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Experience:
1-3 years of experience
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Employment Type:
Intern/Co-op
Posted:
3/17/2015
Job Category:
Nursing
Industry:
Health Care & Medicine
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NURSE, WOUND/OSTOMY/CONT-CCS
Kaiser Permanente | Portland, Oregon
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Job Description

The Certified Wound/Ostomy/Continence Nurse (CWOCN) provides quality, cost-effective management of a caseload of inpatients, outpatients, home care, and long-term care patients in the Northwest Region who have complex wound, ostomy, and continence care needs. Upon referral from physicians and other healthcare providers the CWOCN assesses, plans, implements and evaluates patient care. The CWOCN provides expert consultation, coordination of services and education for patients and families and the healthcare team to achieve optimal patient care and adequate staff knowledge of wound and ostomy care. The major clinical focus of this position varies to include the hospital, outpatient clinic, home care, and long-term care as needed.

 

Essential Functions:
Wound, Ostomy, Continence Care: Staffs hospital, outpatient chronic wound clinics, home health/hospice in multiple locations throughout the region. Assesses, examines, counsels, and determines treatment for prevention and healing of wounds, ostomy and continence care. Determines and orders appropriate topical products, compression therapy, sharp debridement, referrals to specialty providers, and labs and xrays under approved physician orders and protocols and based on established KPNW Certified Wound/Ostomy/Continence Nurse standards of care within scope of practice. Organizes and plans patients' ostomy care and rehabilitation through assessment, examination, pre-and post-operative teaching, counseling and recommending treatment and product use. Acts as an expert resource for staff and utilizes knowledge in clinical areas of practice.
Consults with physicians, nurses, and other healthcare providers in hospital, clinic, home health/hospice and skilled nursing facilities regarding wound, ostomy, and continence management for individual patients; recommends treatment modalities to promote healing, contain drainage, and promote skin integrity.
Wound and Ostomy Care Education and Consultation: Consults with contracted home health agencies, Kaiser Permanente utilization reviewer, and primary care clinicians regarding appropriate clinical wound, ostomy and continence care and utilization for home care and skilled nursing facility patients. Provides formal education of nursing, medical, and other healthcare staff regarding wound and ostomy management. Actively participates/leads committees/task forces as needed. Educates team on financial implications of supply and equipment usage. Develops state-of-the-art protocols, staff and patient written resources in collaboration with regional Wound supervisor and other KP CWOCNs.
Consults with local outpatient materials management, pharmacy, reception staff regarding issues related to the delivery of effective wound/ostomy/continence care.
Quality Management/Utilization: Participates in quality management/improvement activities in the NW Region as appropriate, including occurrence reporting, focused studies, process and outcome measurement and continuous quality improvement projects. Consults with DME, Materials Management regarding optimum use of supplies and equipment. Participates as a member of the CWOCN team, including team meeting and case conferences. Supports quality management plans at the UBT level. Performs other duties as assigned.

The Certified Wound/Ostomy/Continence Nurse (CWOCN) provides quality, cost-effective management of a caseload of inpatients, outpatients, home care, and long-term care patients in the Northwest Region who have complex wound, ostomy, and continence care needs. Upon referral from physicians and other healthcare providers the CWOCN assesses, plans, implements and evaluates patient care. The CWOCN provides expert consultation, coordination of services and education for patients and families and the healthcare team to achieve optimal patient care and adequate staff knowledge of wound and ostomy care. The major clinical focus of this position varies to include the hospital, outpatient clinic, home care, and long-term care as needed.

 

Essential Functions:
Wound, Ostomy, Continence Care: Staffs hospital, outpatient chronic wound clinics, home health/hospice in multiple locations throughout the region. Assesses, examines, counsels, and determines treatment for prevention and healing of wounds, ostomy and continence care. Determines and orders appropriate topical products, compression therapy, sharp debridement, referrals to specialty providers, and labs and xrays under approved physician orders and protocols and based on established KPNW Certified Wound/Ostomy/Continence Nurse standards of care within scope of practice. Organizes and plans patients' ostomy care and rehabilitation through assessment, examination, pre-and post-operative teaching, counseling and recommending treatment and product use. Acts as an expert resource for staff and utilizes knowledge in clinical areas of practice.
Consults with physicians, nurses, and other healthcare providers in hospital, clinic, home health/hospice and skilled nursing facilities regarding wound, ostomy, and continence management for individual patients; recommends treatment modalities to promote healing, contain drainage, and promote skin integrity.
Wound and Ostomy Care Education and Consultation: Consults with contracted home health agencies, Kaiser Permanente utilization reviewer, and primary care clinicians regarding appropriate clinical wound, ostomy and continence care and utilization for home care and skilled nursing facility patients. Provides formal education of nursing, medical, and other healthcare staff regarding wound and ostomy management. Actively participates/leads committees/task forces as needed. Educates team on financial implications of supply and equipment usage. Develops state-of-the-art protocols, staff and patient written resources in collaboration with regional Wound supervisor and other KP CWOCNs.
Consults with local outpatient materials management, pharmacy, reception staff regarding issues related to the delivery of effective wound/ostomy/continence care.
Quality Management/Utilization: Participates in quality management/improvement activities in the NW Region as appropriate, including occurrence reporting, focused studies, process and outcome measurement and continuous quality improvement projects. Consults with DME, Materials Management regarding optimum use of supplies and equipment. Participates as a member of the CWOCN team, including team meeting and case conferences. Supports quality management plans at the UBT level. Performs other duties as assigned.

