Clinical Services Nurse (RN) Wound Ostomy Continence

$7,500 Commitment Bonus for experienced nurses!

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke Raleigh Hospital, A Campus of Duke University Hospital Pursue your passion for caring with the Duke Raleigh Campus in Raleigh, North Carolina, which has been part of Duke Health since 1998 and has served Wake County for more than 35 years. Duke Raleigh Campusfeatures 204 inpatient beds and offers a comprehensive array of services, including cancer, cardiovascular, neuroscience, advanced gastrointestinal, and wound healing care.

Duke Nursing Highlights:

• Duke University Health System is designated as a Magnet organization
• Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
• Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
• Duke University Health System has 6000 + registered nurses
• Quality of Life: Living in the Triangle!
• Relocation Assistance (based on eligibility)

Position Summary

The Wound, Ostomy, and Continence Clinical Services Nurse (WOC CSN) provide leadership in the care of patients with stomas, draining wounds, or incontinence, throughout the organization. This includes the utilization of clinical expertise to provide preoperative and postoperative care, counseling, and teaching to patients 0-99 years of age in need of wound, ostomy, and/or continence management. S/he has primary responsibility for educating nurses to ensure knowledge and competency in basic wound, ostomy, and continence management; and works collaboratively with the interdisciplinary team in a variety of specialties in planning and coordinating the care. The WOC CSN is an integral part of multiple teams, as a clinician, educator, consultant, and leader.

General Description of the Job Class

Independently plan and provide professional nursing care for patients in accordance with physician orders and established policies and procedures. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing. Nurses hired into this limited benefited classification will commit to work a minimum number of hours in a designated inpatient nursing department. Compensation is a flat rate.

Duties and Responsibilities of this Level

• Plan and provide professional nursing care for patients in accordance with physician orders and
  established policies and procedures (Direct Care)
• Identifies patient caseload through referrals and active case finding
• Conducts complete and accurate patient assessment
• Provides specialized nursing treatment, care and education to patients with wounds
• Provides specialized nursing treatment, care, stomal siting, and education to patients undergoing urinary or stool diversion in accordance with physician/nursing orders and established policies and procedures
• Provides specialized nursing treatment, care, and education to patients with draining wounds or requiring continence management or other specialized urologic interventions (such as clean intermittent self-catheterization or continuous bladder irrigation)
• Selects, develops and/or implements evidence-based clinical interventions and systems to achieve defined patient and system outcomes
• Serves as a resource to patients and families, providing preoperative counseling and follow-up problem solving after discharge from the hospital
• Utilizes comprehensive assessment skills in the evaluation of stoma and wound care products and supplies in an effort to provide quality, cost-effective care
• Assist patients and families with the understanding of their diagnosis and the management thereof
• Identifies patient/family education needs and priorities
• Coaches patients and families to help them navigate the healthcare system
• Utilizes teaching and learning theories to assist patients and families with physical and emotional impact of body changes and chronic illness
• Provides additional information/community resources to enhance the patient’s quality of life as it relates to the alterations in body image and life style
• Participates in developing, implementing and evaluating patient education resources and programs appropriate to the patient’s developmental level, health literacy level, learning needs, readiness to learn, and cultural values and beliefs
• Assesses learning needs of nursing staff; participate in planning and implementing appropriate educational forums and opportunities to address critical learning needs and skills
• Assist nursing personnel in the delivery of nursing care functioning as an integral member of the multidisciplinary team
• Establishes collaborative relationships within and across departments that promote patient safety, culturally competent care, and clinical excellence
• Serves as a resource and consultant to nursing members of the healthcare community and to the larger community in areas of wound, ostomy, and continence management strategies
• Practices collegially with medical staff and other members of the healthcare team
• Participates in and supports accreditation and regulatory activities of Duke Hospital
• Facilitates the provision of clinically competent care by staff/team through education, role modeling, teambuilding, and quality monitoring
• Role models advanced practice professional nursing through conduct, appearance, communication, mutual respect, leadership, ethical decision-making, critical thinking, continuous learning and problemsolving skills
• Uses effective strategies for changing clinician and team behavior to encourage adoption of evidencebased practices and innovations in care delivery
• Assist in the development and implementation of general policies and procedures and quality improvement designed to effect efficiency of operations
• Participates in nursing and interdisciplinary process improvement projects, product evaluation, outcome evaluation studies, and / or clinical research
• Uses quality-monitoring data to assess the quality and effectiveness of clinical programs in meeting outcomes
• Promotes evidence-based practice through participation in developing, implementing, and evaluating process standards such as plans of care, protocols, and guidelines
• Applies principles of evidence-based practice and quality improvement to all patient care

Required Qualifications at this Level

Education

Work requires graduation from an accredited Bachelors Degree in Nursing program.

Experience

2 years of appropriate clinical experience required

Degrees, Licensure, and/or Certification

Must have current or compact RN licensure in the state of North Carolina.

BLS required.

Nationally recognized certification in Wound and Ostomy management is required.

Knowledge, Skills, and Abilities

Knowledge of scope of the registered nurse, licensed practical nurse and unlicensed staff

Knowledge of and appropriate application of the nursing process

Knowledge of professional theory, practice and procedure

Ability to assess nursing needs of acute and chronically ill patients and their families

Ability to independently seek out resources and work collaboratively

Ability to establish and maintain effective working relationships

Ability to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others

Ability to teach patients and families in accordance with the nursing plan of care

Ability to use sensory and cognitive functions to process and prioritize information, treatment, and follow-up

Ability to use fine motor skills

Competent in BLS and/or other specialized life support requirements designated by work area

Ability to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status

Ability to use computer and learn new software programs

Able to document and communicate pertinent information using computer and/or paper documentation tools

Ability to navigate the entity to provide clinical care for patients

Ability to withstand prolonged standing and walking

Ability to remain focused and organized

Working knowledge of procedures and techniques involved in administering routine and special treatments to patients

Working knowledge of infection control procedures and safety precautions

Working knowledge and completion of appropriate The Joint Commission (TJC) and other regulatory requirements

Pre-employment Physical Capacity Testing Required

The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.

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Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.