Clinical Nurse Specialist
Ensures both practice and professional standards are identified and maintained in the delivery of patient care and that mutually determined patient outcomes are achieved by working collaboratively with the health care team. Interacts with patients and peers within the three spheres of influence: the patient/family, nursing personnel and organizational systems. Provides continuous and comprehensive Nursing care. Promotes research and excellence in patient care while supporting and facilitating Nursing's professional growth and development and upholding standards of professionalism
- Applies theories of nursing, as well as the skill sets of consultation, research generation and utilization, education and Leadership in order to improve outcomes for patients/patient populations, nursing personnel and systems.
- Assesses and monitors clinical practice and identifies opportunities to improve practice and patient outcomes.
- Participates in select patient rounds and develops appropriate strategies to improve patient care outcomes.
- Makes rounds in the intensive care setting and writes orders for treatment (e.g., meds, labs, x-rays or referrals as outlined by supervising physicians and within the guidelines of the ANA Practice.) if currently certified as a Nurse Practitioner in Florida.
- Demonstrates multidisciplinary collaboration within the organization to achieve goals.
- Develops practice standards/clinical programs in area of assignment.
- Provides clinical direction and expertise to individual nurses.
- Attends in-services specific to area of assignment and patient population.
- Provides consultation within organization and to outside agencies as appropriate and facilitates change to enhance patient outcomes and system effectiveness.
- Collaborates with patients and their family members and healthcare personnel in creating a healing and caring environment.
- Develops, implements and evaluates innovative programs to enhance patient outcomes and to optimize resource utilization.
- Serves as a resource to other healthcare professionals, provides consultation and initiates referrals to facilitate optimal patient care.
- Optimizes the collaboration and coordination of the interdisciplinary team to enhance the environment of patient care. Provides mentoring to nursing students, specifically in the area of clinical specialty and advanced practice preparation.
- Collaborates with other disciplines in teaching, consultation, and management and research activities to improve outcomes in nursing practice and enhance the healthcare environment.
- Identifies strategies to enhance patient outcomes/utilization of resources.
- Assists in the development of strategies to improve patient outcomes through participation on nursing and interdisciplinary hospital committees.
- Facilitates learning by developing innovative educational programs for nursing personnel, patients, families, other healthcare providers and communities.
- Proactively seeks and participates in experiences and learning opportunities that will advance his or her knowledge of interventions, therapeutics and clinical skills on a regular basis.
- Assesses educational needs in the area of assignment or practice and initiates appropriate programs to meet the needs of staff, patients, families and community.
- Develops and implements educational activities that increase nursing knowledge and improve clinical practice.
- Plans formal and independent learning activities to promote the professional development of nursing personnel. Promotes patient education within the interdisciplinary team. Provides education at the community, state, national or international level.
- Evaluates educational activities for effectiveness.
- Utilizes research-based evidence/outcome data to formulate evaluate, and/or revise protocols, individualize patient care programs and standards of care.
- Participates in research activities and disseminates findings to enhance practice.
- Critically evaluates existing practice based on current research findings and integrates changes into practice.
- Uses research-based evidence to design, revise and evaluate innovations in clinical practice affecting patients, populations of patients, and/or care delivery systems to improve outcomes in a cost effective manner.
- Utilizes and communicates relevant research findings and integrates them into clinical practice.
- Conducts independent and/or collaborative research and promotes staff participation in research process relevant to nursing practice familiar with current advances/changes in healthcare.
- Publishes in nursing or healthcare literature.
- Maintains responsibility for operational excellence for all assigned activities to ensure delivery of quality to meet the expectations of those impacted by the department.
- Systematically develops criteria for and evaluates the quality and effectiveness of, nursing practice and organizational systems.
- Adapts and utilizes available resources to maintain quality services.
- Assumes a leadership role in establishing criteria for and monitoring quality of care initiatives within the three spheres of influence. Assess the need for, plans and implements quality-improvement programs.
- Evaluates quality improvement data, formulates evidence-based recommendations, adapts policy and procedures to meet changing requirements and improve quality of care and nursing practice.
- Participates in interdisciplinary efforts to address costs, duplication, and barriers to goal attainment.
- Supports department quality policy and procedures and communicates identified problems.
- Other duties as assigned.
- Master's Degree in Nursing and 4 years related experience or Bachelor' in Nursing and six years related experience.
- Demonstrated mastery of nursing and ability to identify and use appropriate concepts and principles from related science e.g., behavioral sciences and biological sciences.
- Strong program development , research and analytical skills.
- Strong verbal, written and interpersonal skills.
- State licensure as Registered Nurse (RN), Clinical Nurse Specialist (CNS), certification for Pediatric Advanced Life Support (PALS) through American Heart Association (AHA) and Basic Life Support (BLS) through American Heart Association (AHA).
- Critical Care Registered Nurse (CCRN) preferred.
Complexity of Work:
- All employees are expected to meet the standards of performance outlined in the Organizational-Wide Competencies listed below as applied to the position: World Class Service Orientation: Includes attitude, behavior, interpersonal skill, and problem solving that enable an employee to respond to internal and external customer needs and expectations in a positive manner.
- Adaptability: Includes teamwork and flexibility needed to fulfill job responsibilities including adapting to changes in work environment and accepting supervisory feedback.
- Efficiency and Effectiveness: Includes quantity and quality of desired work, as well as organization skills necessary to perform successfully.
- Essential Job Requirements: Includes adherence to all relevant policies, procedures, and guidelines affecting the work environment, including maintenance of required competencies and communication skills.
- Supervisory Responsibilities (if applicable): Includes overall accountability for assigned work group relative to operational goals, personnel requirements, and budgetary constraints.
- Note: The above stated duties are intended to outline those functions typically performed by individuals assigned to this classification.
- This description of duties is not intended to be all inclusive nor to limit the discretionary authority of supervisors to assign other tasks of similar nature or level of responsibility.
- MSN requires 4 years related experience.
- BSN requires 6 years related experience.
- Typical physical demands include the ability to walk and stand for long periods of time.
- Manual and finger dexterity and eye/hand coordination to perform physical examinations.
- Requires corrected vision to normal range.
Personal Protective Equipment:
- Follows Standard Precautions using personal protective equipment as required for procedures.
The policy of Cleveland Clinic and its system hospitals (Cleveland Clinic) is to provide equal opportunity to all of our employees and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. Job offers will be rescinded for candidates for employment who test positive for nicotine. Candidates for employment who are impacted by Cleveland Clinic’s Smoking Policy will be permitted to reapply for open positions after 90 days. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic facility.
Cleveland Clinic is pleased to be an equal employment employer: Women/Minorities/Veterans/Individuals with Disabilities