Can A CNS work as a staff nurse?

  1. 0
    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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  3. 12 Comments so far...

  4. 0
    If you do so, you will be held to the standard of the highest license. I wouldn't do it.
  5. 0
    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.
  6. 0
    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.
  7. 1
    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.
    athena55 likes this.
  8. 1
    So in other words, the expectations and liability would be higher, but not the pay...
    elkpark likes this.
  9. 0
    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)?
  10. 0
    Yes, because you have the education. I would certainly obtain malpractice insurance that would cover you.
  11. 0
    See: http://www.medscape.org/viewarticle/506277_7

    Note: you have to log in to Medscape or create an account.
  12. 0
    Call the insurance company. Malpractice insurance might not cost much more if you are not prescribing.


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