Different roles for CNS's??? Come on guys share what you do! - page 2

by traumaRUs Admin

Good evening everyone! Those of us that are CNS's have a great variety of roles/jobs and I am curious just what everyone else does. I graduated in May with a post-MSN adult CNS. Currently, I work in a large nephrology practice... Read More


  1. 0
    Quote from siri
    here are but some of the differences/similarities of cns/np:

    np

    nps practice in many settings from primary to specialty health care. concentrations include adult, family, gerontological, pediatric, neonatal, acute care, women's health, psychiatric/mental health as well as other specialties.


    cns

    multifaceted specialist role: cnss are expert clinicians, consultants, educators, researchers, and collaborators. cns specializations are available in a variety of clinical areas including med/surg, gerontology, parent-child, community health, acute care, trauma, mental health, and others.

    np
    the theoretical base of np education is an integration of nursing theories and models. np practice is holistic with an emphasis on health promotion and disease prevention and is supported by evidence-based knowledge. family dynamics, social issues, as well as physical symptoms are addressed. advanced health assessment and an understanding of disease pathophysiology are the foundations of the np role. nps are certified in specialty areas consistent with educational preparation.

    cns
    cnss are experts in a defined area of knowledge and are certified in a particular clinical specialty. cnss obtain a graduate degree which includes coursework in advanced scientific concepts, advanced health assessment, advanced pathophysiology, research methodologies and program planning. the cns must also be skilled in budgeting and case management.

    np
    in addition to providing direct patient care, nurse practitioners are educators, researchers, consultants, case managers, and activists. new roles continue to emerge.

    cns
    cns nursing practice is research-based; cnss promote scientific inquiry in clinical practice by utilizing current research findings and by conducting and facilitating nursing research.

    cnss provide direct and indirect care traditionally on an inpatient basis; however, many cnss may practice in a variety of settings including the hospital, ambulatory care clinics, private practice, long-term care facilities and community settings.


    view this article from medscape regarding the opportunities in advanced practice nursing;

    http://www.medscape.com/viewarticle/452771_1


    you might need to register, but free site.

    siri/trauma~

    i started looking at this forum after i discovered that the med-surg program i am looking at is actually a cns program, not an np.

    siri~
    thank you for the plethora of information. this helped tremendously!

    in a nutshell, it seems that the cns can see patients in a variety of settings, but also have the option to do administration, education, etc. cns's can do what np's can do, but np's may not be able to do all that cns's can do. is that right???

    thank you so much.

    (i wonder if i need to change my name to cns-wannabe now!?!)
    Last edit by np_wannabe on Oct 9, '06
  2. 0
    Hello, again, np wannabe,

    You will hardpressed to find much difference/s in the CNS/NP role. We virtually do the same thing. Much depends upon the educative program and your state.
  3. 0
    Siri is so right about the state that you are determines what CNS's can do. I just learned this week that PA and GA do not recognize CNS's as advanced practice nurses.

    I live in IL and there is virtually no difference in my prescribing, ordering or reimbursement as a CNS versus an NP in IL.
  4. 0
    Quote from traumaRUs
    Siri is so right about the state that you are determines what CNS's can do. I just learned this week that PA and GA do not recognize CNS's as advanced practice nurses.

    I live in IL and there is virtually no difference in my prescribing, ordering or reimbursement as a CNS versus an NP in IL.
    Hi Trauma. I'm also in IL. My question is why would you choose CNS over NP (or the other way around). Since the responsibilities are nearly the same (and I assume the pay?), why would you choose either one? As you know, there are many, many schools that offer both several NP and CNS degrees.
  5. 0
    Hi mvanz999 - I don't have a wonderfully philosophical reason why I chose CNS over NP - it was strictly a money issue. I did my BSN and MSN (in management and leadership) first and still had mucho student loans from that. Then....I decided that I wanted to do an APN role. The NP programs in my area are expensive also (UIC is in Peoria, and is very popular). The hospital where I worked had a College of Nursing which had a CNS program. They wanted to promote a newly-accredited post-MSN adult health CNS and I was the first student! The hospital had tuition waiver if I worked for them for 2 years after I graduated.

    So...I did the program and graduated. However, in the previous few months, the hospital decided to scale down their APN program and when I graduated, there were no openings!!! So...I got out looking and ended up with an APN position at a large nephrology practice.

    I work with three FNP's and I'm the only CNS - we virtually have the same job description, pay, roles, responsibilities.

    I did interview for a "true" CNS role at a hospital while I was looking. That role was more of a bedside educator for the staff nurses. There was no collaborative agreement, no prescribing authority, no ordering. I know myself that I would have been very frustrated in that role so did not accept it.

    With an MSN also, you have the option to teach too. I'm kinda thinking I woill do this for awhile, see where it goes and my back-up plan is to teach.

    Hope this helps.
  6. 0
    This is a great thread. I want to specialize in some area of neuroscience. Would an NP or a CNS be the wiser option -- allowing me a lot of autonomy/flexibility/growth in this area?

    Thanks!!
  7. 0
    Hi BBQvegan - I think the advanced practice role is wonderful. Are you a nurse? Considering nursing? Experience is what will give you the knowledge of which role to pursue.
  8. 0
    Well, I am just finishing my pre-nursing and heading into the nursing program in January (for my 2nd degree). I am really enthusiastic about everything! I made the best decision to switch careers! I love everything to do with neuro and believe that is the field I want to go in. But I know that I could very well change my mind -- this is only the beginning. But the more I think about it, the more I know FOR SURE that I want to at least get a Master's.

    And I can't help but always look toward the future and continue to do research and wonder where I will be in 5, 10 years. I have been looking at the University of Washington -- they have a CNS program with many specialties, including neuro. So far, that sounds like the best option/perfect option. In fact, I am going to Seattle over the holidays to check out the city. I just wonder how many jobs are out there for a neuro CNS. I guess I won't worry about that now...there is plenty of time.
  9. 0
    Hmm - I didn't know there WAS a neuro CNS. I know the ANCC offers certification for adult health, peds and geriatric. WIth a very narrow focus, like neuro CNS, you want to make sure that you can get a job in a different area too and that there are loads of jobs.

    Good luck - let me know what you find.
  10. 0
    Quote from traumaRUs
    Hmm - I didn't know there WAS a neuro CNS. I know the ANCC offers certification for adult health, peds and geriatric. WIth a very narrow focus, like neuro CNS, you want to make sure that you can get a job in a different area too and that there are loads of jobs.

    Good luck - let me know what you find.
    At the hospital where I work, we are advancing our neuro unit. Our new neurosurgeon has a CNS who is dedicated to our neuro ICU. I don't know more than that though, such as what her actual job description is. Just wanted to share.


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