RNWoundOstomy

**Scope of Work** The hospital based Wound Clinician serves as a clinical resource and consultant for the acute care of in patients with disorders of the gastrointestinal, genitourinary, and integumentary systems. The care extends to those with acute and chronic wounds (for example, complex draining wounds, fistulae, pressure injury, vascular ulcers), ostomies, percutaneous tubes and continence disorders. Professional responsibilities are carried out through direct patient care, clinical consultation, education, research and administration. * General duties/responsibilities · Utilizes the nursing process when directing or delivering care to patients with WOC needs including assessment, diagnosis, outcomes identification, planning and implementation (e.g., coordination of care delivery, health teaching and promotion, consultation), and evaluation. · Utilizes and maintains current physical, psychosocial, clinical assessment, and therapeutic communication skills to determine individual patient needs and expected outcomes. · Participates in committees or task forces related to wound, ostomy, and continence issues. * Wound/skin care · Provides consultation for individuals with altered skin integrity (e.g., pressure injuries, draining wounds, fistulae) to develop individualized plans of care and attain expected outcomes. · Provides guidance to staff in implementing protocols to identify, control, or eliminate etiologic factors for skin breakdown, including selection of appropriate support surfaces. · Provides appropriate education to patients, caregivers, and staff regarding skin care, wound management, care of percutaneous tubes, and draining wound/fistulae management. · Provides consultation for negative pressure wound therapy, (including subsequent dressing changes) provides collaborative care which includes patient’s next care setting. · Validates pressure injury data collection for nursing quality indicators. * Ostomy care · Provides pre- and postoperative education