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Clinical Nurse Specialist

Job Description

Posting Note: **This position is seeking a candidate with Pediatric Medical Surgical experience.**

The Advanced Practice Nurse-Clinical Nurse Specialist (CNS) collaborates with the healthcare team in systematically assessing, designing, implementing, and evaluating population-based programs of patient care to enhance high quality, cost-effective patient outcomes. Manages and influences the quality of patient outcomes through application of specialized knowledge. The CNS provides clinical expertise through direct participation in patient care, bedside consultation, and interaction with the interdisciplinary team. The CNS scope of practice responsibilities includes providing and evaluating specialized nursing care of patients by advancing the quality and scope of nursing clinical practice through the following: consultation, education, research, demonstrated leadership/role model, change agent, and professional development.

PCH Values
  • Family-Centered care that focuses on the need of the child first and values the family as an important member of the care team
  • Excellence in clinical care, service and communication
  • Collaborative within our institution and with others who share our mission and goals
  • Leadership that set the standard for pediatric health care today and innovations of the future
  • Accountability to our patients, community and each other for providing the best in the most cost-effective way.
Position Duties

1. Patient/Client Focus
  • Serves as a content expert and collaborates with interdisciplinary team members to integrate nursing interventions into a comprehensive age-specific, individualized plan of care (such as assessment, development, implementation, and/or evaluation) to enhance patient care outcomes. The CNS uses nursing arts and sciences, child development, education, psycho-social and cultural theories to facilitate the delivery of comprehensive nursing care. Individualized refers to patient’s developmental, cognitive, cultural, psychosocial, spiritual, and education/family influences and physical/medical care needs. Plan of care includes current and anticipated actions focused on care education and/or discharge needs.
  • Utilizes a systematic approach to analyze complex clinical data and information to provide comprehensive consultation and appropriate resources (i.e., literature review, policies/procedures, benchmarks, evidence-based practice) for clinical problem solving.
  • Conducts daily/weekly clinical rounds to gain real time knowledge of immediate clinical care needs for patients and related staff education/skill needs.
  • Influences the trajectory of care from admission through discharge in order to assist the patient in achieving the desired outcomes after discharge and to minimize readmission.
  • Ensures that scientific rationale, evidence-based standards of care, and practice guidelines are used in formulating patient care interventions and patient/parent teaching strategies.
  • Collaborates with the nursing team and interdisciplinary team members to define specialty based clinical quality indicators, monitoring activities, and analysis of variances to address results of quality improvement processes.
2. Nursing Practice
  • A. Advancing Nursing Practice
  • Creates an environment that simulates self-learning and reflective practice in nursing.
  • Advances nursing practice to improve patient outcomes by updating and improving norms of care and by using standards of care that direct actions of nurses and nursing personnel.
  • Evaluates the ability of nursing to implement changes in nursing practice and develops strategies for hard-wiring into individual/team performance practices new policies, procedures, or standards to impact clinical outcomes, nurse satisfaction and the work environment.
  • Anchors nursing practice to include evidence-based information and standards of care in achieving nursing sensitive outcomes.
  • Collaborates with nursing leadership, clinical educators, and preceptors to ensure that orientation, staff education and skills validation programs advance nursing practice to achieve quality patient outcomes.
  • Utilizes a systematic approach to analyze complex clinical data and information to provide comprehensive consultation and appropriate resources (i.e., literature review, policies/procedures, benchmarks, evidence-based practice) for clinical problem solving.
  • B. Research
  • Strengthens the link between evidence-based practice, research, and clinical practice by promoting the utilization/understanding of the research/evidence-based processes into practice to improve patient outcomes, professional nursing practice and the work environment.
  • Conducts clinical inquires to identify research questions or clinical issues for further evaluation and analysis to determine the need to change practice to impact patient outcomes and organizational/department level improvement process. This includes initiating and/or participating in research or other evaluation projects to investigate clinical issues and mentoring others to interpret, conduct, and/or change practice standards based on evidence-based practice or research.
  • Provides leadership in the development of evidence-based policies, procedures, protocols and best practice models/guidelines.
  • Identifies opportunities to acknowledge unit/organization for nursing best practices as seen through supporting nurses in publication and presentation (i.e., article development, author/co-author articles, development of posters or oral presentations).
  • C. Leadership/Role Model/Change agent
  • Reviews systems and processes for effectiveness and facilitates changes based on evidence-based practice that will promote quality patient care and outcomes.
  • Works collaboratively with nursing personnel to implement innovative interventions that are effective and appropriate to the complexity of patient care problems and the resources in the system.
  • Engages individuals and the collective team in driving practice changes in their unit/ department/organization to influence patient improvement outcomes.
  • Leads the development of new programs, systems, and professional practice models to influence patient care delivery.
  • Collaborates with nursing leadership in the innovative use of data systems (i.e., accessing, collecting, analyzing, and managing data) in driving decisions to improve nursing systems and practices.
3. Organization/Systems
  • Collaborates with leadership and nursing staff to implement nursing care activities to achieve goals at the unit, nursing division, departmental, organizational, and system levels.
  • Leads multidisciplinary groups and/or provides clinical expertise/consultation to represent nursing in multidisciplinary groups to implement innovative care programs that address issues across the full continuum of care for different population groups and different specialties.
  • Collaborates with others to ensure that evidence-based best practice models, policies, procedures, and standards of care are developed and integrated into the nursing practice of individuals and nurses as members of interdisciplinary teams as they work across the continuum of care.
  • Provides focused leadership that advances quality patient care across the continuum to influence patient care programs that align with the organization’s strategic initiatives and mission, vision, and values.
  • Influences patient care initiatives and changes in the system that reflect knowledge of cost management and revenue enhancement strategies.
4. Performs miscellaneous job related duties as requested.

