Clinical Nurse - Wound Ostomy, PRN

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About Duke University Hospital

Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States and is the number one hospital in North Carolina, according to U.S. News and World Report for 2023-2024. Duke University Hospital is the largest of Duke Health's three hospitals and features 1048 patient beds, 65 operating rooms, as well as comprehensive diagnostic and therapeutic facilities, including a regional emergency / trauma center, an endo-surgery center, and more.

Job Location - Duke University Hospital

Job Summary

The Wound, Ostomy, and Continence Clinical Service Nurse (WOC CSN) provides care to patients with stomas, draining wounds, or incontinence, throughout the organization. This includes 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. The WOC CSN's primary responsibility is to educate 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 and consultant.

Job Duties and Responsibilities

• 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 problem-solving skills
• Uses effective strategies for changing clinician and team behavior to encourage adoption of evidence-based 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

Job Eligibility Requirements

Education

License

Certification

Experience

At a manager's discretion, high performing Duke RNs with 6 months experience may be considered.

Job Hours

PRN

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.

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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.