NYC Health + Hospitals/Community Care reaches outside the walls of our hospitals and brings health care to patients where they live. With more than 600 dedicated employees, Community Care provides services including home care, community care coordination, and community-based care management to individuals managing chronic health conditions residing in Brooklyn, Manhattan, Queens and The Bronx. At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.
Job Description Purpose of Position: Under supervision, and as part of the multidisciplinary team, provides care related to assessment and treatment of patients with wounds, ostomies, continence and foot wounds, as well as patient and staff education and consultation, while ensuring optimal utilization of resources, service delivery, safe patient care, and compliance with all applicable local, state, federal and NYC Health + Hospitals rules and regulations and nursing standards of care. Provides direct skilled nursing care and observes and instructs the patient in their place of residence. May coordinate services of other caregivers.
Duties & Responsibilities AREAS OF RESPONSIBILITIES 1. Conducts comprehensive assessment and continuous assessment of deep wounds, skin tears, ostomies, severe burns, pressure injuries or bedsores, continence and diabetic foot wounds to determine potential wound complications, immediate treatment needs, and long-term treatment plans; works with other members of the health care team to determine if additional treatments or changes in care are required. 2. Collaborates with clinical providers and health care team to establish individualized, comprehensive plans of care for patients with complex wounds, ostomies, and/or continence conditions based on the patient risks, diagnosis and individual patient needs. Creates a plan of care for the interdisciplinary health care team, including the staff nurses, to follow. 3. Completes a thorough wound care evaluation and documents assessments and treatment recommendation. 4. Provides staff, patient and family education and counseling regarding wound care, risk factors associated with pressure injury, infection prevention, treatment measures and other related issues; provides teaching, guidance and direction to allied nursing personnel in rendering patient care. Refers other acute/chronic skin alterations to appropriate specialty services (i.e., Surgery, Vascular, Podiatry, Dermatology, Plastic). 5. Develops and implements wound and skin care prevention, and treatment programs, and provides corresponding education to patients, family members/caregivers, and health care setting and allied personnel; evaluates and monitors effectiveness of programs to ensure successful functioning and efficiency. 6. Participates in product evaluation for ostomy and skin care needs for the health care setting to ensure cost-effective quality patient care. 7. Participates in the development, evaluation and revision of health care setting policies, procedures, and guidelines related to wound care, based on patient needs, evidenced-based trends, and industry standards. 8. Collaborates with appropriate staff to establish protocols, which support best practices to achieve optimal clinical outcomes. Serves as a clinical expert to provide staff nurses with wound treatment protocols and assists in the education of staff nurses on how to stage wounds. 9. Observes, records, and interprets patient response and wound status, reporting any changes to appropriate members of the health care team; records and maintains nursing care plans and progress notes on patients. 10. Participates in departmental and interdisciplinary conferences, nursing quality committee, and/or quality improvement initiatives relating to wound, ostomy and continence issues. 11. Manages the collection and analysis of all data related to Hospital Acquired Pressure Injuries. Utilizes quality measures of pressure injuries and standards to mitigate risk and drive improvement efforts in the performance of nursing care.
Duties & Responsibilities AREAS OF RESPONSIBILITIES 12. Community Care, maintains ongoing follow-up evaluation for patients after discharge from the health care setting to provide continuity of care. 13. Competent in knowledge of documentation requirements for Home Care. 14. Maintains current, complete, and appropriate documentation in the patient care record. You are required to use computer systems in carrying out these functions. Duties include but may not be limited to wound care, including NPWT/VAC, removal of Prevena Vac. 15. Provides teaching on disease and medication management. 16. Obtains photographs for consultation. 17. Ability to apply evidence-based practices to the home care setting. 18. Ability to walk up and down stairs while carrying nursing bag. 19. Performs other professional nursing activities as delegated by nursing service administration.
Minimum Qualifications Qualification Requirements: 1. Valid license and current registration to practice as a Registered Professional Nurse issued by the New York State Education Department (NYSED); and 2. Current certification in one of the following: •Certified Wound Ostomy Continence Nurse (CWOCN) issued by the Wound, Ostomy and Continence Nursing Certification Board (WOCNCB); or •Certified Wound Ostomy Nurse (CWON) issued by the WOCNCB; or •Certified Wound Care Nurse (CWCN) issued by the (WOCNCB); or •Certified Wound Specialist (CWS) issued by the American Board of Wound Management (ABWM); or •Wound Care Certified Certification (WCC) issued by the National Alliance of Wound Care and Ostomy (NAWCO). 3. Holds or obtains a valid and current certification in Basic Life Support (BLS) through the American Heart Association (AHA).
Additional Qualifications YEARS OF EXPERIENCE: Minimum two (2) years of full-time nursing experience; and at least one (1) year of experience in a hospital setting. EDUCATIONAL LEVEL: Baccalaureate Degree in Nursing from an approved program preferred. KNOWLEDGEABLE IN: Demonstrated knowledge regarding Federal, State and local regulations and JCAHO standards for Home Care. Excellent verbal, written, organizational and analytical skills. Demonstrated competence as a registered nurse in patient assessments and critical thinking skills. Previous experience using various computer software applications: i.e., Outlook, Word, Excel, Access, etc. EQUIPMENT/MACHINES OPERATED: Smart phone Laptop Computer Desktop Computer Multifunction Copier COMPUTER PROGRAMS/SOFTWARE OPERATED EPIC H2O Hyperspace EPIC H2O Remote Client Microsoft Office (Outlook, Word, Excel, PowerPoint, Visio, OneNote) If you wish to apply for this position, please apply online by clicking the Apply Now button or forward your resume to ...@nychhc.org noting the above Job ID #. 103210 NYC Health and Hospitals offers a competitive benefits package that includes:
- Comprehensive Health Benefits for employees hired to work 20+ hrs. per week.
- In addition to experience/longevity and education differentials, Wound Care Nurses are also eligible to receive up to $10,000 in additional annual pay for holding certain wound, ostomy, and/or continence certifications.
- Retirement Savings and Pension Plans
- Loan Forgiveness Programs for eligible employees.
- Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
- College tuition discounts and professional development opportunities
- Multiple employee discounts programs