Question for you all!

llg, PhD, RN · Feb 13, 2003

I have been a CNS (or jobs with similar titles) for many years ... and I think one of the biggest mistakes staff nurses make when interviewing or giving input the selection of CNS is that they form this picture of "what would I like best in a resource person to help ME do MY job and make MY life easier?" Then they look for that type of person and won't support anyone else.

CNS's tend to pursue that role because they have a strong committment to nursing and a strong interest in their chosen specialty. But that strength of committment and the perserverence it takes to get that MSN usually means that they/we can be a bit strong-willed. To try to squeeze us into tight little boxes with little flexibility often just results in conflict. Most CNS's need a little room to maneuver and flexibility to meet the demands of ALL our "customers" -- and out "customers" include not only the staff nurses, but also the managers, the doctors, the staff development staff, etc. -- and oh yes, the patients.

While it's not unreasonable to want someone for the position who will help you, teach you, be supportive, etc. be careful to not get toooooo self-centered in your judgements. Most CNS's have a wide range in their responsibilities, such as participation in hospital-wide education programs, serving on committees, etc. It's not reasonable to expect them to drop everything to come and help you every time you get busy. I've seen a lot of really great nurses become CNS's and get quickly become bitter and burned out because everyone in their work environment wants them to be the "perfect helper" for them and them alone. "Ignore all those other job demands. Help ME!"

In other words, don't expect the CNS to solve all your problems for you.

I would ask questions that help you get to know what the candidate values, what type of work he/she most enjoys, and what special professional interests he/she has. For example, what do they value in a nurse? How would they describe "a great nurse?" How would they describe "a bad nurse?" How would they describe a "great CNS?" Are his/her values similar to yours? If not, you're probably going to have some conflicts along the way.

Are his/her special interests and favorite types of projects the types of things that are compatable with your unit? If so, there's probably going to be a good fit between the candidate and the unit. Does he/she bring any new ideas or interesting background that will enrich your unit? The CNS should enhance your unit with new programs, new ideas, etc. not just continue things the way they have always been done. If you just want things to always stay the same, there is no reason to hire someone to just do routine maintenance of the status quo.

Those are just a few thoughts off the top of my head. I'll be interested to read what others think.

llg

New CCU RN · Feb 13, 2003

Thank you very much for your insight...very very helpful.

Here are some of the ideas for ?'s I have (now in addition to some that you have suggested) Please be critical if you think they aren't good.

Thanks again.

What is the role of a CNS in a Critical Care environment?

What attracts you to this patient population?

Have you been involved in any research? Have any specific areas you would like to research?

Describe an ethical dilemma in clinical practice and how you handled it?

What is one weakness in either your personality or clinical practice that you would like to change? How do you combat this?

Part of the role of a CNS is new grad orientation development, what ideas do you have?

When have you served as a preceptor/mentor for staff?

How did you feel in this role?

What was a negative experience that you encountered in this role? How did you handle it?

What was a positive experience in this role?

The ICU can be a very stressful environment at times. ( as you probably already know) Can you describe a stressful situation you have encountered and how you handled it? Is there anything you would have done differently?

Where do you envision your career in five years?

careless · Mar 31, 2003

Sorry I didn't see this post sooner; I'm sure it is too late for the interview! For future reference, you might want to look at the AACN Certification Corporation website for some information about the Acute/Critical Care CNS certification program and the role that the CCNS plays in the acute/critical care environment. If you have any questions after reading that, let me know. You can email me at [email protected], ask for Carol. The certcorp website is http://www.certcorp.org; just click on CCNS on the homepage for info about the CNS role. Hope this helps!