1. Who We Are… …and What We Do

2. Wound, Ostomy and Continence Nurses Society™ Lydia Erin A Day in the Life of a WOC Nurse

3. Wound, Ostomy and Continence Nurses Society™ What is the WOCN Society? Founded in 1968 A professional, international nursing society More than 5,000 health care professionals Dedicated to caring for patients with wound, ostomy or continence (WOC) concerns Supports political, educational, clinical, and research opportunities

4. Wound, Ostomy and Continence Nurses Society™ What is the WOCN Society? WOCN members include:  Registered nurses (RNs) who are experts in WOC and foot and nail care  Associate and corporate members who support the mission of the Society

5. Wound, Ostomy and Continence Nurses Society™ Who is a WOC Nurse? Formerly known as Enterostomal Therapy (ET) nurses Are RNs with baccalaureate (or higher) degrees Who specialize in the care of patients with wounds, ostomies, or continence disorders

6. Wound, Ostomy and Continence Nurses Society™ Who is a WOC Nurse? Graduate of a WOCN-accredited education program (WOCNEP) And/or certified by the Wound, Ostomy and Continence Nursing Certification Board (WOCNCB) Many have also obtained certification in foot and nail care

7. Wound, Ostomy and Continence Nurses Society™ What is WOC Nursing? A specialty practice recognized by the American Nurses Association (WOCN, 2010) WOC nurses can be educated, certified and practice in one or more areas of WOC nursing The role of the WOC nurse is to direct, coordinate, and evaluate patient care in the areas of their expertise

8. What We Do…

9. Wound, Ostomy and Continence Nurses Society™ A Typical WOC Nurse’s Day! Coordinates patient care in complex environments Uses critical thinking skills Creatively solves complex clinical problems Uses advanced therapies and technology

10. Wound, Ostomy and Continence Nurses Society™ A Typical WOC Nurse’s Day! Educates patients, families, students, and staff Collaborates with physicians and other health care professionals Advocates for patients

11. Wound, Ostomy and Continence Nurses Society™ Where We Work Acute care Long-term care Home health care Clinics Private practice Assisted living Hospice Corporate and industry settings

12. Wound, Ostomy and Continence Nurses Society™ Expert Wound Care Chronic and acute wounds include:  Neuropathic wounds  Pressure ulcers  Surgical wounds  Trauma wounds  Vascular wounds (venous, arterial)

13. Wound, Ostomy and Continence Nurses Society™ Expert Wound Care There are approximately 5-7 million wounds in the U.S. reported each year (WOCN, 2009) Selects topical therapies Provides complex wound care

14. Wound, Ostomy and Continence Nurses Society™ Expert Wound Care Estimated prevalence of pressure ulcers is:  14-17% acute care  27.3% long-term care  3-10% home health care (Pieper, 2012)

15. Wound, Ostomy and Continence Nurses Society™ Expert Wound Care Treating chronic wounds in the U.S. costs:  More than $20-25 billion per year  Plus an additional $15.3 billion for wound products (De la Torre & Chambers, 2011; Sen et al., 2009) Performs comprehensive assessments (e.g., patient, wound, risk, nutrition)

16. Wound, Ostomy and Continence Nurses Society™ Expert Wound Care Recommends:  Prevention strategies  Support surfaces for pressure redistribution  Complex treatment modalities  Adjunctive therapies

17. Wound, Ostomy and Continence Nurses Society™ Performs:  Conservative sharp wound debridement  Chemical cautery with MD orders Expert Wound Care

18. Wound, Ostomy and Continence Nurses Society™ Expert Ostomy Care Nearly 120,000 people each year have urinary or fecal diversion (ostomy) surgery (Turnbull, 2003; WOCN, 2009) It is estimated that there are 750,000 people currently in the U.S. with an ostomy (WOCN, 2009)

19. Wound, Ostomy and Continence Nurses Society™ Expert Ostomy Care Types of ostomies:  Colostomy  Urostomy  Ileostomy  Urinary and fecal continent diversions

