Registered Nurse-Wound Ostomy Continence
Job Objective: A brief overview of the position.
The wound, ostomy and continence nurse (WOCN) is a clinical expert in the assessment, education, and implementation of care for neonate, pediatric, or adult patients with wound, ostomy, and/or incontinence issues.
Director- Renker Wellness Center
Ages of Patients
Blood Borne Pathogens
Required: BSN or MSN or enrollment in an RN-BSN or RN-MSN program within 1 year of hire and completion within 5 years of hire if hired after July 1, 2012
Required: California RN license; American Heart Association BLS
Preferred: Wound Care Certification
Preferred: Wound care experience
- Performs other duties as assigned
Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
Provides a consulting service to physicians and staff that include assessment and evaluation of current wound, ostomy, and/or continence problems, for inpatients and outpatients.
Develops and oversees implementation of a comprehensive and individualized patient management plan with a dual focus of complication and disease state management.
Ensures that the plan of care for management of wound, ostomy, and/or continence issues reflects the expected patient outcomes, that the plan is communicated to appropriate medical, nursing, and support staff in a timely and effective manner.
Makes appropriate referrals to ancillary services.
Evaluates outcomes of interventions and adapts plan of care to reflect changes in patient status/needs.
Assists in identification of age specific learning needs of the patient.
Provides emotional support to patients in the process of coping with altered body image and function.
Participates in staff education by providing in-services, lectures and resource information.
Assumes an active role in monitoring and implementation of specialty bed usage.
Writes and reviews protocols and techniques related to area of expertise.
Acts as a resource to individuals and groups in the community seeking information regarding specialty services or products.
Assists with new hire orientation in relation to specialty.
Assists with policies that relate to specialty.
Assists with annual competency training of nursing staff in relation to specialty.
Assists with recruitment of nursing staff.
Involved in quality assurance as it relates to specialty.
SPECIALIZED PROCEDURES PERFORMED BY WOCN
Stoma site selection and marking
Stoma calibration and prosthesis selection.
Treatment of peristomal skin
Removal of ostomy bridge or rod.
Intubation of continent ostomies.
Replacement of gastrosyomy/jejunostomy tubes.
Reduction of stomal prolapse.
Introduction of catheters into fistula.
Removal of ureteral catheters.
Debridement of wounds.
Catheterization of urinary diversion.
Dermal ulcer assessment and treatment selection.
Replacement of suprapubic catheters.
Assessment and selection of appropriate pressure reduction/relief surface.
SPECIALIZED PROCEDURES PERFORMED BY NON-WOCN TEAM MEMBER:
Provides patient consultation and recommendations for wound care
Acts as a resource to physicians and staff related to complex wound care
Performs specialty wound care procedures including conservative sharp debridement, wound VAC therapy, etc
Participates in the development of the hospital’s wouond care program, policy, and procedures
Participates in decision making regarding selection of products and devices related to wound care
Provides staff education related to wound care
Functions as patient advocate in all aspects of nursing care.
Participates in physician rounds and providing recommendations for the plan of care.
Evaluates patient needs at the request of nursing, medical staff or ancillary departments.
Plans, delivers or monitors delivery, and documenting individualized patient care during hospitalization for patients with wound and ostomy and/or continence issues/needs.
Participates in patient education of the patient and/or family and making recommendation for products prior to discharge; services as a resource to Discharge Planners as needed.
Documents recommendations and/or care provided in the medical record.
Uses time effectively and proportionately so that responsibilities are completed within reasonable, designated time frame(s) as evidenced by:
Completing wound/ostomy nursing consults within 48 hours or receipt of a referral during the work week.
Following department and hospital policies and procedures in meeting work commitments.
Demonstrating the ability to manage multiple tasks efficiently.
Establishes and maintains networking relationships related to wound, ostomy and continence are.
Assists with collection of PI data.