Clinical Nurse Specialist Clinical experience

1. Clinical Nurse SpecialistClinical experience

2. Consensus model for APRN Regulation

3. What is a CNS? Definition Spheres of Practice A Master’s prepared Advanced Practice nurse whose function is to improve outcomes in patient care National Association of Clinical Nurse Specialists

4. core competencies • Direct care competency • Consultation competency • Systems leadership competency • Collaboration competency • Coaching competency • Research competency • Ethical decision-making National Association of Clinical Nurse Specialists 2010

5. 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

6. Who? Family/individual across life span Adult gerontology Neonatal Pediatrics Women’s health/gender-related Psychiatric/mental health

7. 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

8. 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

9. 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).

10. Clinical specialty courses CNS

11. Clinical specialty courses CNS

12. 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.

13. 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 kmsullivan@usi.edu

14. Points to remember • All agreements with the preceptor, agency, and university MUST be submitted to administrative assistant Kim Sullivan kmsullivan@usi.edu • 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.

15. National Association of Clinical Nurse Specialist www.nacns.org