Job Profile:      Adult Health Clinical Nurse Specialist

Direct nursing staff in the provision of patient care in a clinical practice setting, such as a hospital, hospice, clinic, or home. Ensure adherence to established clinical policies, protocols, regulations, and standards.

Job Information
85,610 154,330 206,580

Select Tasks
Observe, interview, and assess patients to identify care needs. Evaluate the quality and effectiveness of nursing practice or organizational systems. Provide direct care by performing comprehensive health assessments, developing differential diagnoses, conducting specialized tests, or prescribing medications or treatments.
Provide specialized direct and indirect care to inpatients and outpatients within a designated specialty, such as obstetrics, neurology, oncology, or neonatal care. Maintain departmental policies, procedures, objectives, or infection control standards. Collaborate with other health care professionals and service providers to ensure optimal patient care.
Develop nursing service philosophies, goals, policies, priorities, or procedures. Develop, implement, or evaluate standards of nursing practice in specialty area, such as pediatrics, acute care, and geriatrics. Develop or assist others in development of care and treatment plans.
Make clinical recommendations to physicians, other health care providers, insurance companies, patients, or health care organizations. Plan, evaluate, or modify treatment programs, based on information gathered by observing and interviewing patients or by analyzing patient records. Present clients with information required to make informed health care and treatment decisions.
Instruct nursing staff in areas such as the assessment, development, implementation, and evaluation of disability, illness, management, technology, or resources. Direct or supervise nursing care staff in the provision of patient therapy. Identify training needs or conduct training sessions for nursing students or medical staff.
Read current literature, talk with colleagues, or participate in professional organizations or conferences to keep abreast of developments in nursing. Monitor or evaluate medical conditions of patients in collaboration with other health care professionals. Participate in clinical research projects, such as by reviewing protocols, reviewing patient records, monitoring compliance, and meeting with regulatory authorities.
Perform discharge planning for patients. Prepare reports to document patients' care activities. Write nursing orders.
Provide consultation to other health care providers in areas such as patient discharge, patient care, or clinical procedures. Develop and maintain departmental policies, procedures, objectives, or patient care standards, based on evidence-based practice guidelines or expert opinion. Design evaluation programs regarding the quality and effectiveness of nursing practice or organizational systems.
Design patient education programs that include information required to make informed health care and treatment decisions. Lead nursing department implementation of, or compliance with, regulatory or accreditation processes. Chair nursing departments or committees.
Teach patient education programs that include information required to make informed health care and treatment decisions. Provide coaching and mentoring to other caregivers to help facilitate their professional growth and development.

Select Abilities
The ability to read and understand information and ideas presented in writing. The ability to communicate information and ideas in speaking so others will understand. The ability to communicate information and ideas in writing so others will understand.
The ability to come up with a number of ideas about a topic (the number of ideas is important, not their quality, correctness, or creativity). The ability to come up with unusual or clever ideas about a given topic or situation, or to develop creative ways to solve a problem. The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.
The ability to apply general rules to specific problems to produce answers that make sense. The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events). The ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations).
The ability to generate or use different sets of rules for combining or grouping things in different ways. The ability to choose the right mathematical methods or formulas to solve a problem. The ability to add, subtract, multiply, or divide quickly and correctly.
The ability to remember information such as words, numbers, pictures, and procedures. The ability to quickly make sense of, combine, and organize information into meaningful patterns. The ability to identify or detect a known pattern (a figure, object, word, or sound) that is hidden in other distracting material.
The ability to quickly and accurately compare similarities and differences among sets of letters, numbers, objects, pictures, or patterns. The things to be compared may be presented at the same time or one after the other. This ability also includes comparing a presented object with a remembered object. The ability to know your location in relation to the environment or to know where other objects are in relation to you. The ability to imagine how something will look after it is moved around or when its parts are moved or rearranged.
The ability to concentrate on a task over a period of time without being distracted. The ability to shift back and forth between two or more activities or sources of information (such as speech, sounds, touch, or other sources). The ability to keep your hand and arm steady while moving your arm or while holding your arm and hand in one position.
The ability to quickly move your hand, your hand together with your arm, or your two hands to grasp, manipulate, or assemble objects. The ability to make precisely coordinated movements of the fingers of one or both hands to grasp, manipulate, or assemble very small objects. The ability to quickly and repeatedly adjust the controls of a machine or a vehicle to exact positions.
The ability to coordinate two or more limbs (for example, two arms, two legs, or one leg and one arm) while sitting, standing, or lying down. It does not involve performing the activities while the whole body is in motion. The ability to choose quickly between two or more movements in response to two or more different signals (lights, sounds, pictures). It includes the speed with which the correct response is started with the hand, foot, or other body part. The ability to time your movements or the movement of a piece of equipment in anticipation of changes in the speed and/or direction of a moving object or scene.
The ability to quickly respond (with the hand, finger, or foot) to a signal (sound, light, picture) when it appears. The ability to make fast, simple, repeated movements of the fingers, hands, and wrists. The ability to quickly move the arms and legs.
The ability to exert maximum muscle force to lift, push, pull, or carry objects. The ability to use short bursts of muscle force to propel oneself (as in jumping or sprinting), or to throw an object. The ability to exert muscle force repeatedly or continuously over time. This involves muscular endurance and resistance to muscle fatigue.
The ability to use your abdominal and lower back muscles to support part of the body repeatedly or continuously over time without 'giving out' or fatiguing. The ability to exert yourself physically over long periods of time without getting winded or out of breath. The ability to bend, stretch, twist, or reach with your body, arms, and/or legs.
The ability to quickly and repeatedly bend, stretch, twist, or reach out with your body, arms, and/or legs. The ability to coordinate the movement of your arms, legs, and torso together when the whole body is in motion. The ability to keep or regain your body balance or stay upright when in an unstable position.
The ability to see details at close range (within a few feet of the observer). The ability to see details at a distance. The ability to match or detect differences between colors, including shades of color and brightness.
The ability to see under low light conditions. The ability to see objects or movement of objects to one's side when the eyes are looking ahead. The ability to judge which of several objects is closer or farther away from you, or to judge the distance between you and an object.
The ability to see objects in the presence of glare or bright lighting. The ability to detect or tell the differences between sounds that vary in pitch and loudness. The ability to focus on a single source of sound in the presence of other distracting sounds.
The ability to tell the direction from which a sound originated. The ability to identify and understand the speech of another person. The ability to speak clearly so others can understand you.

