Description:
Location: UHI Medical Arts Building
Department: Gastro Clinic
Hours: 40 Hours/Week
Shift: First
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The Clinical Coordinator is responsible for assisting with the coordination of patient wound, fistula and ostomy care while providing support and supervision to wound team personnel in the performance of their duties. The Clinical Coordinator is a clinical resource who ensures patients receive the highest quality care by serving as a professional role model, supervising the wound care team's daily operations assuring regulatory compliance and acting as a liaison between management and staff. The CC will provide direct patient care and assume on call responsibilities as determined by hospital needs. The Clinical Coordinator is instrumental in creating a positive public image and working environment. Demonstrates Duties and responsibilities of a Wound care Registered Nurse.
Requisition Type: Professional
Responsibilities:
PATIENT POPULATION - (CLINICAL ONLY)
Engages in population appropriate communication. Has knowledge of growth and development milestones and tasks. Gives clear instructions to patients/family regarding treatment. Involves family/guardian in the assessment, initial treatment and continuing care of the patient. Identifies any physical limitations of the patient and deploys intervention when necessary. Recognizes and responds appropriately to patients/families with behavioral health problems. Interprets population related data and plans care appropriately. Identifies and responds appropriately to different needs resulting from, unique psychological needs or those associated with religious / cultural norms. Performs treatments, administers medication or operates equipment safely. Recognizes and responds to signs/symptoms of abuse or neglect.
Wound Care Team Operations:
Providing direct patient care. Assuring appropriate staffing levels which are consistent with acuity, census and budget. Implementing interventions to carry out long-range goals. Participating in team and unit based performance improvement activities. Assuring compliance to policies and procedures. Promoting the use of the nursing process according to standards set forth by the institution. Identifying issue/problems that need investigation, resolution, and appropriate follow-up Facilitates the maintenance of a clean, safe, and organized environment.
LEADERSHIP: Managing care though others.
Understanding of the organizational structures of the unit, hospital and key departments is displayed. Understanding of the Nurse Practice Act, hospital policies and procedures, and unit protocol is demonstrated. With guidance, hospital policies and procedures are interpreted to other staff members including legal implications. Responsibility for patient/resident care is delegated and accepted. Open lines of communication are maintained between staff and management and makes staff needs known to management. Remains cognizant of staff morale, attempts to alleviate inter-staff tensions and when indicated, directs pertinent complaints to management. Actively participating in problem solving, decision-making and conflict resolution. Maintaining a team environment that encourages retention, development of staff and patient satisfaction. Facilitating the planning, implementation and evaluation of the orientation of the new employees. Is aware of and supports effective use of staff. Promoting economic and efficient use of resources.
Delegates tasks to appropriate levels.
Utilizes time management skills.
Constructive use of time on unit by staff is promoted and maintained. Assuring availability and appropriate use of supplies.
Supplies are conserved. Identifying the learning needs of the staff and facilitating methods to meet these needs.
ASSESSMENT: Assesses physical, psychosocial, spiritual and educational needs of patients/residents using appropriate parameters.
Knowledge base is demonstrated of normal physiological and psychosocial functions. Understanding of signs and symptoms data related to disease process is demonstrated. Collects, reports, and records subjective and objective data about the health status of clients in an accurate and timely manner consistent with established unit/departmental standards, policies, and procedures.
Pain
Potential for impaired skin integrity utilizing the Braden Scale (weekly).
Actual impaired skin integrity utilizing the computerized wound documentation program.
Continence issues, including appropriateness of patient for:
Current wound management program, including support surfaces (includes seat cushions), dressings and nutritional interventions.
Wound assessment. Rounds are made on all assigned patients/residents. Changes in patient/resident condition are communicated to the R.N. and physician on all assigned patients/residents. Subtle changes are recognized. Others are utilized in the health care team to aid in assessing the patient/resident's physiological and psychological condition.   Conditions are recognized that are potential problems and/or safety hazards and unsafe conditions are reported immediately.
