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CNS and Clinical/Practicum



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Oct 14, 2009 09:32 AM

CNS and Clinical/Practicum

by mona b RN Premium Member

Hi,

I am interested in a CNS program and would like to hear from others regarding their experiences. Can anyone describe the details of their CNS clinical experiences, or practicum, as they are sometimes referred to? I am interested in adult health and wondering how students are meeting clinical requirements in their programs. For example, are you completing clinical in a family practice or a hospital environment? Do your clinical experiences involve direct patient care or are they more related to staff development?

Thanks


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5 Comments
No. 1
from traumaRUs
Old Oct 14, 2009, 08:08 PM

Default Re: CNS and Clinical/Practicum
I completed an adult health CNS in 2006 and did clinicals as advanced practice nurse, not in a true CNS role:

1. Large outpt surgical practice - made rounds with NP, placed central lines, art lines, did H&Ps, consults, discharges.

2. Level one trauma center where I saw pts as a mid-level with an MD as a preceptor.

3. Rounded in-pt with adult health CNS that worked with a thoracic surgeon - she did a lot of teaching and case management type duties.

4. Rounded with an FNP who ran the "wean team" to get folks off ventilators.

5. Worked with an ICU ACNP - very interesting!

So...that was most of my clinical. I currently work with a large nephrology practice as a mid-level provider. They have 3 FNPs, a PA and me and we all do the same job.

Of course, I live in IL where CNS's are APNs.
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No. 2
from mona b RN
Old Oct 14, 2009, 08:57 PM

Default Re: CNS and Clinical/Practicum
Thanks for the information traumaRUs. I live in NJ and CNS and NP are pretty much the same. I also want to focus on primary care and am curious how many CNSs there are in this area. I realize to be well rounded all the spheres should be included but there are many ways to do that in the primary care setting. Tons of educational opportunities with health promotion, for example.

The program I am looking into is flexible with regard to clinical placements which is really nice but I am curious how one sets up their own objectives in this setting since as you said it is pretty non-traditional approach for CNS. I like how you put it best-pursued it as an "advanced practice nurse".

Did your program include prescriptive/pharmacological content integrated into the curriculum or did you just have to complete an advanced pharmacology course to be able to prescribe?
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No. 3
from traumaRUs
Old Oct 15, 2009, 06:34 AM

Default Re: CNS and Clinical/Practicum
I actually did my adult health CNS as a post-MSN certificate and had to do:

Advanced pharm
Advanced assessment
Advanced pathophys

And 576 hours of clinical.

I'm currently doing a peds CNS (so I can see the full spectrum) and have to do the same courses but only 506 hours of clinical. Same school, just new requirements.

I do have prescriptive authority, my own DEA number and my own NPI number (so I can see/treat Medicare/Medicaid pts).

For my peds clinicals - I'm focusing on the ER because that's where I work prn and they need me to see peds. I did do 40 hours of pediatric assessment though in a peds office where I saw well-child visits. Very informative.
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No. 4
from mona b RN
Old Oct 19, 2009, 07:19 AM

Default Re: CNS and Clinical/Practicum
You mentioned that you have to do the same courses. Did the school require you to retake the physiology, assessment and pharmacology courses for the post master's?
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No. 5
from traumaRUs
Old Oct 19, 2009, 12:24 PM

Default Re: CNS and Clinical/Practicum
My first post-MSN certificate is as an adult health CNS. I'm now in the second post-MSN certificate for peds CNS and yes, I do have to repeat the adv pathophys, adv assessment and advanced pharm for peds. There is a lot of repeat material in the pharm - lol.
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