Job Summary

Supports, and is responsible for incorporating into job performance, the Frederick Health (FH) mission, vision, core values and customer service philosophy and adheres to the FH Compliance Program, including following all regulatory requirements and the FH Standards of Behavior.

Wound and Skin Clinicians are experts in caring for patients with wounds, ostomies, and incontinence. Specifically, Wound and Skin Clinician nurses respond to the acute and rehabilitative needs of people with select gastrointestinal, genitourinary, and integumentary systems disorders. They provide direct care to people with abdominal stomas, wounds, fistulas, drains, pressure injuries, and/or continence disorders and can serve as educators, consultants, researchers, and administrators.

Example of Essential Functions:

• Provide oversight of wound care to assist other healthcare providers in management of acute and chronic wounds
• Educate patients on wound care, infection, and injury prevention
• Provide and interpret evidence-based tools for staff nurses for decision support and best clinical practice
• Educate the individual/family/caregiver on how to change, empty, and manage the pouching system; normal function of the ostomy; normal characteristics of the stoma and peristomal skin; and signs of complications to report to their healthcare provider
• Treat stomal and peristomal skin complications
• Navigate and suggest resources for patient supplies to reduce ED visits
• Provide follow-up care post-discharge in the outpatient clinic setting
• Collaborate with surgeons, infection prevention practitioners, podiatrists and other members of the interdisciplinary team
• Perform focused assessments including relevant history to identify risks, contributive factors, and reversible causes on incontinence
• Establish a plan of care for healing related to wound, ostomy and/or continence problem list
• Contribute value to their institution with regards to the effect of patient outcomes including, but not limited to: reducing instances of catheter-associated urinary tract infections (CAUTI), hospital-acquired pressure injury (HAPI), and improving urinary and bowel incontinence
• Advocate for reimbursement of supplies, services, and access to long-term support
• Completes comprehensive EMR patient documentation for WOC consults and/or scheduled appointment evaluations
• Provides services and care to both inpatient and outpatient customers
• Supports departmental operations and participates on various performance and quality initiatives
• Serves as a clinical resource/educator or preceptor for staff learning principles of wound care

Required Knowledge, Skills and Abilities:

·Excellent communication and interpersonal skills

·Advanced critical thinking and problem solving skills.

·Effective time management and the ability to evaluate and coordinate patient care flow.

·Flexibility in clinical workflow environment.

·Intermediate computer/keyboard skills and ability to learn various EMR systems

·Ability to assume responsibilities beyond patient care

·Performs all job description duties according to the age specific patient population served by the department in the department Quality Improvement Plan.

Minimum Education, Training, and Experience Required:

• Registered Nurse (Bachelor prepared) and licensed in the state of Maryland
• Masters preferred and encouraged
• Minimum of three years adult nursing experience that includes caring for patients with wound, ostomies and/or incontinence problems
• Active certification in a nursing wound specialty i.e. CWOCN (preferred), CWS, WCC
• Or completion of wound certification within 2 years of employment, to include salary adjustment once achieved
• CPR training (AHA) for Basic Life Support for Healthcare Provider

Patient Contact

Must demonstrate and maintain current knowledge and skills in providing appropriate care/contact for patients in the following age groups:

• _X_Neonate (0 thru 30 days)
• _X_Infant (31 thru 12 months)
• _X_Child (13 months thru 12 years)
• _X_Adolescent (13 years thru 17 years)
• _X_Adult (18 years thru 65 years)
• _X_Geriatric (66+ years)

Physical Demands:

Medium-Heavy Work – Lifting up to 75 pounds on an infrequent basis (less than one lift every three minutes) and/or carrying up to 35 pounds while walking.Pushing or pulling up to 115 pounds infrequently or greater than 115 pounds occasionally (no more than once per hour).

Ergonomic Risk Factors:

Repetition:Repeating the same motion over and over again places stress on the muscles and tendons.The severity of risk depends on how often the action is repeated, the speed of the movement, the required force and muscles involved.

Forceful Exertion:The amount of physical effort required to perform a task (such as moving patients) or to maintain control of equipment or tools.The amount of force depends on the type of grip, the weight of an object or person, body posture, the type of activity and the duration of the task.

Awkward Posture:Posture is the position your body is in and its effect on the muscle groups that are involved in the physical activity.Awkward postures include repeated or prolonged reaching, twisting, bending, kneeling, squatting, working overhead with your hands or arms, or holding fixed positions.

Contact Stress:Pressing the body hard on sharp edges can result in placing too much pressure on nerves, tendons, and blood vessels.For example, using the palm of your hand to hit or stick objects can increase risk of musculoskeletal disorders.

Working Conditions:

1. Bloodborne Pathogens Exposure Risk:Category A – WILL have exposure to blood or body fluids.

Reporting Relationship:

Reports to Department Manager, Wound Care and Hyperbaric Medicine

Schedule - day shift hours, PRN based on departmental needs (minimum of 72hrs per quarter/ avg 12 hrs per pay period)