Clinical Nurse II-000284

The people of Memorial Sloan Kettering Cancer Center (MSK) are united by a singular mission: ending cancer for life. Our specialized care teams provide personalized, compassionate, expert care to patients of all ages. Informed by basic research done at our Sloan Kettering Institute, scientists across MSK collaborate to conduct innovative translational and clinical research that is driving a revolution in our understanding of cancer as a disease and improving the ability to prevent, diagnose, and treat it. MSK is dedicated to training the next generation of scientists and clinicians, who go on to pursueour missionat MSK and around the globe.

ASSESSMENT: Performs an initial and ongoing assessment which encompasses the physical, psychosocial, cultural, spiritual and educational needs of the patient and their caregiver(s). Reviews and analyzes available data considering medical, nursing and patient priorities.
PLAN OF CARE: Using evidence and best practice standards, contributes to the development of an individualized plan of care in collaboration with the patient, family and multidisciplinary team.
MPLEMENTATION: Applies knowledge and clinical skills to provide competent level of direct patient care and performs/assists with procedures. Adheres to policies, procedures and established standards of care in delivery of nursing services while creating a safe and therapeutic environment for patients, caregiver(s) and self.
EVALUATION: Evaluates progress toward expected outcomes and modifies individualized treatment plan. Identifies patterns of patient response and contributes to changes in practice standards.
PATIENT EDUCATION: Assesses patient and caregiver learning needs and provides education about the disease, treatment plan, actual and potential side effects of treatment and medications, and self care measures. Participates in patient and caregiver education programs. Identifies and participates in the resolution of potential and actual barriers to learning and adherence with treatment plan.
PSYCHOSOCIAL SUPPORT: Provides care that is patient-centered. Collaborates with the multidisciplinary team to develop a plan for meeting the needs of patients and caregivers experiencing distress.

Patient Assessment and Care:
* Conduct thorough assessments of patients with wounds, ostomies, and continence issues in accordance with evidence-based practices and clinical guidelines.
* Develop and implement individualized care plans that address patient needs, preferences, and clinical evidence.
* Perform advanced wound care procedures, including dressing changes, use of specialized wound care products, and monitoring for signs of infection or complications.
* Provide care for patients with complex wounds, including those associated with cancer diagnoses.
* Deliver comprehensive ostomy care, including fitting ostomy appliances, educating patients on ostomy management, and addressing common concerns such as skin irritation or leakage.
* Assess and manage continence issues, focusing on patient-centered approaches and providing tailored education and support for individuals experiencing urinary or fecal incontinence.
* Assess, plan, and implement plan of care for patients with fistulas to improve comfort and quality of life.
Education and Training:
* Educate patients and their families about wound, ostomy, and continence care.
* Provide training and support to healthcare staff on best practices in wound, ostomy, and continence care.
* Develop and deliver educational programs and materials for patients and staff.
Consultation and Collaboration:
* Serve as a consultant for healthcare teams regarding wound, ostomy, and continence care.
* Collaborate with physicians, nurses, and other healthcare professionals to ensure comprehensive patient care.
* Participate in interdisciplinary team meetings to discuss patient care plans and outcomes.

Demonstrates understanding of nurse sensitive indicators (CAUTI, CLABSI, HAPU, Falls, Extravasation, patient satisfaction, Retained Foreign Objects, etc) and associated data trends at the unit level. Seeks opportunities to improve unit based nursing practice and associated patient outcomes within the shared governance council structure by contributing to quality assurance and/or performance improvement activities.

Demonstrates professional accountability in documenting care provided. Ensures compliance with organizational and regulatory requirements for documentation and information management. Contributes to the development of documentation systems that aligns technology with nursing practice. Effectively communicates patient information utilizing handoff during transitions in care.

Supports a spirit of inquiry by identifying clinical questions and collaborates with colleagues to review relevant literature. Utilizes resources to apply available evidence in clinical practice. In collaboration with the research study team, implements study requirements and supports patients enrolled in clinical research trials.

Demonstrates a commitment to lifelong learning as evidenced by individual professional development through ongoing assessment of learning needs; attends unit based, divisional and departmental educational offerings; and pursues clinical knowledge and skill development through outreach to senior staff, Clinical Nurse Specialist and Nursing Professional Development Specialists. Applies Adult Learning Theory contributes to the learning environment by sharing knowledge and participating in orientation of new staff to the unit.

As a competent nurse demonstrates ongoing development of leadership characteristics as evidenced by seeking and providing peer feedback, demonstrating problem solving skills, representing peer voice around patient care activities, unit goals and unit operations. Models and upholds the tenets of the Professional Practice Model, Relationship Based Care.

Closing:

At MSK, we believe in fair, competitive pay that reflects your job, experience, and skills.

MSK is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sexual orientation, national origin, age, religion, creed, disability, veteran status or any other factor which cannot lawfully be used as a basis for an employment decision.

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