Full Job Description
**JOB DESCRIPTION**
**Job Title: RN Advanced Practice - Wound Specialty Job Code: 100097**
Immediate Supervisor: Vice President & Chief Medical Officer Status: Exempt
**DEPARTMENT FUNCTION/JOB OVERVIEW**
Responsible for the development, implementation, and support of evidence-based wound care practice for patients with all types of wounds, including pressure injury prevention and treatment, surgical, vascular, ostomy, and diabetic wound management. Functions as an independent advanced practice provider under the supervision of a physician while serving as a clinical expert, educator, consultant, and resource for the wound care program. Responsible for performing comprehensive patient assessments, history and physical examinations, ongoing clinical evaluations, rehabilitation treatment planning, medical management, discharge planning, and coordination of care. Serves as a liaison between Madonna, physicians, specialty treatment centers, physician offices, and other healthcare providers to ensure continuity and quality of care. Responsible for demonstrating advanced clinical expertise through the application of the nursing process, evidence-based practice, and clinical research to achieve quality outcomes. Participates in program development, quality improvement initiatives, interdisciplinary collaboration, and staff education. Work will be performed in an ethical and legal manner following organizational policies, processes, protocols, and procedures. Responsible for quality service delivery and internal/external customer relations for Madonna as a whole, including upholding the mission and values for the department and facility.
**ESSENTIAL FUNCTIONS**
**Clinical Practice** * Utilizes the nursing process, relevant literature, clinical research findings, and advanced practice clinical judgment as a framework for managing patients with various types of wounds and complex medical conditions. * Performs comprehensive history and physical examinations, health assessments, and ongoing evaluation of patient conditions. * Assesses patient conditions and progress, reports adverse changes or reactions, and initiates appropriate interventions. * Evaluates and treats wound and skin related problems in accordance with established protocols, using independent judgment and consulting physicians on matters outside the advanced practice scope. * Orders, interprets, and evaluates diagnostic tests, laboratory studies, and other clinical data and initiates appropriate medical follow-up. * Writes orders for medications, therapies, laboratory studies, radiology procedures, and other treatments consistent with scope of practice. * Completes assessment and recommendations for rehabilitation goals and treatment plans. * Delivers, coordinates, and/or mentors nursing care of the wound population in accordance with physician orders, facility policies, procedures, protocols, and nursing interventions. * Makes rounds on assigned patients. * Provides care for patients on an inpatient and outpatient basis as assigned. * Collaborates with the interdisciplinary team to establish patient-centered plans of care. * Completes discharge planning and discharge summaries including history, treatment course, diagnostic findings, medications, discharge condition, and disposition. **Wound Care Program Development and Leadership** * Analyzes, initiates, and coordinates integration of healthcare standards and evidence-based wound care practices into clinical operations. * Adheres to nursing patient care practices, protocols, standards of care, and competencies supporting quality and cost-effective wound management. * Contributes to the development and revision of clinical practice standards, policies, procedures, and protocols. * Serves as a clinical resource and subject matter expert for wound care and related specialty programs. * Assists in developing standards of care, protocols, and staff development offerings. * Participates in program evaluation, quality assurance, performance improvement, and quality initiatives. * Actively interprets, analyzes, and applies program data to improve patient outcomes and operational effectiveness. * Participates in interdisciplinary team meetings and assigned program development committees. **Education and Consultation** * Functions as an educator and mentor for nursing staff, providers, students, patients, and families. * Instructs staff and students through formal and informal educational presentations regarding current wound care practices and related clinical topics. * Provides patient and family education through explanation, demonstration, and supervised practice to maximize independence and successful outcomes. * Serves as a mentor by demonstrating personal productivity, problem-solving skills, adaptability, creativity, flexibility, and sound clinical judgment. * Communicates and collaborates with physicians and internal and external healthcare providers to maximize resources and improve patient care delivery. * Provides consultation regarding wound care management, prevention strategies, and complex clinical cases. **Documentation and Administrative Responsibilities** * Uses direct entry and/or electronic health record systems for documentation of clinical assessments, interventions, and outcomes. * Maintains accurate, timely, and appropriate clinical documentation. * Accesses and utilizes clinical information systems to support patient care and operational functions. * Participates in assigned committees, projects, and organizational initiatives. * Follows instructions from supervisor to perform other functions as assigned in order to achieve departmental and organizational goals. **Equipment and Safety** * Sets up, operates, manipulates, and tends medical equipment including wound vacs, suction equipment, and other patient care devices. * Operates standard office equipment, personal computer systems and clinical software applications to support patient care activities. * Maintains a clean, organized, and safe environment. * Handles and operates all necessary equipment and performs required duties according to established safety standards to maintain compliance with regulations and prevent injury.
**PHYSICAL DEMANDS AND ENVIRONMENTAL CONDITIONS**
Medium work, manual patient transfer or reposition which does not exceed the equivalent of 35 pounds of force to lift, push or pull May need to assist in patient/employee transfer as necessary. May be exposed to biohazardous materials when using sharps and during dressing changes. Indoor work. Mobility required for travel between campuses as assigned.
**QUALIFICATIONS** (Education/training and/or Experience)
Master's Degree in Nursing from an accredited school of nursing or university required.
Current Nebraska Registered Nurse (RN) license required. Current Nebraska Advanced Practice Registered Nurse (APRN) license required. Wound Ostomy Continence Nurse (WOCN) certification preferred; OR Certified Wound Specialist (CWS) certification with wound care experience required. Candidates without certification must obtain WOCN certification within two years of hire. Minimum two years of rehabilitation, medical-surgical, wound care, or related nursing experience required. Demonstrated leadership, organizational, communication, and interdisciplinary collaboration skills. Flexibility in work hours to meet clinical and operational needs. CPR for Health Care Provider/Professional Rescuer certification required. ACLS certification preferred. Must provide own transportation for regular travel between campuses. Valid Nebraska driver's license with an acceptable driving record required.
