Clinical Nurse Specialist Clinical experience

Consensus model for APRN Regulation Nurse anesthetist CRNA Nurse midwife CNM Nurse practitioner NP Clinical Nurse Specialist CNS LACE model: licensure, accreditation, certification, and education. The Consensus Model for APRN Regulation: Licensure, Accreditation, Certification and Education (LACE), which goes into effect in 2015, impacts certification options for CNSs. Must be approved by each state’s jurisdiction. National Council of States boards of Nursing adopted the APRN model ACT/Rules and Regulations….As long as regulatory requirements differ from state to state, each state border represents an obstacle to portability—potentially preventing access to professionals and access to care. The Consensus Model for APRN Regulation has the potential to harness this power by outlining regulatory requirements in licensure, accreditation, certification, and education that should be adopted by every state. Consensus model for APRN Regulation

What is a CNS? Patient care Nursing Systems Definition Spheres of Practice A Master’s prepared Advanced Practice nurse whose function is to improve outcomes in patient care Nursing Systems Patient care The federal government defines a CNS as a master’s degree-prepared nurse educated in a clinical nurse specialist program with certification as an APRN from an accredited credentialing organization. Clinical practice expert, educator, researcher, and a consultant What is a CNS? National Association of Clinical Nurse Specialists

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

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 Expert clinicians in a variety of clinical practice settings

Who? Family/individual across life span Adult gerontology Neonatal Pediatrics Women’s health/gender-related Psychiatric/mental health Population focus Focus of practice beyond the role and population focus linked to health care needs. Therefore, a CNS Family/individual across lifespan, adult gerontology, neonatal, pediatrics, women’s health-gender related, and psychiatric-mental health. APRN Consensus Model identifies four roles and at least one of the six populations foci. Examples of identification: such as oncology or critical care, older adults, orthopedics, nephrology, palliative care Who?

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 Activities of the CNS

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 Each student is required to secure their own preceptor. 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 NURS 646 Adv. Nursing Assessment & Intervention II 200 hours of clinical NURS 647 Adv. Nursing Assessment & Intervention III NUR618 Advanced Health Assessment 45 clinical hours = 545 clinical hours Focus is adult/gerontology with the roles of the CNS

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 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. Dress and professional responsibility—represents you, nursing, and USI.

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

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.

National Association of Clinical Nurse Specialist More information See more information on clinical and theory courses on USI College of Nursing and Health Professions website. www.nacns.org