Job Requirements

Education Requirements
  • Master’s degree from an accredited graduate school of nursing. (Required)
Experience Requirements
  • 3 or more years of clinical and pediatric experience. (Required)
Certification/License/Registry Requirements
  • Current State of Arizona RN license or a current RN license from a compact state with multistate priveledges or the abilty to establish licensure according to AZ law prior to start date. (Required)
  • Clinical Nurse Specialist license in the state of Arizona with juridiction over practice location. (Required)
  • Current BLS Certification for Healthcare Provider from the American Heart Association. (Required)
  • Current PALS and/or Emergency Nursing Pediatric Course (ENPC). (Required)
  • Currently nationally certified or eligible to sit for national certification exam for pediatric clinical nurse specialist or for clinical nurse specialist in specialty area. (Required)
Skill Requirements
  • Ability to work in a team setting with multiple responsibilities. (Required)
  • Ability to use Microsoft Office, including MS Word, MS PowerPoint, MS Excel and MS Outlook. (Required)
Physical Requirements
  • Physical Requirement - Climbing (Occasionally)
  • Physical Requirement - Feeling (sensing textures and temperatures) (Constantly)
  • Physical Requirement - Fine Motor Skills (pinching, gripping, etc) (Constantly)
  • Physical Requirement - Hearing (Constantly)
  • Physical Requirement - Pushing/pulling (Occasionally)
  • Physical Requirement - Reaching (Frequently)
  • Physical Requirement - Sitting (Constantly)
  • Physical Requirement - Standing (Constantly)
  • Physical Requirement - Stooping/crouching/kneeling/crawling (Occasionally)
  • Physical Requirement - Talking (Constantly)
  • Physical Requirement - Tasting/smelling (Occasionally)
  • Physical Requirement - Walking (Frequently)
  • Physical Requirement - Near Vision (Frequently)
  • Physical Requirement - Far Vision (Frequently)
  • Physical Requirement - Color Discrimination (Frequently)
  • Physical Requirement - Use of keyboard, mouse and/or computer equipment (Constantly)
  • Physical Requirement - Lift up to 35 pounds without assistance (Occasionally)
  • Physical Requirement - Lift more than 35 pounds without assistance (Occasionally)
  • Occupational Exposure/Risk Potential - Inside office environment (Applicable)
  • Occupational Exposure/Risk Potential - Airborne communicable diseases (Applicable)
  • Occupational Exposure/Risk Potential - Bloodborne pathogens or bodily fluid (Applicable)
  • Occupational Exposure/Risk Potential - Fumes or airborne particles (Applicable)
  • Occupational Exposure/Risk Potential - Hazardous materials exposure (Applicable)
  • Occupational Exposure/Risk Potential - Radiation exposure (Applicable)
  • Occupational Exposure/Risk Potential - Toxic or caustic chemicals (Applicable)

Job Snapshot

Post Date 8/6/2014
Location Phoenix, AZ
Employment Type Full-Time
Job Type Health Care, Nurse
Education Not Specified
Experience Not Specified
Manages Others Not Specified
Industry Healthcare - Health Services
Required Travel Not Specified
Job ID 30405
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