here ya go:
1. background (number of years in advanced role, rational for becoming cns) i've been a nurse for a total of 18 years and and apn since 2006. my rationale for becoming a cns was kinda lame: the hospital-affiliated college of nursing offered the cns program and in il a cns = np as to scope of practice. the hospital paid for school and then you owed them 2 years of work. however, i did the cns as a post-msn certificate and when i got done, there were no jobs at the hospital for cns's. so, i stayed a staff nurse until i could find an outside job, then repaid the hospital to the tune of thousands of dollars. i did an adult health cns in 2006 and then recently (2010) went back and did a peds cns just so that i can see all ages. again, not the way i would have done it in hindsight: i did two complete programs and over 1100 hours of clinical total.
2. what is your work environment i work for a nephrology practice and do rounding on dialysis patients in multiple outpt dialysis units. i currently see about 260 pts/week.
3. organizational structure related to the advanced practice position i work for a private nephrology practice and we have a practice manager who has an mba, 15 mds, 5 midlevels (fnps, pas, me).
4. roles and responsibilitiesi function as an apn: assess, order tests, interpret the tests, treat the pt. my main job is to manage pts dialysis. however, renal pts have many comorbidities so i manage diabetes, htn, cad, gi issues, etc. i also take call and round on inpt renal pts: do the h&p, consult, soap note, etc.
5. perceptions of licensure, certification, and reimbursement issues in current role i practice in il and we recently received class ii prescriptive authority. thats the biggest change recently. as a cns, if you are looking at the apn role, its important to be fully aware of your state's scope of practice: is the cns considered an apn, do they have prescriptive authority? also, how is the cns used in the environment where you want to work.
6. any continuous professional development?[color="sandybrown"]yes, cme is necessary in order to renew your professional state licenses as well as your certifications. my practice gives us $1500/year and 5 days for paid cme which is pretty generous.