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 (11 MD's, 4 PA's, 3 NPs and me). The NPs run the outpatient chronic hemodialysis units. I am responsible for two units in the city - about 200 patients. Per Medicare guidelines, the APN's must see the patient three times per month and the MD once in order to bill the maximum. I also take ER and hospital call one weekend a month at two hospitals about 55 miles from where I live. This is only 0700-1900 on Sat/Sun. I really enjoy it and am learning so much. I have a collaborative agreement with all the doctors and have full prescribing/ordering capabilities. I also am credentialled at the three local hospitals and then the two distant ones where I take call.
Last edit by Joe V on Aug 9, '12
: Reason: removed color
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.
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.
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.
in addition to providing direct patient care, nurse practitioners are educators, researchers, consultants, case managers, and activists. new roles continue to emerge.
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. np and cns - rx privileges
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.
Last edit by sirI on Apr 11, '07