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

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.

Select Tools
AngiocathsApnea monitorsArterial blood gas testing equipment
Arterial line cathetersAutomated external defibrillators AEDAutomated medicine dispensing equipment
Autotransfusion systemsBackboardsBedpans
Bilevel positive airway pressure BiPAP ventilatorsBlood drawing syringesBlood glucometers
Blood pressure monitorsBreast pumpsBronchoscopes
Bulb syringesCardiac monitorsCast carts
Cast cutting sawsChest drainsClinical trapeze traction bars
Crash cartsCrutchesDesktop computers
Diagnostic tuning forksDigital patient thermometersDoppler ultrasound equipment
Ear curettesElectrocardiography EKG machinesElectronic compressor nebulizers
Electrosurgical cauterization machinesEnd tidal carbon dioxide monitorsEndotracheal ET tubes
Enema equipmentEnteral feeding setsEpidural catheters
Evacuated blood collection tubesEye lavage kitsFetal monitors
Fiberoptic endoscopesGraduated glass laboratory cylindersHandheld nebulizers
Hemodynamic monitorsHyper/hypothermia blanketsHypodermic syringes
Incentive spirometersIncision drainage equipmentIntracranial pressure monitors
Intravenous infusion pumpsIntravenous IV administration setsIntravenous IV cutdown trays
Intubation setsIsolettesLaceration repair trays
LancetsLaptop computersMagill forceps
Manual resuscitation bagsMechanical intermittent positive pressure ventilatorsMechanical stethoscopes
Medical examination protective glovesMedical gurneysMedical scales
Microscope slidesMultiple lumen central line cathetersNasal catheters
Nasal speculaNasal suctioning equipmentNasogastric tubes
Nasopharyngeal airwaysNewborn warming lampsOcclusion clamps
Ophthalmic slit lampsOphthalmic tonometersOphthalmoscopes
Oral suctioning equipmentOrthopedic splinting equipmentOstomy equipment
OtoscopesOxygen concentratorsOxygen delivery masks
Oxygen flowmetersPatient restraintsPatient walkers
Pediatric crash cartsPericardiocentesis kitsPill crushers
Pill splittersPneumatic bootsProtective face shields
Protective gownsProtective medical face masksPulmonary artery catheters
Pulse oximetersReflex hammersRing cutters
Ring forcepsSafety gogglesSandbags
Skin staplersSpecialty patient care bedsSpecimen collection containers
SphygmomanometersStraight hemostatsStraight surgical scissors
Surgical irrigation setsSurgical razorsSurgical scalpels
Surgical staple removersSuture removal kitsSwan Ganz artery catheters
Tablet computersTelemetry monitorsThoracentesis kits
Thoracentesis traysTongue bladesTourniquets
Tracheal suctioning equipmentTracheotomy setsTraction weights
Transcutaneous electric nerve stimulation TENS equipmentTranscutaneous pacemakersTransfer boards
Transport cardiac monitorsTransvenous pacemakersUltrasound transducers
Umbilical cathetersUrinalysis test stripsUrinary catheters
Urine analysis equipmentVaginal exam speculaVenous Oxygen Saturation SVO2 monitors
Visual acuity chartsWheelchairsWood's lamps

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