Different roles for CNS's??? Come on guys share what you do! - page 9

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... Read More

  1. by   traumaRUs
    Personally, I think if you wan the GNP, I would go to that program. If, however, the dual program would fit the bill, then okay.
  2. by   rnphd2b
    I live in Colorado and I am the Critical Clinical Nurse Specialist for a 200 bed hospital. I LOVE my job my areas of responsibility are ICU (20 bed mixed unit), Telemetry, Cath Lab, PCU and ED.

    I do some education but mostly I guide practice by implementing evidence based practice, revising and constructing policy and protocol, I gather, evaluate and report data on patient outcomes, I head up the resusitation committee and the critical care council. I also round in the ICU, work one on one with the RN's , patients and families around the plan of care, outcomes and revisions.

    It is a great job and I am very lucky to have it.
  3. by   kinlabelle
    Thanks for your comments! I'm getting the good understandings of the CNS program.
  4. by   mfRN0206
    Hi, I'm an RN with a bachelors degree interested in continuing my education. I want to go back to school for a masters but am having difficulty finding information on my specific interests. Ideally, I'd like to have a neuroendocrine focus. But I don't know if that is better suited by becoming an NP or CNS. Any suggestions or recommendations? Also, I'm not sure which specialty I should choose for my masters ... adult/family/acute? My guess is that the adult specialty would most accomodate me after I graduate and start looking for neuroendocrine-related positions. I'd like to be a researcher and clinician. So what education path should I choose?
  5. by   traumaRUs
    Hmmm....where do you envision yourself working?

    Is this an area where there are lots of jobs or do you think you might need to wait a few years for an opening?

    Are you willing to relocate for this specialty?

    I always encourage posters to go for the widest scope of practice possible because with the economy (who ever thought it would be this bad?) and the new healthcare plan, you need to position yourself for the best job opportunity possible.

    Now....I've got to ask....what is neuroendocrine?
  6. by   mfRN0206
    Neuroendocrine just refers to the glands in your brain that produce or secrete or control the distribution of various hormones and neurotransmitters specifically related to the endocrine system. One obvious example is hyper or hypothyroidism. But it can also relate to sex hormones affecting eating behaviors or how environmental toxins can harm the endocrine system.

    I don't know if there are any available positions in this area for an NP. I don't know how to find out either. I think that endocrinology is fairly broad, but I understand what you mean. I've worked in med/surg and stepdown units in the cardiac and thoracic departments. I ended up in these places simply because that's where the road led me, that's where there were available positions. But I'd really like to have a nursing career that fits me ... so I would relocate and I would wait, assuming that it's not a hopeless case.
  7. by   traumaRUs
    Got it. So you would work in endocrinology basically as a broad scope?

    I would scout out those practices and talk to the mid-levels working there. Another place (related) might be diabetes - though I know you aren't interested in that direction, maybe the mid-levels doing diabetes education would know a better direction or know some other folks.

    Another idea - join your state's APN organization.
  8. by   psu82
    I am about to graduate from my CNS program this spring. Most of my nursing experience has been in critical care and research. I have worked in an ICU/CCU, and trauma ICU. I took a position as a neurotrauma research nurse at the University when I started my graduate program (University staff members are eligible for a 90% tuition reimbursement). I also work as a per diem educator for a medical device company.

    For a long time I was unsure of what I wanted to do in my nursing career. I considered anesthesia school, but working in the OR has zero appeal to me. The critical care aspect of anesthesia is appealing, but I felt that I would quickly become bored with the work, and the sole reason for pursuing that career would be for the money. I considered practicing as an NP because I enjoy patient care, however following the medical model has less appeal than practicing in a nursing role. I also considered working full time for the medical device company, but the job would require M-F travel and some work in sales, which has LESS than zero appeal to me.

    I decided to pursue the CNS track (critical care) because I enjoy supporting both nurses and patients. I enjoy direct patient care, and sharing my expertise (neuro/trauma) with patients, nurses, and residents. In my current job as a research nurse for traumatic brain injury, I have been consulted in policies involving patient care (policy related to drawing CSF), and nursing education (ICU management of patients with severe traumatic brain injury), and also serve as a liaison between clinical staff and the patient and family (due to the nature of our research, I often am the first one meeting the family and explaining the nature of their relative's injury and what to expect, etc).

    I realize there may not be as many opportunities for clinical nurse specialists out there compared to NP's and CRNA's, however I still feel that this is the best fit for me. I am not discouraged though, I feel that more hospitals lately are focusing on quality improvement measures (my hospital is currently trying to obtain Magnet status), and I have seen more opportunities available that require CNS expertise.
  9. by   ROLO
    I first joined this discussion (2009, I think) as I was starting my MSN. I was not sure which track to pursue (CNS vs. NP). I just graduated 12/14/2011 with MSN, and I did the acute care nurse practitioner track. I am interviewing now and waiting for the OK to take my boards. I thank everyone (traumaRUs) for their insight into the roles, the good, the bad, and the ugly.

  10. by   zoidberg
    kinlebelle, did you ever find a way to carve yourself an APRN role in endocrinology?
  11. by   traumaRUs
    Rolo - congrats on your recent milestone and thanks for the kind words.

    Do you have a job lined up?
  12. by   WKShadowRN
    Quote from kelrn24
    [color=#483d8b]question...anyone a cns in sc? it appears that the scope of practice is pretty open. also, does anyone have experience in the ed/icu as a cns? any comments or suggestions?



    [color=#483d8b]life is better at the beach!
    i am a nurse in sc and just looked today at the bon. the scope is on par with np, as far as i understood, as both cns and np have to apply for prescribing privilidges.
  13. by   Psychcns
    I received my psych CNS in 1994 in MA and was eligible for prescriptive authority. I continued to work in management for a few years and tried to find a collaborating physician to prescribe on the side....I went on to work in education, consutling, and eventually started prescribing. Now I work locum tenens in states that will allow me to prescribe--the job is usually called psych NP..As a psych cns, i was prepared for several roles--one being clinical--this role became the Psych NP. In psych the CNS appears to be pushed out in favor of the Psych NP..I am glad to see the CNS included in the APRN roles...it is a broad based clinical role and deserves to continue..