Clinic Nurse

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What Are the Duties of a Clinical Nurse?
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Clinical nurses assess patients and help them recover from injuries or illnesses. Read on to learn more about the education requirements and job responsibilities of clinical nurses.
Clinical nurses are registered nurses (RNs) who provide patient care in clinical settings. As a clinical nurse, your duties might include assessing a patient's condition, administering medication, setting IVs, updating patient records, providing emotional support, and/or educating patients on how to manage their illness or injury. You may be required to work long hours and you might have to work on weekends and holidays. You will have to take great care in your work to protect yourself from exposure to radiation, disease, or hazardous material.
Your clinical nursing duties may vary depending on where you work. If you work in a hospital, you might work with one type of patient. For example, you might be assigned to the pediatric wing and primarily provide care to children. Or, you could work in a health clinic and provide care to all types of patients.
Although nursing licensure is required in every state, licensing requirements can vary from state to state. To become an RN, you can complete a two-year undergraduate degree; you could also complete a four-year Bachelor of Science in Nursing program. Both of these degree programs are designed to prepare you for the National Council Licensure Examination, which is required for RN licensure in all states.
It is important to continue your education in nursing beyond your degree program, regardless of the degree you choose to pursue. You'll likely need to fulfill continuing education hours on an annual basis in order to renew your license. You might also pursue a master's degree and advanced licensure or certification in order to work as a nurse practitioner or clinical nurse specialist.
According to the U.S. Bureau of Labor Statistics (BLS, www.bls.gov ), employment of RNs was expected to grow by 7% from 2019-2029, which is faster than the national average of 4% for all occupations. Employment opportunities are expected to be strong due to the heightening need for elderly care and increased pressure on healthcare providers caused by health insurance reform. The BLS notes that registered nurses earned a median of $73,300 as of 2019.
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Excellent judgment and decision making, clear verbal communication, situational awareness, close monitoring, problem solving, critical thinking, active listening
State, local, and private hospitals; physician offices; government agencies
Voluntary specialty certification is available
Nurse practitioners, physician assistants, licensed practical nurses
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Nurse practitioner, nurse anesthetist, nurse midwife, and clinical nurse specialist make up the advanced practice registered nurse class so frequently featured in U.S. News & World Report’s “best jobs.”
Although clinical nurse specialists (CNS) have an “excellent” job outlook , it’s the least talked-about option. So here are the facts about clinical nurse specialists.
Clinical nurse specialists (CNS) are clinical and health care leaders. They are advanced practice registered nurses (APRNs) who are certified in a niche nursing specialty where they have advanced knowledge and advanced clinical skills.
Where do Clinical Nurse Specialists have practice authority?
Clinical Nurse Specialists have practice authority in many of the same states as nurse practitioners—and a few states that nurse practitioners don’t have practice authority in.
In these states, clinical nurse specialists and nurse practitioners have full practice authority.
In these states, clinical nurse specialists have practice authority but nurse practitioners do not.
What’s the difference between a CNS and a nurse practitioner?
Clinical nurse specialists manage the care of complex and vulnerable populations, educate and support interprofessional staff to provide optimal care through evidence-based best practices, and facilitate a culture of safety within health care systems.
Nurse practitioners practice autonomously and collaboratively with other health care providers to perform assessments, order laboratory and diagnostic tests, diagnose, prescribe medications and treatments, and perform procedures within their authorized scope of practice.
What are the educational requirements to become a CNS?
The Johns Hopkins School of Nursing offers three clinical nurse specialist tracks in the Doctor of Nursing Practice (DNP) Advanced Practice Track :
To be eligible for the program, you’ll need:
Assistant Professor & CNS Track Coordinator
Bryan R. Hansen is a passionate advocate for the promotion of optimum mental health and well-being of older adults and their families through teaching, practice, and research.
Vickie Hughes has serviced in various clinical, educational, and leadership positions. She is an Adult Psychiatric/Mental Health CNS and a Certified Alcohol and Drug Abuse Counselor.
Assistant Professor & Clinical Coordinator, MSN (Entry into Nursing) Program
Laura Lucas most recently worked as a clinical nurse specialist at Johns Hopkins Hospital. She is certified in inpatient obstetrics, electronic fetal monitoring, and as an advanced practice CNS in Maryland.
Sydnee Logan is the Social Media and Digital Content Coordinator for Johns Hopkins School of Nursing. She shares what’s going on here with the world.
