Clinical Nurse Specialist CNS BMT

• 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 interactions with patients families and specialty patient populations to promote health/wellbeing and improve quality of life. Care is provided with a holistic perspective in the advanced nursing management of health illness and disease states.

• Conducts advanced comprehensive assessments of patients families communities and social systems using evidencebased techniques.

• Formulates and prioritizes differential diagnoses based the needs of each individual.

• Develops evidencebased clinical interventions and systems to achieve defined outcomes.

• Recommends therapeutic interventions and treatments to meet the needs of patients families and specialty patient populations.

• Assists staff in the development of innovative costeffective programs or protocols of care.

• Evaluates nursing practice that promotes patientcentered and evidencebased care.

• Evaluates patient outcomes that considers safety timeliness effectiveness and efficiency.

• Other duties as assigned.

• Additional Direct Care Competencies (Privileging required through Medical Staff Office to perform; activities below are performed according to Standardized Procedure: Assessment and Management of Patients):

• Evaluates and treats patients with acute and chronic health complaints as well as health maintenance concerns related to specialty according to written standardized procedures Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients according to written standardized processes Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patients according to written standardized procedures Administers and orders medications Orders and collects specimens for routine laboratory tests screening procedures and therapeutic procedures including blood and blood products.

• Orders physical therapy occupational therapy respiratory therapy radiology examinations and nursing services.

• Performs designated procedures after demonstrated competency according to written standardized procedure where applicable.

• Obtains informed consent as indicated.

• Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork.

• Recognizes and considers the age specific needs of patients.

• Recognizes situations which require the immediate attention of a physician and initiates lifesaving procedures when necessary.

• Performs discharge summaries.

• 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 evidencebased 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 evidencebased 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 to improve patient outcomes.

• Consultation:

• Provides specialized expertise to consult on patients staff and systemsfocused problems. Using the consultation process implements and evaluates evidencebased 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 evidencebased 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 problemsolving 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.

• Coaching:

• Provides skillful guidance and teaching to advance the care of patients families groups of patients and professional nursing.

• Uses coaching and advanced communication skills to facilitate the development of effective clinical teams.

• Designs education for individuals families and specialty patient populations to promote knowledge understanding and optimal functioning across the wellnessillness continuum.

• Promotes professional development of staff nurses and continuing education activities.

• Contributes to the advancement of the nursing profession as a whole by disseminating outcomes of CNS practice through presentations and publications.

• 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.

• Publication or presentation of evidencebased outcomes or research findings.

• 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.

Education Qualifications

• Masters 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).

• Doctoral degree in Nursing preferred.

Licenses and Certifications

• RN Registered Nurse State Licensure And/Or Compact State Licensure and

• CNS Clinical Nurse Specialist and

• BLS Basic Life Support

These principles apply to ALL employees:

SHC Commitment to Providing an Exceptional Patient & Family Experience


Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute CICARE standards for all of patients families and towards each other. CICARE is the foundation of Stanfords patientexperience and represents a framework for patientcentered interactions. Simply put we do what it takes to enable and empower patients and families to focus on health healing and recovery.



You will do this by executing against our three experience pillars from the patient and familys perspective:

• Know Me: Anticipate my needs and status to deliver effective care

• Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health

• Coordinate for Me: Own the complexity of my care through coordination