Hey All, Sorry to respond so late. Holidays were fun, then did an intense stats class & now flu season is killing the ER. I believe Lehigh Valley does use CNS's, however they now use a different title so they don't have to stick with CNS's but can expand to others with a master's in that role. I did call them & I am going to try them again later on. trauma - I've never worked with a CNS however as soon as I read what a CNS does I fell in love. Some of what they do I'm already doing now. I love education, however I don't want to do only education. I do want to help educate staff and family and I want to maintain some bedside nursing as well. I love EBP & trying to promote that. I can be a bit of a pain with some of our docs because I stand up to them if I see them doing old outdated practices that I know are no longer beneficial (ie: over-oxygenate, O2 on all cardiacs, etc...). I've spoken to a couple CNS's and I like their roles. I do education on peds in the ED I'm in and I have brought some new equipment on the unit & educated on it as well. What I really want out of the CNS role is the combination of being advance practice but also being involved in educating staff and promoting health. Mursejj - thanks! One of the CNS's I spoke with is from NYC. She absolutely loves her role. She's a neonate CNS down at NYU. They're supposedly expanding with more CNS's. NJ does have prescriptive privileges, however that's not the end-all-be-all to me. It's a nice perk but I don't see not being able to prescribe stop me from going to a non-prescribing state (though it does stink). I with NJ used CNS more! However, I have seen some openings recently at some of the larger hospitals that have job descriptions that look like CNS jobs and I have seen a couple CNS positions open, but we will see how that goes. Hunter is a great school overall and I've always heard wonderful things about their nursing program. However, I want to go for peds CNS. Unfortunately that limits my schools to very very few and far between as well as my preceptors. Thanks again for all the responses. I am going to apply to 3 different programs and see how everything goes from there. Should i have too difficult of a time finding clinicals I can always try to switch to the NP program then go to a brick & mortar school for a post-masters CNS. Wish me luck! Sam