CNS working in ICU

[BPnursie]

I just got accepted to an Acute Care CNS program!!! Part of the interview process involved what kind of work we wanted to do once we graduated. They made it seem as though we would need to create our own role once licensed. I know the hospital I currently work in is readily hiring CNSs but they are all first time positions. Is this typical or just now occurring in my area/hospital?

I currently work in the ICU and would love to stay there after graduation. I have heard of CNSs working in the ICU doing what new residents/IR usually get called in to do (place central lines, intubate, etc.). Has any one else heard of a successful transition from RN to CNS who is still designated to only that unit? I guess I'm still a little unsure of what kind of new APRN role I can create that will benefit both me and the patients/hospital....

Thanks in advance!!!

[stepbystep12, BSN, DNP]

Hi bpnursie,

well, i am not here to answer your question but its good to hear that at least some hosp is readily hiring CNS nurses. I too im interested in this career path although not so much to say about it. where are you located at and do they need CNS nurses with prescriptive authority? just curious. and if you dont mind which school are you going to?

[traumaRUs, MSN, APRN]

I live in central IL and CNS and NP have same scope of practice. However, I see the ACNP as being accepted more in the national arena for this type of job. Im a CNS who has this scope of practice but since its a teaching hospital, rarely get to do any procedures. However in some non-teaching hospitals, my scope is much wider.

Just something to consider. In your state, does CNS = APN with prescriptive authority?

[BPnursie]

I live in Oklahoma City and work at a large non-profit hospital. The jobs are listed as APRN (NP/CNS) but so far CNSs have been hired. All have prescriptive authority and use it daily. Around here there doesn't seem to be a preference between the two degrees.

[traumaRUs, MSN, APRN]

Then you should be okay with the jobs. Good luck.

[stepbystep12, BSN, DNP]

In WA, CNS do not have presriptive authority. They are not consindered advanced at all.