Advanced Practice Registered Nurses / Physician Assistants
Clinical Nurse Specialist - (19008204)
Department: Nursing Admin
Scheduled Bi-Weekly Hours: 80
The Clinical Nurse Specialist (CNS) is an advanced practice nurse who utilizes advanced knowledge and clinical expertise in providing primary and/or specialized health care services to individuals, families, groups and communities across the health-illness continuum. Diagnostic reasoning, advanced therapeutic interventions and education are key elements in the direct provision of care using a collaborative model. The clinical nurse specialist is directly accountable for making clinical judgments using independent and interdependent decision-making skills. The clinical nurse specialist’s primary focus is on the provision of direct and indirect patient care in managing the health care needs of the identified client population(s). The clinical nurse specialist provides care to a specific patient population using advanced skills in physical exam, nursing diagnosis and nursing interventions. The clinical nurse specialist also functions as a consultant, educator, researcher, resource and role model for patient, families, community, nursing personnel and other health care providers. The clinical nurse specialist evaluates the quality of care rendered; analyzes and promotes system changes to enhance quality of care and organizational effectiveness/efficiency; conducts/utilizes research to promote health and improve health care delivery. The clinical nurse specialist assumes responsibility for own professional development.
The clinical nurse specialist may not prescribe medications or medical interventions, but may order nursing interventions. The clinical nurse specialist may take verbal orders from a physician, which must be co-signed by the physician within 24 hours.
Assesses the health status of patients through eliciting comprehensive health histories, performing physical exams and analyzing data to formulate appropriate diagnoses. Develops prioritized, comprehensive problem list and prioritizes/initiates nursing interventions. Consistently collects patient data, which is prioritized according to the patient's immediate condition or needs.
Identifies expected patient outcomes and develops appropriate plan of care to manage patients' health problems, promotes health maintenance and prioritize multiple patient needs. The plan of care is developed in collaboration with the patient, family and other health care professionals. The plan of care is documented and specifies specific nursing interventions to attain expected outcomes which are individualized, consistent with goals of care, cost-effective, reflective of current scientific knowledge and which anticipate and address the continuing needs of the patient.
Implements interventions identified in the interdisciplinary plan of care. Interventions may include a variety of therapeutic interventions, providing patient/family education and counseling, and initiating health care and community referrals.
Evaluates and documents patient progress toward the attainment of expected outcomes utilizing interdisciplinary collaboration, appropriate quality indicators and multiple sources of data, including the patients' assessment of progress. Coordinates and facilitates continuity of care that crosses institutional and organizational boundaries, as required.
Acts as a patient/family advocate to ensure health care services are delivered in an ethical and culturally sensitive manner.
Equal Opportunity Employer of Minorities/Females/Disabled/Veterans
Registered nurse licensure to practice in the state of Michigan.
Master's degree in nursing (i.e., a clinical-based degree).
Two years clinical experience as a professional nurse.
National certification in advanced practice nursing specialty is required, where available, within 1 year of employment for all clinical nurse specialists hired after December 31, 2003, except where eligibility requirements for certification exceed 6 months of clinical practice. Failure to achieve certification, if available, will result in termination.
Internal Number: 19008204
About Karmanos Cancer Institute
The Karmanos Cancer Institute is a unique, integrated center of research, patient care and education, dedicated to the prevention, early detection, treatment and eventual eradication of cancer.
Who We Are
Karmanos Cancer Institute, headquartered in Detroit, is the largest cancer research and provider network in Michigan and has 14 treatment locations. Cancer patients have increased access to advanced cancer care in communities throughout the state. This provides an extra level of comfort and peace of mind to patients and their families, knowing they can receive the best care locally.
Caring for approximately 12,000 new patients annually and conducting more than 800 cancer-specific scientific investigation programs and clinical trials, Karmanos is among the nation’s best cancer centers. Karmanos offers one of the largest clinical trials program in the nation, giving patients access to more than 100 promising new treatments often available only at Karmanos.
Through the commitment of 1,000 staff, including nearly 300 faculty members, and supported by thousands of volunteer and financial donors, Karmanos strives to prevent, detect and eradicate cancer. Our l...ong-term partnership with the Wayne State University School of Medicine enhances the collaboration of critical research and academics related to cancer care.