Qualifications

Basic Qualifications:
Experience
Minimum three (3) years of RN nursing experience in home care, long-term care, hospital or clinic setting.
Minimum one (1) year of leadership experience (e.g. preceptor, charge nurse, team lead).
Education
Bachelor's degree in Nursing or related field.
Licenses, Certifications, Registrations
Current Oregon and Washington RN license required. License in state where assigned required upon hire/transfer, application for license in secondary state required within 2 weeks of hire/transfer and must be obtained within 6 months.
Wound, Ostomy, Continence Nurse Board certification (CWOCN) required upon hire/transfer.
Valid driver's license.
Basic Life Support (BLS) for Health Care Providers required upon hire/transfer.

Additional Requirements:
Travel between multiple offices, clinics, hospitals, and/or homes within the NW Region required.
Thorough knowledge of current wound, ostomy, continence nursing practice.
Experience with vascular assessment, including Doppler measurement of arterial flow.
Experience with sharp instrument wound debridement.
Ability to complete concise, thorough clinical documentation of patient assessments and care.
Working knowledge of quality management and resource utilization methodologies.
Thorough knowledge of universal infection control.
Knowledge of adult learning theory.
Strong group presentation skills to facilitate provision of in-service training.
Strong verbal and written communication skills.
Problem-solving, organizational and time management skills.
Ability to work in interdisciplinary team as a consultant and direct care provider.
Demonstration of customer-focused service skills.
Ability to proficiently operate personal computer.
Must have sufficient manual dexterity to perform precise procedures, such as limited sharp debridement.
Employees are required to follow all prescribed safety precautions and procedures in order to avoid accidents, exposure to illness, or placing themselves in situations of high risk for injury. When caregivers or equipment are not available to assist, then have discussion with a Supervisor to discuss alternative care arrangements for the patient.
Physical requirements include: Ability to stand, sit, walk, crawl, climb, bend, stoop, squat, twist, and drive a vehicle throughout assigned shift hours.

 

Preferred Qualifications:
Minimum two (2) years of CWOCN experience in home health, long-term care, hospital or clinic.
Work experience at Kaiser Permanente.
Experience as public speaker.
Knowledge of Medicare and TJC regulations.
Skills in Microsoft Word, Excel, PowerPoint, digital photography.

Basic Qualifications:
Experience
Minimum three (3) years of RN nursing experience in home care, long-term care, hospital or clinic setting.
Minimum one (1) year of leadership experience (e.g. preceptor, charge nurse, team lead).
Education
Bachelor's degree in Nursing or related field.
Licenses, Certifications, Registrations
Current Oregon and Washington RN license required. License in state where assigned required upon hire/transfer, application for license in secondary state required within 2 weeks of hire/transfer and must be obtained within 6 months.
Wound, Ostomy, Continence Nurse Board certification (CWOCN) required upon hire/transfer.
Valid driver's license.
Basic Life Support (BLS) for Health Care Providers required upon hire/transfer.

Additional Requirements:
Travel between multiple offices, clinics, hospitals, and/or homes within the NW Region required.
Thorough knowledge of current wound, ostomy, continence nursing practice.
Experience with vascular assessment, including Doppler measurement of arterial flow.
Experience with sharp instrument wound debridement.
Ability to complete concise, thorough clinical documentation of patient assessments and care.
Working knowledge of quality management and resource utilization methodologies.
Thorough knowledge of universal infection control.
Knowledge of adult learning theory.
Strong group presentation skills to facilitate provision of in-service training.
Strong verbal and written communication skills.
Problem-solving, organizational and time management skills.
Ability to work in interdisciplinary team as a consultant and direct care provider.
Demonstration of customer-focused service skills.
Ability to proficiently operate personal computer.
Must have sufficient manual dexterity to perform precise procedures, such as limited sharp debridement.
Employees are required to follow all prescribed safety precautions and procedures in order to avoid accidents, exposure to illness, or placing themselves in situations of high risk for injury. When caregivers or equipment are not available to assist, then have discussion with a Supervisor to discuss alternative care arrangements for the patient.
Physical requirements include: Ability to stand, sit, walk, crawl, climb, bend, stoop, squat, twist, and drive a vehicle throughout assigned shift hours.