Tools Used
Angiocaths Apnea monitors Arterial blood gas testing equipment
Arterial line catheters Automated external defibrillators AED Automated medicine dispensing equipment
Autotransfusion systems Backboards Bedpans
Bilevel positive airway pressure BiPAP ventilators Blood drawing syringes Blood glucometers
Blood pressure monitors Breast pumps Bronchoscopes
Bulb syringes Cardiac monitors Cast carts
Cast cutting saws Chest drains Clinical trapeze traction bars
Crash carts Crutches Desktop computers
Diagnostic tuning forks Digital patient thermometers Doppler ultrasound equipment
Ear curettes Electrocardiography EKG machines Electronic compressor nebulizers
Electrosurgical cauterization machines End tidal carbon dioxide monitors Endotracheal ET tubes
Enema equipment Enteral feeding sets Epidural catheters
Evacuated blood collection tubes Eye lavage kits Fetal monitors
Fiberoptic endoscopes Graduated glass laboratory cylinders Handheld nebulizers
Hemodynamic monitors Hyper/hypothermia blankets Hypodermic syringes
Incentive spirometers Incision drainage equipment Intracranial pressure monitors
Intravenous infusion pumps Intravenous IV administration sets Intravenous IV cutdown trays
Intubation sets Isolettes Laceration repair trays
Lancets Laptop computers Magill forceps
Manual resuscitation bags Mechanical intermittent positive pressure ventilators Mechanical stethoscopes
Medical examination protective gloves Medical gurneys Medical scales
Microscope slides Multiple lumen central line catheters Nasal catheters
Nasal specula Nasal suctioning equipment Nasogastric tubes
Nasopharyngeal airways Newborn warming lamps Occlusion clamps
Ophthalmic slit lamps Ophthalmic tonometers Ophthalmoscopes
Oral suctioning equipment Orthopedic splinting equipment Ostomy equipment
Otoscopes Oxygen concentrators Oxygen delivery masks
Oxygen flowmeters Patient restraints Patient walkers
Pediatric crash carts Pericardiocentesis kits Pill crushers
Pill splitters Pneumatic boots Protective face shields
Protective gowns Protective medical face masks Pulmonary artery catheters
Pulse oximeters Reflex hammers Ring cutters
Ring forceps Safety goggles Sandbags
Skin staplers Specialty patient care beds Specimen collection containers
Sphygmomanometers Straight hemostats Straight surgical scissors
Surgical irrigation sets Surgical razors Surgical scalpels
Surgical staple removers Suture removal kits Swan Ganz artery catheters
Tablet computers Telemetry monitors Thoracentesis kits
Thoracentesis trays Tongue blades Tourniquets
Tracheal suctioning equipment Tracheotomy sets Traction weights
Transcutaneous electric nerve stimulation TENS equipment Transcutaneous pacemakers Transfer boards
Transport cardiac monitors Transvenous pacemakers Ultrasound transducers
Umbilical catheters Urinalysis test strips Urinary catheters
Urine analysis equipment Vaginal exam specula Venous Oxygen Saturation SVO2 monitors
Visual acuity charts Wheelchairs Wood's lamps

Add Additional Job Requirements:   Work Condition, Physical requirements, Certifications, License, etc.