Quote from traumaRUs
Is a CNS in TX an advanced practice nurse? By that, I mean, do they see pts, treat pts, write scripts, like a NP or are they a "change agent" or educator or work in some other non-clinical way?
That might affect your job opportunities too.
trauma, I fully realize you didn't mean anything derogatory but, as an old-school CNS, I feel the need to point out that a lot of us feel that the CNS role is the true
advanced practice nursing
role, and the NP role is more "medicine lite." I'm always bothered by statements that suggest that "advanced practice" equals
"writing scrips." As a psych CNS, I have "seen" and "treated" clients for years, without writing scrips. I've never had prescriptive authority (although I've practiced in states where I could have gotten it), don't want it, and wouldn't take it if you tried to give it to me -- and I assure you my direct care, hands-on clinical practice is definitely "advanced," by the standards and definitions of the larger nursing community. Lots
of CNSs work in direct client care; remember, the "C" in CNS stands
for "clinical" -- we are clinical experts
in our specialty.
I'm aware that there is a movement in some areas to redefine "advanced practice nursing" as only including nurses with prescriptive authority, and I'm v. offended by that. I'm also unhappy, personally, about the recent and increasing blurring of the CNS and NP roles/practices, and think that is a significant loss for nursing. I don't mean to suggest that the CNS role is better or more important that the other advanced practice roles -- I just hate to see us get "demoted," even if it's only in a passing comment, and I try to always speak up.