 

Preferred Qualifications:
Minimum two (2) years of CWOCN experience in home health, long-term care, hospital or clinic.
Work experience at Kaiser Permanente.
Experience as public speaker.
Knowledge of Medicare and TJC regulations.
Skills in Microsoft Word, Excel, PowerPoint, digital photography.

About Kaiser Permanente

Company Description

Serving approximately 8.7 million members in nine states and the District of Columbia, Kaiser Permanente is America's leading nonprofit integrated health plan.

Kaiser Permanente's mission is to provide high-quality, affordable health care services to improve the health of our members and the communities we serve.

Our Northern California Region provides integrated health care services to approximately 3.2 million members. Approximately 4,400 physicians of The Permanente Medical Group provide services at 20 medical centers and numerous medical offices.

Company History

Founded in 1945, Kaiser Permanente is the nation’s largest not-for-profit health plan, serving more than 8.6 million members, with headquarters in Oakland, Calif. It comprises:

  1.   • Kaiser Foundation Health Plan, Inc.

  • Kaiser Foundation Hospitals and their subsidiaries

  • The Permanente Medical Groups.

At Kaiser Permanente, physicians are responsible for medical decisions. The Permanente Medical Groups, which provide care for Kaiser Permanente members, continuously develop and refine medical practices to help ensure that care is delivered in the most efficient and effective manner possible.

Kaiser Permanente’s creation resulted from the challenge of providing Americans medical care during the Great Depression and World War II, when most people could not afford to go to a doctor. Among the innovations it has brought to U.S. health care are:

  • prepaid health plans, which spread the cost to make it more affordable

  • physician group practice to maximize their abilities to care for patients

  • a focus on preventing illness as much as on caring for the sick

  • an organized delivery system, putting as many services as possible under one roof

Mission & Values

As a health care organization in the 21st century, we have a mission--to provide quality care for our members and their families, and to contribute to the well-being of our communities.

Working Here

When you bring your career to Kaiser Permanente, the work you do directly affects the health of millions. From the business people who shape our policies, to the IT professionals enabling life-saving data, to the nurses and physicians on the front line of patient care, everyone here has a role to play in the care continuum. Knowing you have a place in that process and witnessing the outcome of the work you do is empowering. It gives you a cause to stand behind. And it makes you feel proud of the work you do every day. When people witness the impact of their contributions, they excel. Together we have the power to make a difference.

Hiring Information

The first step in beginning your career search is to look for open jobs that match your skills, qualifications, and interests. Each posting includes a description of the position and the minimum required qualifications. Once you find a position you are interested in, register for an account and provide your information for consideration online.

Benefits

As an employee, you are eligible for benefits according to your full-time/part-time status and the number of hours scheduled to work per week. Benefits may vary based on your Kaiser Permanente region, position, scheduled hours, and representation by collective bargaining or employee groups, but generally include:

  • generous vacation, holiday, and sick leave

  • medical care (including prescriptions), vision, mental health, and dental care

  • disability and life insurance coverage

  • educational opportunities and tuition reimbursement

  • employee assistance programs

  • health care, dependent care, and transit spending account options

  • retirement plans

In addition, we believe in recognizing stellar performance and sponsor a variety of programs designed to reward our skilled, innovative, caring, and committed staff.

In short, at Kaiser Permanente, we understand that there is a direct correlation between happy employees and happy members. We take pride in the compassion and dedication of our employees and find many ways to reward their hard work. In return, our employees take pride in being a part of a collaborative, professional team focused on quality, service, and care.

Honors & Awards

Kaiser Permanente of Northern California has earned an "Excellent" rating from the National Committee for Quality Assurance (NCQA)-the nation's leading reviewer of health plan quality for consumers and employers. Excellent is the top rating granted by NCQA, which reviews satisfaction surveys, preventive measures, physician credentialing, member services and improvement initiatives.*

Both our Northern and Southern California regions were the only health plans in California identified by the NCQA in its list of the best health care programs in the Pacific States. (NCQA's The State of Health Care Quality 2003)

The Joint Commission on Accreditation of Healthcare Organizations accredits all Kaiser Foundation Hospitals in California.

For the seventh straight year, no other health plan has earned higher ratings from the California Cooperative Health Reporting Initiative on more measures than Kaiser Permanente. The annual ratings measure clinical quality and member satisfaction. (CCHRI Report on Quality 2003)

Our Northern California region received more three-star "Excellent" ratings than any other health plan surveyed by California's Office of the Patient Advocate on California's Quality of Care Report Card 2003-04.

* Commercial HMO and Medicare-contracted product lines: April 2003.