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The Clinical Nurse Specialist (CNS) is an advanced practice nurse and clinical leader for a mixed inpatient unit with emphasis on stroke care, epilepsy management, and medical-surgical telemetry. The CNS drives high-quality, evidence-based, patient-centered care across the continuum and serves as an expert resource for patients, families, nursing staff, and the interdisciplinary team. This role supports Magnet principles, quality outcomes, and professional nursing practice.
Job Responsibility:
Conducts comprehensive, holistic, and illness assessments using known or innovative evidence-based techniques, tools, and direct or indirect methods
Employs evidence-based clinical practice guidelines to guide screening and diagnosis
Assesses the effects of interactions among the individual, family, community, and social systems on health and wellness
Identifies potential risks to patient safety, autonomy and quality of care based on assessments across the patient, nurse and systems spheres of influence
Assesses the impact of the environment/system factors on care
Designs strategies, including advanced nursing therapies to meet the multifaceted needs of complex patients and groups of patients
Develops evidenced-based clinical interventions and systems to achieve defined patient and system outcomes
Uses advanced communication skills within therapeutic relationships to improve patient outcomes
Provides direct care to selected patients based on the needs of the patient and the CNS’s specialty knowledge and skills
Assists staff in the development of innovative, cost-effective programs or protocols of care
Determines when evidenced-based guidelines, policies, procedures and plan of care need to be tailored to the individual
Provides leadership for collaborative, evidence-based revision of diagnosis and plans of care to improve patient outcomes
Partnership with the Department of Nursing Education in assessing, planning, implementing and evaluating educational programming to ensure the desired outcomes are achieved
Coaches' patients and families to help navigate the healthcare system
Provides education to individuals, families, groups and communities to promote knowledge, understanding and optimal functioning across the wellness-illness continuum
Contributes to the advancement of the profession as a whole by disseminating outcomes of CNS practice through presentations and publications
Mentors staff nurses, graduate students and others to acquire new knowledge and skills and to develop their careers
Provides leadership in conflict management and negotiation to address problems in the healthcare system
Analyzes research findings and other evidence for their potential application to clinical practice
Applies principles of evidenced based practice and quality improvement to all patient care activities
Fosters an interdisciplinary approach to quality improvement and evidenced-based practice
Provides leadership in the design, implementation and evaluation of process improvement initiatives
Engages in a formal self-evaluation process, seeking feedback regarding own practice, from patients, peers, and professional colleagues
Fosters accountability in self and or others
Promotes a work environment conducive to the delivery of ethical care
Facilitates interdisciplinary teamwork in addressing ethical concerns, risk or considerations, benefits and outcomes for the improvement of nursing practice
Attends meetings and nursing committees as required
Participates in educational programs and in-service meetings
Keeps up to date with current trends pertinent to area of assignment
Requirements:
Master’s degree in Nursing with Clinical Nurse Specialist preparation
Current Registered Professional Nurse license in New York State
Current Clinical Nurse Specialist license in New York State
Minimum of 3–5 years of recent clinical experience in stroke, neurology, medical-surgical, or telemetry nursing
Nice to have:
CNS board certification in a relevant specialty
NIHSS certification
Specialty certification (e.g., neuroscience, stroke, or medical-surgical nursing)
Experience in a Magnet-designated or Journey to Magnet organization