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Posted: 14-Sep-23
Location: Durham, North Carolina
Salary: Open
Internal Number: 233682
Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 1,048 licensed inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 65 operating rooms; an endo-surgery center; a separate hospital outpatient surgical department with nine operating rooms and an extensive diagnostic and interventional radiology area. For 2021-2022, U.S. News and World Report ranked Duke University Hospital nationally in 11 adult specialties: cancer, cardiology & heart surgery, diabetes & endocrinology, ear, nose & throat, gastroenterology & GI surgery, gynecology, neurology & neurosurgery, ophthalmology, orthopedics, pulmonology & lung surgery, and urology. Duke University Hospital is also ranked first in North Carolina and first in the Raleigh-Durham area.
In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.
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)
WOCN - Wound, Ostomy, Continence Nurse Practitioner
Job Location - Duke University Hospital
Job Summary
The Oncology WOC Nurse Practitioner provides direct patient care services and performs medical acts as a Nurse Practitioner under the supervision of the supervisory physician to patients >12 years of age requiring management of wound, ostomy, and/or continence issues. The Nurse Practitioner performs physical exams, collects and documents data, conducts diagnostic and therapeutic procedures, orders and schedules laboratory studies and professional consultations, prescribes appropriate interventions and medications, and provides direct patient care service. Provides leadership in the care of patients with wound, ostomy, and/or continence issues throughout the Cancer Center. This includes utilization of clinical expertise to provide preoperative and postoperative care, counseling, and teaching, educating nurses to ensure knowledge and competency in basic wound, ostomy and continence management; and working collaboratively with colorectal surgeons, urologists, GYN oncologists, radiation oncologists, and other physician specialists in planning and coordinating the care. The WOC Nurse Practitioner is an integral part of multiple teams, as a clinician, educator, consultant, leader, and investigator.
Job Duties and Responsibilities
- Collaborate with physician(s) and healthcare team to assess, diagnose, plan, set priorities and realistic outcomes, and evaluate the effectiveness and cost efficiency of patient care.
- Provide evidence-based clinical care by actively engaging in review of literature
- May order and/or perform the following procedures:
- Patient history and perform physical exam
- Laboratory and or diagnostic procedures
- Application of dressings and bandages.
- Assess patients for change in status and institute appropriate interventions.
- Communicate verbally and in writing all pertinent patient information to supervising MD, referring MD, nursing staff, home health / hospice agency, and other relevant healthcare providers.
- Document in patients' medical record all relevant data including but not limited to results of diagnostic tests; laboratory results; patients' condition and response to therapies/interventions; communications with supervising MD.
- Utilize prescriptive privileges for identified patient population and in accordance with DUH and NC Board of Nursing/NC Medical Board regulations.
- 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)
- Provides specialized nursing treatment, care, and education to patients with radiation dermatitisServes 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.
- Support nursing staff in providing evidence-based clinical care.
- Coordinate clinical practice and/or clinical program services to maximize patient outcomes and to accomplish the strategic objectives of the healthcare team and of the organization.
- Assess educational needs of the Duke nursing staff and healthcare team as it relates to wound, ostomy, and continence care.
- Implement and evaluate appropriate educational programs for nursing staff, MDs, and other healthcare providers as appropriate.
- Role model and precept healthcare learners through contractual agreements.
- Assess educational needs of patients/families and provide culturally-sensitive patient/family interventions as indicated. Use non-technical language when educating patients/families. Document educational interventions in the patient's medical record.
- Utilize current research and evidence-based decision-making in all clinical practice.
- Incorporate clinical research findings in the development and implementation of standards of patient care.
- Participate in measuring and documenting outcomes.
- Provide leadership for nursing research.
- Participate in interdisciplinary quality improvement and/or research activities.
- 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.
- Designs, implements and evaluates programs and projects to facilitate the institutional goals and objectives for wound, ostomy, and continence management.
- Provides leadership in the assessment, development and implementation of policies/procedures, clinical pathways, and standards of care related to wound, ostomy, and continence management.
- Provides leadership in the development of patient education materials that enhance patient care outcomes within clinical specialty.
- Participates in and supports accreditation and regulatory activities of Duke Hospital.
- Serves as an effective change agent, using strategies such as navigating complex systems, promoting effective communications, and representing the broader context of care delivery.
Job Eligibility Requirements
Education
- Graduate of accredited MSN or DNP Nurse Practitioner Program for Adult Care.
- PAs are not being considered for this position.
License
- Current and unrestricted RN license with authorization to practice as a NP
- PAs are not being considered for this position.
Certification
- National NP certification for adult care, e.g., ANPAGNP, ANP, ACNP, AGACNP
- Must also have WOCN or equivalent
- PAs are NOT being considered for this position
Experience
- Minimum of 5 years RN experience required. WOCN experience strongly preferred.
Physical and mental requirements:
- Able to clearly articulate scope of practice, and practices within those guidelines as a Nurse Practitioner / Physician Assistant
- Able to independently seek out resources and work collaboratively to solve complex problems
- Able to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership, and others.
- Able to use sensory and cognitive functions to process and prioritize information, perform health assessments, treatment, and follow-up.
- Able to use fine motor skills
- Able to record activities, document assessments & interventions; prepare reports and presentations;
- Able to use computer and learn new software programs
- Able to provide leadership in clinical area of expertise and in meeting organizational goals
- Able to navigate the Hospital and DUHS to provide clinical expertise to specific patient populations
- Able to withstand prolonged standing and walking with the ability to move or lift at least fifty pounds
- Able to remain focused and organized
- Able to work collaboratively with all levels of personnel
Job Hours
Primary hours will be Monday-Friday, 8am-5pm, and other hours as needed to fulfill the responsibilities of the position. This is a .6/FTE position, 24 hours per week.
Duke is an Affirmative Action/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, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob 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.