Get updates on the latest stories, from hot topics, to faculty research, alumni profiles, and more—right in your inbox.
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A publication of the Johns Hopkins School of Nursing, the Johns Hopkins Nurses Alumni Association, and the nursing departments of the Johns Hopkins-affiliated hospitals.
© 2020 Johns Hopkins Nursing Magazine. All Rights Reserved.
The Johns Hopkins School of Nursing is No. 1 in the nation for its master’s programs in the U.S. News & World Report rankings for 2021. The school ranks No. 3 for its Doctor of Nursing Practice (DNP) program and top ranked across the board within specialty rankings. JHSON is currently ranked No. 3 globally by QS World University.
RegisteredNursing.org Staff Writers | Updated/Verified: Aug 27, 2022
A clinical nurse specialist (CNS) is a graduate-level registered nurse who is certified in a specialty of choice. Obtaining specialty certification demonstrates an advanced level of knowledge as well as advanced clinical skills in a niche area of nursing.
There are differences between a nurse practitioner (NP) and CNS. While both are advanced-practice registered nurses, their roles are different.
Clinical nurse specialists have a different scope of practice. They can prescribe medications if they apply for authority to do so, but this is not always required in their practice. They usually focus on education, research, and consulting.
Clinical nurse specialists are leaders in the field of nursing. They serve as mentors, educators, and advocates. They demonstrate expertise in their specialty area and maintain strong clinical skills.
As leaders, they can also promote and facilitate change. They utilize evidence-based practice to educate other nurses and to assist in developing cost-saving strategies in the delivery of care. They can also bring their observations and experience in patient care and apply it to research, policies, and to improve practices.
Nurses looking to advance to a CNS should value evidence-based practice. This means adhering to practices that have been proven effective through clinical research. Since research and therefore practice is always changing, nurses interested in a CNS role should be flexible and willing to facilitate and accept change.
Nurses should also be interested in education, as educating other nurses on best practices and current research is a significant component of what they do.
Nurses should be able to work well in groups and utilize a team approach to healthcare. A large part of the CNS role is to collaborate with all members of the healthcare team. Effective communication is essential.
Leadership skills are also a must with CNSs. They serve as mentors to nurses and bring their knowledge of bedside nursing to organizational leadership to improve clinical practice.
Clinical nurse specialists are advanced-practice registered nurses who have completed a master's program in nursing ( MSN ) or doctoral degree program ( DNP ). A DNP is necessary for those who wish to focus on research.
To advance to a master's degree or doctoral in nursing, a student must complete an accredited nursing program and obtain a bachelor's degree in nursing ( BSN ). Students should be sure the school is accredited by the Commission on Collegiate Nursing Education (CCNE) or the Accreditation Commission for Education in Nursing (ACEN).
Successful completion of the NCLEX-RN is needed for licensure. The length of time it takes to obtain an MSN depends on the nurse’s starting point:
Additionally, both online programs and classroom programs are available to accommodate students. Both types have pros and cons depending on students' needs, therefore researching individual schools is encouraged.
General advanced-practice courses include concepts such as:
The core curriculum for clinical nurse specialists include courses on:
Upon completion of the MSN or DNP program, clinical nurse specialists can obtain additional certification(s) in the specialty of choice. The American Nurses Credentialing Center (ANCC) offers certification in the following areas:
Basic requirements for certification are:
Additional requirements are needed for certification in adult gerontology, pediatric, and mental health specialties. Certification is obtained by exam and is valid for five years.
Other certifications are available as well and may meet state board requirements. For example, the American Association of Critical-Care Nurses (AACN) offers certification for adult, pediatric, and neonatal acute care CNSs, and meets the standards for the California BRN. Nurses are encouraged to review the requirements outlined in their state board of registered nursing.
Although BRN requirements can vary from state to state, CNSs must complete the following for licensure:
A CNS can work with a variety of professionals, and it depends on where they work. In the hospital setting, for example, a CNS can interact with those involved with direct patient care such as:
However, as master’s or doctorally-prepared specialists, they can also work alongside administrative staff such as:
The beauty of a CNS role is that it is multi-faceted. They straddle both the patient care and administrative role. In this liaison-type role, they can gather information from the front lines of patient care and use it to develop ways to improve healthcare delivery.
Clinical nurse specialists have many roles in the healthcare field. They are responsible for:
Clinical nurse specialists can choose from a wide variety of specialties. Specialty areas can be based on:
These five specialty areas may overlap as well. For example, a CNS could work in pediatric neurology, or a public health CNS can specialize in HIV/ infectious disease.