20. Wound, Ostomy and Continence Nurses Society™ Expert Ostomy Care Teaching: Pre-operative and post- operative ostomy care Stoma site selection Product selection and complex prosthetic fitting

21. Wound, Ostomy and Continence Nurses Society™ Expert Ostomy Care Prevention and treatment of peristomal skin irritation and complications Counseling and psychosocial support for lifestyle and quality of life issues

22. Wound, Ostomy and Continence Nurses Society™ Expert Continence Care Approximately 11 million men and women suffer from urinary or fecal incontinence in the U.S. (WOCN, 2009) Medicare costs for managing urinary incontinence:  Estimated at more than $27.8 million annually  Average of $3,565 per incontinent person (WOCN, 2005)

23. Wound, Ostomy and Continence Nurses Society™ Expert Continence Care Bowel and bladder training Selecting collection devices and products to contain and manage incontinence Intermittent catheter instruction Courtesy of Hollister Incorporated Libertyville, Illinois Courtesy of the American Physical Therapy Association Alexandria, Virginia

24. Wound, Ostomy and Continence Nurses Society™ Expert Continence Care Skin care: Prevention and treatment of incontinence associated dermatitis Biofeedback

25. Wound, Ostomy and Continence Nurses Society™ Foot and Nail Care Since 2005, over 600 Certified Foot Care Nurses [CFCN] have elevated the quality of foot care for patients in:  Hospitals  Long-term care facilities  Podiatry offices  Patient’s own home (WOCNCB, n.d.)

26. Wound, Ostomy and Continence Nurses Society™ Foot and Nail Care The increased credibility, recognition, and authority conveyed by CFCN certification has led to greater opportunities to:  Develop foot care interventions that improve patient well being  Enhance risk management (WOCNCB, n.d.)

27. Wound, Ostomy and Continence Nurses Society™ Basic and Advanced Foot and Nail Care Basic foot care and hygiene Lower extremity assessment and identification of high risk foot conditions Cutting nails

28. Wound, Ostomy and Continence Nurses Society™ Basic and Advanced Foot and Nail Care Debridement of corns and calluses Identification and management of onychomycosis and other skin conditions

29. Wound, Ostomy and Continence Nurses Society™ WOC Nurses Do it All! Professional Roles  Expert clinician  Administration  Education  Research  Consultation and guidance for evidenced-based patient care

30. Wound, Ostomy and Continence Nurses Society™ Benefits of Being a WOC Nurse Improving the quality of life for the patients we serve!  Job satisfaction  Job diversity and job availability  Clinical ladder promotion  Autonomy  Flexible schedule

31. Wound, Ostomy and Continence Nurses Society™ WOC Nursing Educational Programs Remember the WOCN Society offers scholarships to its members!  Cleveland Clinic – R. B. Turnbull, Jr. M.D. WOC Nursing Education Program  Emory University Woodruff School of Nursing– WOC Nursing Education Center  Harrisburg Area Wound Care Specialty Program and WOC Nursing Education Program – Sponsored by Wicks Educational Associates, Inc.

32. Wound, Ostomy and Continence Nurses Society™ WOC Nursing Educational Programs Remember the WOCN Society offers scholarships to its members!  University of Virginia Graduate Program in WOC Nursing at the University of Virginia School of Nursing  University of Washington Wound Management Education Program  VA Eastern Kansas Wound Management Academy

33. Wound, Ostomy and Continence Nurses Society™ WOC Nursing Educational Programs Remember the WOCN Society offers scholarships to its members!  Rutgers University School of Nursing- Camden Wound Ostomy Continence Nursing Education Program  The Wound and Ostomy Education Program at The Valley Foundation School of Nursing, San José State University  webWOC Nursing Education Program

34. Wound, Ostomy and Continence Nurses Society™ WOC Nursing Educational Programs Accredited by the WOCN Society Provide in-depth didactic instruction in  One or more areas of WOC specialty nursing  Professional practice content  Include precepted clinical experiences