PLANNING: Utilizes collected data to establish and prioritize a list of actual and potential patient/resident problems and or needs.
Care plans are prepared, revised and coordinated in a collaborative effort with other health care members to identify need for change. Care plans which identify nursing diagnoses, patient/resident problems, interventions and goals is initiated according to policy and procedure. Ability to establish priorities of care is demonstrated. Updates computerized patient/resident profiles and incorporates changes in status into plan of care (as per policy). Incorporate holistic approach to wound care (looks at entire patient, not just the wound). Discharge planning is begun on admission. Appropriate referrals are made. Education needs of patient/family are identified. Suggesting wound care treatment program per protocols Initiating referral to WOC nurses or others for issues related to skin/wound, continence or ostomy care.
IMPLEMENTATION Implements and maintains standards of nursing practice according to the priority of identified problems/needs.
Nursing actions are implemented either by direct care or delegation of responsibility based on patient's/resident's care plan and skill level of assigned personnel. All care given to assigned patients/ residents is safe, therapeutic, timely and completed by the end of the shift. Physician's orders are carried out according to prescribed care. Treatments and medications are administered as ordered, according to hospital policy and procedure. Skin inspection. Completion of Braden Scale w/ >85% reliability. Wound assessment.
Cognitive & demonstrated skill with parameters of wound assessment as noted on the Weekly Wound Assessment documentation. Wound care Skills required.
Basic wound care per standards.
Advanced wound care per standards. Appropriate pain interventions will be completed as per policy. Patient/resident and family are assisted in education activities. Patient/resident and/or family responses are observed for demonstration of understanding of what has been taught. Appropriate action in emergency situations is initiated. Time management skills are utilized. Time logs completed if applicable. Constructive use of time on unit by staff is promoted and maintained. Supplies are conserved. Equipment is used in an efficient and safe manner according to hospital policies and procedures. Participating in interdisciplinary conferences, patient/family conferences w/ input from RN in absence of RN. Communicates w/ physicians, WOCNs and others regarding changes and/or lack of progress in wound healing. Communication w/ receiving facility/service, as delegated by RN, regarding current wound management program for patients to be discharged.
EVALUATION: Continuously evaluates effectiveness and quality of care rendered. - 10% Evaluation and documentation include patient/resident's physical, psychological and emotional response to plan of care. Evaluation and documentation include the response of family when directly related to patient/resident care. Revises as necessary the care plan to meet the changing needs of the patient/resident. Response to pain is appropriately evaluated. Evaluating skin/wound status with each dressing change. Documenting change in skin/wound status. Communicating w/ physician and/or RN re: possible revisions to treatment program and plans of care based on patient response.
DOCUMENTATION: Completes documentation of nursing process.
Nursing process is accurately and concisely documented. Applicable chart forms (patient care notes/flow sheets) are documented on according to policy and procedure and standards of care. Knowledge & competency w/ documentation system.
Documenting ongoing care. Flow sheets are documented on according to policy/ procedure. Pain documentation will be complete according to policy and procedure.
Demonstrates knowledge and skills necessary to provide care appropriate to the age of the patients served (patient population unit specific).
Maintains high level of expertise in specialty area.
In service education programs are scheduled and attended to assure staff is updated on current specialty practice, equipment and supplies attends 75% of in services. Annual mandatory classes are maintained- annual review and skills days. The location of fire alarms, fire extinguishers, emergency exits, fire and disaster plans are identified. Hospital policies and procedures are followed for controlling and reporting infections. Independent studies to increase professional competency is participated in and specialty education sessions are attended. Learns and applies new techniques and technologies. Employee Health requirements are maintained. Staff meetings are attended at minimum 75% of meetings. Participates in annual Pressure Ulcer Incidence and prevalence survey as determined by organization.
Qualifications:
Minimum Required: Associate's Degree Graduate of an accredited school of nursing. Preferred: Bachelor's Degree.
Holds a current RN license in the State of Ohio. BLS and ACLS certification.
Minimum Required: 3 - 5 Years equivalent experience.