Oakwood Care Center
  • Baltimore, MD, USA
  • Full Time

Summary/Objective In keeping with our organization's goal of improving the lives of the Residents we serve, the Wound/Treatment Nurse plays a critical role in providing superior customer service and nursing care to all Residents. The Wound Nurse is responsible for performing skin treatments for all Residents under their care. This position will obtain treatment orders from attending physicians and assist with modifying the treatment regimen in accordance with established policies and procedures. The Treatment Nurse will provide supervision of staff and will safeguard the health, safety and welfare of all Guests under their care by following applicable laws, regulations, and established nursing policies and procedures.

Essential Functions Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

DAILY

Complete a Head to Toe body audit on all new admissions and re-admissions to ensure that all open areas have been identified by the admitting nurse. Please ensure that skin sheets, treatment orders written and preventative measures put in place (T&P, specialty mattress, heels up ordered or boots).

-Review residents that have been identified to have new skin alterations and ensure implementation of skin sheet, treatment, specialty mattress, Braden scale updated, T&P orders, heels up orders or boots (if applicable) and initiate care plan (UM).

WEEKLY

-Update skin sheets every 7 days. Please choose a particular day and ensure updated by close of business on that day.

-Unit Managers to update care plans weekly for pressure and non-pressure areas. Care plans to be updated every week by Fridays.

-Wound Report sent to VP of Clinical Services by Thursday will the % of Center Acquired Pressure Ulcers. Remember that our company goal is to have 3% or less.

-Treatments are to be completed by Wound Nurse to: Vascular, Surgical, Pressure of stage 2 or greater Monday-Friday.

-Skin Tears, stage 1 need to be treated by the Charge Nurse Monday-Friday with completion of the skin sheets weekly. It is the Unit Manager and Wound nurse's responsibility to ensure that these skin sheets are being completed by the charge nurse weekly. UM's need to remind Charge Nurse of the weekly responsibility that day and check the following day for completeness.

ON-GOING

-Wound Nurses responsibility is to help Prevent wounds. Daily Education to the staff: reminders to T&P residents (in wheelchairs, geri-chairs and in bed), Toileting, incontinent care. This can be done as the Wound Nurse progresses through the day and notices abnormal findings of the resident (dry BM, soaked, wound becoming worse). A Proactive VS Reactive approach to wound care will make the facility successful in wound care management. Holding the Nurses and CNA's accountable for preventative maintenance. It is a team effort to heal wounds and to not create new wounds.

-When wounds become worsened, the treatment should be changed within a 2-week period with the input from the Wound physician and PCP at facility.

-The following preventative items should be completed for residents at risk of developing Center Acquired Pressure Ulcers: Orders for T&P, Preventive barrier cream for all residents (Using a barrier cream with Zinc is beneficial in findings), Pressure relieving device to chairs If resident has a stage 4 they need to be on a Roho or something comparable). Every resident in the facility should have a gel cushion at minimum to their wheelchair/Geri chair. Braden assessments completed with all new admissions and re-admissions, quarterly and with any change in condition of the resident. If the Braden scores lower than a specialty mattress should be applied. At risk care plans should be placed for all resident because everyone is at risk. Rounds by UM's/charge nurses and wound nurse to be performed to ensure that residents are positions appropriately, T&P q 2 hours and prn in bed and wheelchairs/Geri chairs, heels elevated and no skin to skin contact.

  1. Consults with Nursing team concerning assessment evaluations and assist in planning an developing the skin care treatment to be performed.
  2. Initiate requests for consultation or referral.
  3. Asses the residents and their records on admission and discriminate between normal and abnormal findings in order to recognize when to refer the resident to a physician for evaluation, supervision or directions.
  4. May act as a Unit Nurse when directed.
  5. Provides supervision to C.N.A's and all subordinate staff which includes checking their work to ascertain that assignments have been completed.
  6. Administer medications within the scope of practice of the R.N. or L.P.N. Licensure. Maintain a current report of narcotics received and used.
  7. Carry out direct contemporaneous charting in your shift. Chart detailed monthly evaluations of each resident that reflect his/her condition and progress.
  8. Ensure that residents care plans are being followed and asses each Guest's status in accord with their care plan.
  9. Round with Wound physician weekly and prn with physicians
  10. Must be knowledgeable of individual care plans and support the care planning process by reporting specific information and observations of the resident's needs, preferences and report any behavioral changes.
  11. Provide wound care when needed and delegate prn.
  12. Completes weekly skin sheets.
  13. Assure that established infection control and standard precaution practices are maintained when providing care. Follow established safety precautions when preforming tasks and using equipment and supplies.
  14. Maintains the comfort, privacy and dignity of residents and interacts with them in a manner that displays warmth, respect and promotes a caring environment.
  15. Answer and respond to call lights promptly and courteously.
  16. Assist with new admissions and re-admissions when directed.
  17. Communicates and interacts effectively and tactfully with residents, visitors, families, peers and supervisors.
  18. Attend and participate in departmental meetings and in-services as directed.

Supervisory Responsibility This position has no supervisory responsibility.

Work Environment This job operates in a health care setting. This role requires regular walking to various locations around the facility while pulling or pushing carts. This position works mostly in the resident care areas as well as in occasional outside weather conditions. This role may also come into contact with patients who may have contagious illnesses. 

Physical Demands while performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires standing, walking, bending, kneeling, and stooping on a regular basis.

Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

 

Required Education and Experience

  • Graduate from and accredited nursing program.
  • Current State License as a Registered Nurse or Licensed Practical Nurse
  • C.P.R. Certified

 

Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for their job. Duties, responsibilities, and activities may change at any time with or without notice.

 

Signature

Employee signature below constitutes employee's understanding of the requirements, essential functions and duties of the position.

 

Oakwood Care Center
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