Registered Nurse 2 Wound Nurse and Hyperbaric Operator

Discover Vanderbilt Health : With eight hospitals and over 180 clinics, we are the region’s largest comprehensive academic health system. Vanderbilt Health has a long tradition of providing world-class care to the people of the Mid-South, living out our mission of moving medicine forward through preeminent programs in patient care, education and research. Here you’ll find a spirit of collaboration and a supportive community where your expertise is valued, your knowledge expanded and your uniqueness celebrated. We are committed to fostering an environment where talented, compassionate people are united in bringing the most advanced care to our neighbors throughout the region.

Organization:
Outpt Wound Center

Job Summary

Applies the nursing process to plan and implement the care of patients, including patient and family education and continuum of care planning. Effectively communicates pertinent patient/family information to the health care team. Collaborates in establishing patient goals and evaluates progress to ensure effective outcomes. Furthers professional growth by engaging in learning activities according to the Board of Nursing standards.
The Hyperbaric Oxygen Therapy Nurse provides hyperbaric oxygen therapy (HBOT) to patients under the direction of a wound care provider (physician or APP). The HBOT nurse is responsible for operating a monoplace hyperbaric oxygen chamber, monitoring chamber function and patient response to therapy during each dive, intervening to improve patient condition or avoid harm, and upholding all protocols and safety standards. They will work within the service's scope of practice and collaborate with other relevant disciplines.
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KEY RESPONSIBILITIES

• Collaborates in establishing the plan of care, coordinates and implements care delivery while anticipating patient care needs across the continuum.

• Analyzes comprehensive information pertinent to the patient's care and management to determine nursing diagnosis.

• Continually utilizes the nursing process to evaluate patient's progress towards goals and applies appropriate interventions to ensure effective outcomes.

• Employs strategies to promote health and a safe and healthy environment.

• The responsibilities listed are a general overview of the position and additional duties may be assigned.

• Provide hyperbaric chamber operations and maintenance in accordance with UHMS standards

• Recognize changes in patient condition and intervene appropriately.

• Demonstrate competency in core/unit specific skills.

• Deliver relevant pre and post dive care including cleaning and dressing wounds.

• Accurately and completely document all care provided according to hospital and department policy.

• Provide patient/family education including assessment, documentation, instruction, and materials

TECHNICAL CAPABILITIES

• PATIENT ASSESSMENT & CLINICAL JUDGMENT (Intermediate): Performs thorough patient assessment; synthesizes clinical data to identify risks, contraindications, and changes in condition requiring intervention.

• HYPERBARIC CHAMBER OPERATIONS (Intermediate): Safely operates monoplace chambers; manages pressurization/decompression protocols; monitors chamber systems and responds to alarms or malfunctions.

• EMERGENCY RESPONSE & ADVANCED LIFE SUPPORT (Intermediate): Recognizes emergent conditions and initiates appropriate interventions, including ACLS, in a hyperbaric environment with environmental constraints.

• WOUND CARE & THERAPEUTIC SUPPORT (Intermediate): Provides fundamental wound care, dressing changes, and supports multidisciplinary treatment plans aligned with evidence-based practice

• SAFETY & REGULATORY COMPLIANCE (Intermediate): Ensures adherence to UHMS and institutional safety standards; maintains readiness of equipment and participates in safety drills and quality initiatives.

• Nursing Patient Assessment & Evaluation (Intermediate): Possesses sufficient fundamental proficiency to successfully demonstrate the ability to assess and evaluate patients in practical applications of moderate difficulty. Conducts primary care patient interviews and physical examinations. Demonstrates sufficient acumen to recognize problems, ask questions and to contact the patient's primary care provider and other members of the healthcare team. Has experience in gathering pertinent clinical data that aid in referral, treatment, or other primary care pathways.

Additional Job Description

PHYSICAL REQUIREMENTS
"Heavy Work" category requiring exertion of 50 to 100 lbs. of force occasionally and/or up to 20 to 50 lbs. of force frequently and/or up to 10 to 20 lbs. of force continually to move objects.

PHYSICAL DEMANDS
Mist - Not Applicable
Odor - Not Applicable
Electrical current - Not Applicable
Working in high, exposed places - Not Applicable
Proximity to moving mechanical parts - Not Applicable
Vibration: Subject to oscillating movement. - Not Applicable
Dust - Not Applicable
Bimanual Dexterity:   Requiring the use of both hands.

• Frequent

Climate: Ability to withstand exposure to atmospheric extremes including heat, cold, humidity, and barometric pressure changes. - Not Applicable
Radiation: May be exposed to occupational radiation, requiring enrollment in VUMC's Radiation Safety Program which includes training, use of personal protective equipment with lead shielding, and personal dose monitoring. - Not Applicable
Chemicals and Gasses: Medications, cleaning chemicals, oxygen, other medical gases used in work area. - Occasional
Pathogens: Risk of exposure to bloodborne pathogens and other contagious illnesses. - Frequent
Sitting: Remaining in seated position - Occasional
Walking: Moving about on foot.  - Frequent
Standing: Remaining on one's feet without moving.  - Frequent
Lifting over 35 lbs: Raising and lowering objects from one level to another, includes upward pulling over 35 lbs, with help of coworkers or assistive device - Occasional
Lifting under 35 lbs: Raising and lowering objects under 35 lbs from one level to another - Frequent
Carrying under 35 lbs: Transporting an object holding in hands, arms or shoulders, with help of coworkers or assistive device.  - Occasional
Carrying over 35 lbs: Transporting an object holding in hands, arms or shoulders, with help of coworkers or assistive device. - Not Applicable
Push/Pull: Exerting force to move objects away from or toward. - Frequent
Bending/Stooping: Trunk bending downward and forward by bending spine at waist requiring full use of lower extremities and back muscles - Occasional
Climbing: Ascending or descending stairs/ramps using feet and legs and/or hands and arms. - Occasional
Balancing: Maintaining body equilibrium to prevent falling when walking, standing, crouching or maneuvering self, patient and equipment simultaneously while working in large and small spaces - Frequent
Crawling:  Moving about on hands and knees or hands and feet. - Not Applicable
Kneeling:  Bending legs at knees to come to rest on knee or knees. - Occasional
Crouching/Squatting: Bending body downward and forward by bending legs and spine.Reaching above shoulders: Extending arms in any direction above shoulders. - Occasional
Reaching below shoulders: Extending arms in any direction below shoulders. - Frequent
Reaching above shoulders: Extending arms in any direction above shoulders. - Occasional
Handling:   Seizing, holding, grasping, turning or otherwise working with hand or hands. - Frequent
Communication: Expressing or exchanging written/verbal/electronic information. - Frequent
Fingering: Picking, pinching, gripping, working primarily with fingers requiring fine manipulation. - Frequent
Auditory: Perceiving the variances of sounds, tones and pitches and able to focus on single source of auditory information - Continuous
Vision: Clarity of near vision at 20 inches or less and far vision at 20 feet or more with depth perception, peripheral vision, color vision. - Continuous
Smell: Ability to detect and identify odo