Wound, ostomy, and continence nursing

Wound, Ostomy, and Continence Nursing is a specialized area of nursing that involves the care and management of patients with wounds, ostomy (surgical openings that allow for discharge of bodily waste), and continence conditions. These nurses are commonly referred to as WOC nurses.

History[edit | edit source]

The specialty of Wound, Ostomy, and Continence Nursing originated in the mid-20th century when Dr. Norman Gillies introduced the concept of the enterostomal therapy nurse (ET nurse) to care for patients undergoing ostomy surgery. Over time, the role expanded to include the care of patients with a variety of wound and continence conditions.

Education and Certification[edit | edit source]

WOC nurses are registered nurses who have completed additional specialized education and training. This can be obtained through a WOC nursing education program accredited by the Wound, Ostomy, and Continence Nurses Society (WOCN Society). After completing the education program, nurses are eligible to sit for the WOC Nursing Certification Board (WOCNCB) exams to become certified in wound, ostomy, and/or continence care.

Roles and Responsibilities[edit | edit source]

WOC nurses play a critical role in the care of patients with complex wound, ostomy, and continence needs. They assess, plan, implement, and evaluate care for these patients. They also provide education to patients, families, and healthcare staff about prevention and management strategies.

Wound Care[edit | edit source]

In wound care, WOC nurses manage acute and chronic wounds, including surgical wounds, pressure ulcers, diabetic foot ulcers, and venous leg ulcers. They use evidence-based practices to promote wound healing and prevent complications.

Ostomy Care[edit | edit source]

In ostomy care, WOC nurses assist with preoperative counseling, intraoperative consultation, and postoperative care for patients undergoing ostomy surgery. They provide education on ostomy management and help patients adjust to life with an ostomy.

Continence Care[edit | edit source]

In continence care, WOC nurses assess and manage patients with urinary and fecal incontinence. They provide education on continence management strategies and assist with the selection and use of continence products.