upholds the voice of the patient
- Supports service excellence goals
- Operates in a shared governance model
- Executes clinical practice using best evidence through continuous learning from formal education
- Actively reads professional literature
- Engages in reflective practice
- Functions independently
- Acts as a consultant to the physician
- Develops individualized, evidence-based plans of care
- Writes orders within the WOCN scope of practice
- Determines type and frequency of wound/ostomy care provided to the patient using expert judgment
- Provides education to the patient and family pre- and post-op
- Guides patients and families regarding psychosocial, sexual and body image adaption
- Performs the Nursing Process (assessment; diagnosis; identification of outcomes; planning; implementation and evaluation)
- Uses analytical/critical thinking
- Coordinates care through effective partnerships
- Demonstrates knowledge and understanding of the Healing Strategies for wound care
- Demonstrates knowledge of the role of HBO therapy
- Demonstrates knowledge of different approved clinical indications and treatment protocols for HBO treatment
- Delivers care to the patient immediately prior to, during, and immediately following the HBO treatment
- Documents all aspects of that care
- Monitors and ensures the proper delivery of treatment gas as ordered
- Monitors the patients continually during treatments for symptoms of oxygen intolerance, claustrophobia, hypoglycemic reactions, decompression sickness or any other adverse reaction to HBO treatments
- Appropriately intervenes in the event of an adverse reaction
- Follows established protocols
- Demonstrates competence in reinforcing age specific patient and family education on common topics related to the HBO therapy and related underlying disease processes
- Demonstrates competence in performing ordered treatments including but not limited to vital signs, blood sugars, and emergency procedures
- Documents required elements of each treatment in a clear, concise manner
- Demonstrates and applies basic knowledge about HBOT chamber operations
- Demonstrates knowledge of the basic physiological principles/concepts of the HBO treatment
- Operates controls to pressurize and depressurize the chamber according to prescribed policies for clinical indications and physician orders
- Maintains accurate logs and records of the time, pressures, depths, etc. of chamber operations
- Performs maintenance of the hyperbaric chamber (s) and related support systems
- Cleans chamber following each treatment
- Maintains emergency equipment and supplies located in the HBO area
- Documents equipment checks as required by established policies
- Serves as clinical expert in various hospital committees, community groups and organizations
- Leads outcome evaluations including quarterly NDNQI pressure ulcer prevalence
- Participates in improvement initiatives related to WOC nursing practice
- Evaluates and develops product formularies and algorithms
- Facilitates the needs of the bariatric population with specialty bed management
- Coordinates the delivery and documentation of safe quality patient care
- Promotes interdisciplinary communication
- Completes regular interdisciplinary planning/rounds
- Completion of time
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