Can A CNS work as a staff nurse?

  1. SO I got in to a CNS program. CNS was a long term goal but with the GI Bill running out a a few other things going on it seems like a good time to go to school.
    However I have 2 young kiddos and am enjoying working per diem 1-2 days a week.
    I am an ER nurse and I like it (dont love it, that's OK I love my other job-mommy)
    But I see doing this ER Per diem gig for 5-7 more years. Then going back and finding a full time job I love CNS-the traditional role seems to be a good fit. I never wanted to be an NP so I am not interested in that aspect of the role.

    My question if I get my Master's take the board and pass can I continue working as a staff per diem RN?
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  2. 12 Comments

  3. by   traumaRUs
    If you do so, you will be held to the standard of the highest license. I wouldn't do it.
  4. by   Psychcns
    What does it mean to work to the standard of the highest license? If you are hired as a staff nurse you have to meet the expectations of the staff nurse job description. Ie reviewing and implementing orders, etc. You are not the provider.
  5. by   Psychcns
    What does it mean to work to the standard of the highest license? If you are hired as a staff nurse you have to meet the expectations of the staff nurse job description. Ie assessing patients, reviewing and implementing orders, etc. You are not the provider.
  6. by   traumaRUs
    You are held to the knowledge base of your license. For instance, I'm an adult and peds CNS wo works in nephrology. If I was to go back to my ER staff nurse position and the ER MD ordered a med that I as an APN should know is contraindicated I would be just as liable as th ordering MD. I would also beheld to the higher assessment skills.
  7. by   SHGR
    So in other words, the expectations and liability would be higher, but not the pay...
  8. by   Ally48
    Quote from traumaRUs
    If you do so, you will be held to the standard of the highest license. I wouldn't do it.

    What if you only have the certification (e.g. ACNS-BC) but Not the APN state license?

    Are you still held to your highest certification (even if you do Not have the APN state license)?
  9. by   traumaRUs
    Yes, because you have the education. I would certainly obtain malpractice insurance that would cover you.
  10. by   juan de la cruz
    See: http://www.medscape.org/viewarticle/506277_7

    Note: you have to log in to Medscape or create an account.
  11. by   Psychcns
    Call the insurance company. Malpractice insurance might not cost much more if you are not prescribing.
  12. by   goldent
    I have seen other professionals work as Rn when holding APRN which includes CNS as long as your RN license is active and in good standing. agree with the others, get the insurance coverage.
  13. by   mee9mee9
    Why is it so hard to find a CNS degree program?
  14. by   Whispera
    I worked as a staff nurse while I was a CNS, in two different hospitals. I got no extra pay for my extra education level, nor anything else extra. I agree, that one is held to higher expectations if he/she is an advanced practice nurse than if not. If you should know something, since you're a CNS, it will be expected that you know it, even if it isn't in your role in the job you're doing.

    In my state, an APN license isn't required to practice as a CNS, only to prescribe. In fact, when I applied for prescriptive authority, I was told there is no such thing as a CNS license. Then, surprisingly, after I got prescriptive authority, I got a CNS license in the mail. I don't think the people I talked to knew all the ins and outs.

    I think there's lots of grey in this and you should be careful.

    As for the difficulty finding CNS schools...I think NP schools are more preferred these days and maybe CNS education is being phased out. ??

    When I worked in a general hospital, every floor had an CNS, including the ED. My CNS job there was phased out as "not needed."

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