Job Description

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Day - 10 Hour (United States of America)
Clinical Nurse Specialist
Job Summary
The Clinical Nurse Specialist (CNS) is a clinician who collaborates with members of the health care team to enhance patient care by guiding and supporting nursing staff on the provision of care to patients and families within an identified specialty.
This model describes the CNS's practice competencies within three spheres of influence: the patient/client, nursing and nursing practice and the organization/system sphere with the patient being the most important sphere. The CNS's clinical expertise arises from competencies inherent within a specialty of nursing practice and are used to address nursing issues within the patient/client, nursing and nursing practice, and the organization/system spheres. The essential roles of the CNS: expert clinician, interdisciplinary consultant, educator, researcher, and leader help to:

• Influence care of patient and family,
• Direct specialty knowledge and skill acquisition,
• Shape core competencies of clinical practice,
• Promote evidence-based outcome-guided nursing care,
• Integrate quality patient care across Tri-Valley practice sites,
• Promote an environment of mentoring and system change that empower the nurse to experience professional growth and development.
  

Essential Functions
The essential functions listed are typical examples of work performed by positions in this job classification, and are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Specific duties and responsibilities may vary depending on department or program needs without changing the general nature and scope of the job or level of responsibility. Employees may also perform other duties as assigned.
The essential functions of the clinical nurse specialist are derived by the CNS Core Competencies delineated by the National Association of Clinical Nurse Specialists (NACNS, 2010). The Core Competencies are listed below.

• Direct Care Competency: Direct interaction with patients, families, and groups of patients to promote health and/ or well-being and improve quality of life. Characterized by a holistic perspective in the advanced nursing management of health, illness, and disease states.
• Develops evidence-based clinical interventions and systems to achieve defined outcomes.
• Recommends therapeutic interventions and treatments to meet the needs of patients, families, and specialty patient populations.
• Designs education for individuals, families, and specialty patient populations to promote knowledge, understanding and optimal functioning across the wellness-illness continuum.
• Assists staff in the development of innovative, cost-effective programs or protocols of care.
• Evaluates nursing practice that promotes patient-centered and evidence-based care.
• Evaluates patient outcomes that considers safety, timeliness, effectiveness, and efficiency.
• Other duties as assigned.
• Systems Leadership:
• Manages change and empowers others to influence clinical practice and political processes both within and across systems.
• Facilitates, leads, and evaluates system change to improve health outcomes and foster evidence-based practice.
• Identifies variables that influence nursing practice and patient care outcomes.
• Promotes clinical excellence through education, role modeling, team building, and quality.
• Develops and applies clinical standards, policies, and procedures using evidence-based practice.
• Coordinates care with use of system and community resources to optimize patient, family, and community outcomes.
• Evaluates fiscal implications of practice and system modifications.
• Participates in and evaluates impact of Quality initiatives on Nurse Sensitive Indicators.
• Provides leadership through the use of advanced communication skills facilitate the development of effective clinical teams and to improve patient outcomes.
• Promotes professional development of staff nurses and continuing education activities.
• Consultation:
• Provides specialized expertise to consult on patients, staff, and systems-focused problems. Using the consultation process implements and evaluates evidence-based practice changes within a clinical specialty.
• Provides consultation to staff nurses, physicians and to other health care professionals on patient care issues.
• Communicates consultation findings to healthcare team and identifies resources to improve patient care outcomes.
• Analyzes consultation outcomes to implement evidence-based practice changes within a clinical specialty.
• Provides and coordinates patient teaching and counseling.
• Collaboration:
• At an advanced level, collaborates by committing to authentic engagement and constructive problem-solving to optimize clinical outcomes for the patient, family, system, and patient population.
• Utilizes leadership, team building, negotiation, and conflict resolution skills to build interdisciplinary collaboration within and across systems to meet optimal outcomes.
• Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds.
• Facilitates the collaboration between providers and coordination of community resources.
• Facilitates the coordination of inpatient and outpatient care and services as needed.
• Research:
• Evidence based practice underlies all aspects of the CNS role and incorporates analysis, application, and evaluation of research/evidence related to a clinical practice specialty.
• Mentors nurses to translate research into practice.
• The CNS role allows for independent and/or multidisciplinary involvement in research within a supportive clinical environment.
• Ethics:
• Promotes a practice climate conducive to providing ethical care.
• Fosters professional accountability.
• Facilitates patient and family understanding of the risks, benefits, and outcomes of proposed healthcare regime to promote informed decision making.
• Ensures compliance with legal, regulatory and clinical policies and procedures.
  

Job Qualifications
Education

• Master's degree in Nursing from an accredited university.
• Graduate of a CNS program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE).
  

Experience

• Minimum of 5 years of experience in clinical nursing
• Experience in program level coordination
  

License/Certifications

• Registered Nurse California State Licensure
• Clinical Nurse Specialist certification
• Current American Heart Association BLS required with additional AHA Certification required based on role
  

Knowledge, Skills, And Abilities

• Effectively interacts with staff from diverse backgrounds
• Able to manage time and prioritize effectively; organized and self-driven
• Demonstrated leadership abilities; able to work under stressful conditions; able to lead at a program level to institute sustainable change
• Ability to read, write and understand English language
• Proven ability to communicate with all staff across the hospital
• Ability to collaborate and work in teams
• Strong interpersonal skills; demonstrates cultural humility, professionalism, and respect
• Strong understanding of safety, security, and regulatory standards as it pertains to role
• Fluency in Microsoft Suite
• Experience with data collection and analysis of program outcomes
  

Physical Demand and Working Conditions
The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job.
Equal Opportunity Employer
Equal Opportunity Employer Stanford Health Care Tri-Valley strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.
Appendix A – Service Line Specific Responsibilities
Clinical Nurse Specialist, Cardiovascular Services
Advanced practice nurse designated to support the cardiovascular service line of the hospital:

• Lead/actively participate in interdisciplinary team efforts to:
  

reduce variability in care through, alignments with national standards, adoption of best practices (SHC Palo Alto and others) and evidence-based care across the CV Service Line continuum and practice sites (ED, Cath Lab, Critical Care, Medical Surgical)
clinical quality improvement initiatives and reporting (STS data, STEMI, mortality index, LOS, readmissions)
promote patient safety, pati

Job Tags

Full time, Part time, Immediate start,

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