35. Wound, Ostomy and Continence Nurses Society™ WOC Nursing Educational Programs Opportunities offered:  On-site (traditional)  Online  Web-enhanced  Distance education

36. Wound, Ostomy and Continence Nurses Society™ WOCNEP Admission Criteria *Applicants must be:  RN (Baccalaureate or higher degree) with a major in nursing OR  RN with a Baccalaureate degree in another field  Plus one year of RN clinical nursing experience, following RN licensure

37. Wound, Ostomy and Continence Nurses Society™ WOCNEP Admission Criteria *Applicants must be:  RN with a Baccalaureate Degree or higher  One year of RN clinical nursing experience following RN licensure  Current clinical nursing experience within 5 years prior to application to a WOCNEP Documentation of currency of clinical nursing experience within last 5 years: current, active practice, completion of a nurse refresher course, or a clinical performance examination

38. Wound, Ostomy and Continence Nurses Society™ WOCNEP Admission Criteria *An individual WOCNEP may have additional criteria Become a WOC Nurse >> www.wocn.org/becomeWOCnurse

39. Wound, Ostomy and Continence Nurses Society™ WOCN Society’s Mission The WOCN Society is a professional nursing society, which supports its members by promoting educational, clinical, and research opportunities to advance the practice and guide the delivery of expert health care to individuals with wound, ostomy and continence concerns. (WOCN, 2012)

40. Become a WOCN Member Today! www.wocn.org

41. Wound, Ostomy and Continence Nurses Society™ Who Can Join the WOCN Society? Any full-time student studying to become a RN  Associate degree  Bachelor of Science degree  Diploma program Nursing student membership fees are discounted over 50%

42. Wound, Ostomy and Continence Nurses Society™ Who Can Join the WOCN Society? Any RN who supports the Society’s purpose, mission and goals Associate membership may be granted to individuals working in WOC care that support the Society’s purpose, mission and goals (WOCN, 2012)

43. Wound, Ostomy and Continence Nurses Society™ WOCN Membership has its Rewards! Education, Scholarships and Research Opportunities  Discounted WOCN annual conference fees  Online continuing education opportunities in the Continuing Education Center (CEC)  Scholarships  Research grants

44. Wound, Ostomy and Continence Nurses Society™ WOCN Membership has its Rewards! Publications  Journal of Wound, Ostomy and Continence Nursing (JWOCN) – bimonthly  In It For You magazine  WOCNow – monthly electronic newsletter

45. Wound, Ostomy and Continence Nurses Society™ WOCN Membership has its Rewards! Publications continued…  Discounted publications (e.g., clinical practice guidelines, best practice documents) and logo products in the WOCN Bookstore  WOCN Member Library – members-only publications (e.g., Business Plan Template, best practice documents, fact sheets)

46. Wound, Ostomy and Continence Nurses Society™ WOCN Membership has its Rewards! WOCN Society’s online networking Opportunities and resources Discussion forums Facebook, LinkedIn, and Twitter Membership Directory Members’ Empowerment Section

47. Wound, Ostomy and Continence Nurses Society™ Interested in Joining the WOCN Society? Go to www.wocn.org and click on the Membership tabwww.wocn.org OR Call the WOCN Society: (888)-224-9626

48. Wound, Ostomy and Continence Nurses Society™ The Future is Ours! If global trends and past history are indicators of what is yet to come, then WOC nurses are likely to be in great demand for the foreseeable future They care for all age groups, are versatile across care settings, and teach for both prevention of disease and/or institution of care to promote rehabilitation (Beitz, 2000)

49. Wound, Ostomy and Continence Nurses Society™ The Future is Ours! WOC nurses are and will be increasingly valuable to American society because they:  Help ensure quality nursing outcomes for the American people  Assist with health care cost control  Provide, amid the technology, the necessary human touch for people needing comprehensive WOC care in the new millennium (Beitz, 2000)

