CLINICAL NURSE SPECIALIST
CLINICAL EXPERIENCE
CONSENSUS MODEL FOR APRN REGULATION
Nurse anesthetist CRNA
Nurse midwifeCNM
Nurse practitionerNP
Clinical Nurse Specialist
CNS
WHAT IS A CNS?
DefinitionSpheres of Practice
A Master’s prepared Advanced Practice nurse whose function is to improve outcomes in patient care Nursin
g
Systems
Patient care
National Association of Clinical Nurse Specialists
CORE COMPETENCIES 1. Direct care competency2. Consultation competency3. Systems leadership
competency4. Collaboration competency5. Coaching competency6. Research competency7. Ethical decision-making
National Association of Clinical Nurse Specialists 2010
WHERE DO CNS PRACTICE? Population
Setting: acute, ED, ICU, independent
Disease or medical subspecialty:
Type: rehabilitation, long term, mental health, palliative
Type of problem: wound, pain
WHO?
Family/individual across life spanAdult gerontologyNeonatalPediatricsWomen’s health/gender-relatedPsychiatric/mental health
WHAT? Performance improvement projects Equipment review Chart reviews Community projects such as smoking cessation Providing education Coaching and mentoring staff Facilitating process changes Improving the quality of nursing care Performing system analysis Conducting cost benefit analysis Advancing evidence-based practice Preventing injuries, medical errors, and infections Reducing readmissions Ensuring patient safety Investigator or co-investigators on research
projects Create, review or revise policies, procedures, or
protocols
OUTCOMES FOR PATIENTS Reducing medical complications in hospitalized patients
Reducing hospital costs
Reducing length of stay
Improving pain management practices
Increasing patient satisfaction
Improving nurse retention
Reducing frequency of ED visits
CLINICAL REQUIREMENTS
Criterion 4. CNS Curriculum 4-2. The CNS program requires a minimum of 500 supervised clinical (clock) hours for master’s and post-graduate preparation.
CNS students must have an opportunity to practice the CNS role in settings related to the population/focus area and, if appropriate, specialty of the program under the supervision of a CNS faculty member and/or a qualified CNS preceptor. “Clinical (clock) hours” refers to hours in which the student implements the CNS role in one or more of the Three Spheres of Influence.
Focus at USI is adult/gerontology with the roles of the CNS
National Task Force on the Guidelines for Clinical Nurse Specialist Education (2011).
CLINICAL SPECIALTY COURSES CNS
• 45 hours of clinical
NURS618 Advanced Health Assessment
• 150 hours of clinical
NURS 645 Adv. Nursing Assessment &Intervention I
• 150 hours of clinical
NURS 646 Adv. Nursing Assessment & Intervention II
• 200 hours of clinical
NURS 647 Adv. Nursing Assessment & Intervention III
CLINICAL SPECIALTY COURSES CNS
• 50 hours with NP or MD• Can bank 24 hours with CNS toward NURS 647• Didactic with tests
NURS 645 offered in fall semester
• Can bank 36 hours with CNS toward NURS 647• Didactic with tests
NURS 646 offered in spring semester
• 10 weeks• Review for CNS certification examination • Complete CNS synthesis project
NURS 647 offered in summer semester
PREPARATION Each student is required to secure their own preceptor.
The USI graduate handbook contains answers to more FAQ regarding class and clinical. You are expected to read and abide my the policies. Pay attention to the section on contracts and affiliation agreements.
Clinical agreements available USI.edu>>>Nursing and Health Professions>>>Academic Programs>>>Master of Science in Nursing>>>about the clinical experience>>>packet.
http://health.usi.edu/acadprog/nursing/msn/clinicals.asp
Documents in pdf format for ease of printing.
REQUIRED DOCUMENTS
Initiation request for USI affiliation agreement. Preceptor Agreement form Preceptor site survey. Forms that are illegible, incomplete, or contain abbreviations (such as CCHC) will NOT be processed.
All agreements with the preceptor, agency, and university MUST be submitted to administrative assistant Kim Sullivan [email protected]
POINTS TO REMEMBER
All agreements with the preceptor, agency, and university MUST be submitted to administrative assistant Kim Sullivan [email protected]
The student’s responsibility to confirm the Affiliation Agreement has been accepted.
You are responsible to maintain currency of Background check.
NO clinical time can begin UNTIL all paperwork is processed and approved.
NATIONAL ASSOCIATION OF CLINICAL NURSE SPECIALIST
www.nacns.org
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