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I am a (child) psych CNS -- I've never worked as a unit educator (and have no interest in doing so). I've worked as an individual, group, and family psychotherapist in inpatient psychiatric programs, and have also served as a formal and informal mentor and consultant to the nursing staff. I've also done psychiatric consultation-liaison nursing in a large, urban teaching hospital, where the PCLN team went everywhere in the medical center EXCEPT the psychiatric units. We spent a lot of our time working in the ED and ICU (the trauma team used us a lot).
I've also worked as an outpatient psychotherapist, have taught psych nursing, and worked for several years as a psych hospital surveyor for my state and the Feds.
Those were the 1st positions to be cut in my hospital about 2 yrs back. Our NM used her assistant NM to pick up the role of CNS along with her other responsibilities.
We have a few nurses who finished their CNL program that a major university was pushing but now have no job prospects since most local area hospitals did away with that role too.
yes we have a few on the ward. One has an interest in stomal therapy and one has an ortho background and another has a urology post grad cert. we are a GI surgery ward but are becoming more involved in the trauma unit as well so they are a great resource. They take a pt load and do the same job as the RNs but are a resource person and present at study days and ward in-service and do projects to improve nursing care on the ward
Where I am n ow, we have a CNS that specialized in wound care and ostomy issues. She works as a floor RN most of the time and when there are questions about issues in her area of expertise, someone says, "we'll ask Jane." My friend is a ONC CNS and she is working as a school nurse b/c she can't find any other day shift job. I do know one CNS who works at a huge research center in diabetes education, but she is a CDE in addition to CNS, and I don't know if the CNS impacted her getting that job. I would not go for a CNS in my part of the country base on what ive observed as gross underutilization of their knowledge and potential.
Samian Q
210 Posts
A bit curious, since a lot of nursing schools offer Clinical Nurse Specialist (CNS) programs, yet I wonder where they end up working.
Do you personally know any CNSs in your workplace?