Clinical nurse specialists can work in the following areas:
Clinical nurse specialists usually work regular business hours. However, the collaboration between physicians and medical staff may require occasional weekend, evening, and holiday shifts—especially considering most CNSs work in the hospital setting.
CNSs often work in direct patient care, but some work in administrative, consulting, research, and supervisory positions where direct patient care is not required.
Clinical nurse specialists may work in high-risk areas that may expose them to workplace violence, blood borne pathogens, and chemicals. However, not all work areas are risky, such as research and education. Regardless of the chosen work area, workplace safety training is mandatory and ongoing, and most organizations strive to protect the safety of its workers.
Clinical nurse specialists have a unique role. They apply their expertise not only to direct patient care but to research and practice improvement projects. They strive to advocate for high-quality care to achieve the best outcomes for patients.
While the Bureau of Labor Statistics does not have statistics specifically for CNSs, the growth for advanced-practice RNs, in general, is expected to rise 31% by the year 2024. This increase is believed to be due to an increase in the demand for healthcare, emphasis on preventive care, and a large population of aging patients.
According to a survey by the U.S. Department of Health and Human Services , there were 59,242 CNSs in the United States, the second largest group of advanced-practice RNs. Additionally, over 90% of CNSs report feeling moderately-to extremely satisfied in their job.
For organizations to remain sustainable during potentially turbulent political times, they can utilize clinical nurse specialists to help maintain the delicate balance of cutting-edge, quality care and cost efficiency. This results in CNSs becoming a highly sought-after resource for employers.
According to salary.com , the median salary of clinical nurse specialists is $99,550 as of June 2017, with a range of $89,999-$109,045. Salary can vary depending on the city/state of employment, additional certifications held, experience level, and the organization.
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Clinic Nurse / Registered Nurse
Job Description
Clinic Nurse / Registered Nurse
Job Description
150
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for Clinic Nurse / Registered Nurse
Clinic nurse / registered nurse
provides nursing care in accordance with nursing standards and the infant, child, adolescent, adult, and geriatric patient's plan of care.
Helps fiscal management and other administrative staff to develop/implement cost effective policies and procedures for all clinical areas, billing, insurance, fee schedules, credit/collections, purchasing, and space planning
Indirect patient care responsibilities include coordination of patient assistance medications, prescription refill requests, maintaining recall logs for abnormal pap smears and immunizations, community outreach activities, ordering and maintaining supplies and following infection control plan and procedures
Facilitate changes in clinic patient flow based on patient assessment and triage
Provide assessment, planning, implementation and evaluation of the practice activity while promoting collaboration among all members of the health care team
Maintains efficient and appropriate patient flow in and out of exam rooms
Planning with the Veteran, family or caregiver, the primary care physician/provider, and other health care providers to maximize health care responses, quality, and cost-effective outcomes
May have direct patient care duties
Selects, trains/orients, and supervises departmental personnel
Act as a role model and mentor to Licensed Practical Nurses’s (LPN's) and Medical Assistants (MA's)
Patient preparation and vital signs
Adolescent and Adult Immunization requirements
Purpose and use of medications in the treatment of cancer
Patient care standards and practices normally acquired through completion of a nursing program
Reimbursement procedures and charge capture
Proficiency with electrocardiograms and nebulizer treatments
Outpatient medical office experience is a plus
RNs Certification in Ambulatory Nursing through the AAACN, preferred
Ability to prioritize and to facilitate cohesiveness and team work
At least 6 months of critical care, telemetry, cardiology, or cath lab experience strongly preferred
Experience with treadmill stress testing preferred
Our company is growing rapidly and is hiring for a clinic nurse / registered nurse. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for clinic nurse / registered nurse
Qualifications for clinic nurse / registered nurse
Our company is looking to fill the role of clinic nurse / registered nurse. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for clinic nurse / registered nurse
Qualifications for clinic nurse / registered nurse
Our company is growing rapidly and is searching for experienced candidates for the position of clinic nurse / registered nurse. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for clinic nurse / registered nurse
Qualifications for clinic nurse / registered nurse
Our company is growing rapidly and is looking for a clinic nurse / registered nurse. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for clinic nurse / registered nurse
Qualifications for clinic nurse / registered nurse
Our innovative and growing company is hiring for a clinic nurse / registered nurse. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for clinic nurse / registered nurse
Qualifications for clinic nurse / registered nurse
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