State of CA CNS vs. NP

Trauma Columnist · Dec 22, 2009

Here is a link for (hopefully) the info you are requesting:

http://www.rn.ca.gov/pdfs/regulations/npr-b-24.pdf

allsmiles2008 · Dec 22, 2009

I have looked at that site and it still doesnt answer my questions. It is so general. I basically want to know: 1) Can I diagnose? 2) Write orders? 3) Write prescriptions 4) Order & Interpret diagnostic labs & tests

In other words, do what Doctors, NPs do....

caliotter3 · Dec 22, 2009

I have never heard of any nurse having prescriptive authority other than a NP.

caliotter3 · Dec 22, 2009

According to this link: http://www.cacnsnetwork.com/legislative.html as late as 2008, there was no prescriptive authority for CNS.

Trauma Columnist · Dec 23, 2009

If you want to prescribe and that is not allowed, join an APN organization and legislate to get prescriptive authority.

VentNut_RN · Dec 23, 2009

I have the same question regarding CNS vs. NP, but in Florida...anybody have a link for some info ??

VentNut_RN · Dec 23, 2009

Also, does anybody know if CNS' in FL are considered advanced practice nurses?? Thanks in advance !!

Trauma Columnist · Dec 23, 2009

Nope - doesn't look like CNS's are APRNs in FL:

"Florida will recognize the title CNS as an upgrade to the RN license but CNSs will not have the title of Advanced Registered Nurse Practitioner (ARNP). "

http://www.doh.state.fl.us/mqa/nursing/nur_CNS_info.html

allsmiles2008 · Dec 23, 2009

Thanks everyone for the great info! That was very helpful and will help me in making my decision on Masters programs.

VentNut_RN · Dec 24, 2009

Thanks for the reply & link, traumaRUs !! So is there a difference between ARNP's and APN's ?? I'm a little confused...if i was a CNS, does that still qualify me as an Advanced Practice Nurse even though I'm not an actual Practitioner?

Also, has anybody heard of a CNS taking on a position in more of a small clinic setting as opposed to a hospital?? I would assume they would practice more like a ARNP...but is that ever an option, or is a CNS restricted to a hospital setting?? hope this makes sense !! Thanks !

Trauma Columnist · Dec 24, 2009

APN or APRN are just titles that each state uses. In IL, for instance its APN (advanced practice nurse), in FL, seems likes its APRN (advanced practiced RN). The ANCC uses APRN as its designation but you end up using whatever title you state dictates.

I work in a large nephrology group and work primarily in two dialysis units handling the medical needs of 200 pts. I take call every 5th weekend in two hospitals where I round on our nephrology pts, do consults, dictate, etc.