50. Wound, Ostomy and Continence Nurses Society™ References Beitz, J. M. (2000). Wound, Ostomy, Continence Nursing: A career for the new millennium. Retrieved March 2013, from http://www2.nursingspectrum.com/articles/article.cf m?aid=1557http://www2.nursingspectrum.com/articles/article.cf m?aid=1557 De la Torre, J. I., & Chambers, J. A. (2011). Chronic wounds. Retrieved March 2013, from http://emedicine.medscape.com/article/1298452- overview#showall http://emedicine.medscape.com/article/1298452- overview#showall Pieper, B. (2012). Pressure ulcers: Impact, etiology, and classification. In R.A. Bryant & D.P. Nix (Eds.), Acute & Chronic Wounds. Current Management Concepts (4th ed., pp. 123-136). St. Louis, MO: Elsevier Mosby.

51. Wound, Ostomy and Continence Nurses Society™ References Sen, C. K., Gordillo, G. M., Roy, S., Kirsner, R., Lambert, L., Hunt, T. K., …Longaker, M. T. (2009). Human skin wounds: A major and snowballing threat to public health and the economy. Wound Repair Regen, 17(6), 763-771. Retrieved March 2013, from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2810192/p df/nihms165224.pdf http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2810192/p df/nihms165224.pdf Turnbull, G. B. (2003). Ostomy statistics: The $64,000 question. Ostomy Wound Manage, 49(6), 22-3.

52. Wound, Ostomy and Continence Nurses Society™ References WOCN Society. (2005). White Papers Bundle. Retrieved March 2013, from https://c.ymcdn.com/sites/wocn.site- ym.com/resource/collection/AEF67A57-89B3-4066- 9C20- 99DC64DE51C6/White_Papers_Bundle_(2005).pdfhttps://c.ymcdn.com/sites/wocn.site- ym.com/resource/collection/AEF67A57-89B3-4066- 9C20- 99DC64DE51C6/White_Papers_Bundle_(2005).pdf WOCN Society. (2009). The Path to Becoming a Wound Ostomy Continence Nurse. Retrieved March 2013, from http://c.ymcdn.com/sites/www.wocn.org/resource/resmgr /Marketing_Tools/WOCN-09-Nurse-Career-Bro.pdf http://c.ymcdn.com/sites/www.wocn.org/resource/resmgr /Marketing_Tools/WOCN-09-Nurse-Career-Bro.pdf WOCN Society. (2010). Wound, Ostomy and Continence Nursing. Scope & Standards of Practice. Mt. Laurel, NJ: Author.

53. Wound, Ostomy and Continence Nurses Society™ References WOCN Society. (2012). WOCN Society’s Policy & Procedure Manual. Mt. Laurel, NJ: Author. Retrieved March 2013, from https://wocn.site- ym.com/global_engine/download.asp?fileid=13567F43- 11CB-4DAB-8BC4-1962C4071157&ext=pdfhttps://wocn.site- ym.com/global_engine/download.asp?fileid=13567F43- 11CB-4DAB-8BC4-1962C4071157&ext=pdf WOCNCB. (n.d.). How to Certify: Foot Care. Retrieved March 2013, from http://www.wocncb.org/become- certified/foot-and-nailhttp://www.wocncb.org/become- certified/foot-and-nail

54. PowerPoint presentation developed by the WOCN Membership Committee 1120 Route 73 Suite 200 Mt. Laurel, NJ 08054 www.wocn.org 888-224-WOCN (9626) This PowerPoint presentation was developed by the WOCN Membership Committee. Copyright© 2013 by the Wound, Ostomy and Continence Nurses Society. Date of Publication: 4/1/13. (updated 1/19/2015) No part of this PowerPoint may be reproduced, photocopied, or republished in any form, in whole or in part, without written permission of the Wound, Ostomy and Continence Nurses Society.