Clinical Nurse Specialist

MedStar Southern Maryland Hospital Center
Washington, DC
Apr 05, 2021
Apr 10, 2021
Full Time
Job Summary: The MedStar Health (MSH) Clinical Nurse Specialist (CNS) is an advanced practice registered nurse who functions as a clinical expert, educator, consultant, leader, researcher/evidence-based practice translator and change agent operating within a professional evidenced based practice framework that utilizes the three spheres of influence: patient/family, nursing, and system organization. The MSH CNS coordinates, coaches, educates, and leads nursing staff in evidenced-based clinical practice, quality improvement, and patient safety initiatives and conducts, facilitates, or applies research to enhance patient care and outcomes. MSH CNSs practice within defined patient populations and exhibit competency through licensure and national certification. Minimum Qualifications: Education/Training:Master's degree in nursing; Doctor of Nursing Practice preferred; Graduate of an accredited Clinical Nurse Specialist (CNS) academic program. Experience:At least 5 years of experience as a registered nurse; 2 years of experience as a CNS is preferred. License/Cert/Reg: Advanced Practice Registered Nurse (APRN) license in Maryland and/or the District of Columbia required, APRNs practicing in the state of Maryland and/or the District of Columbia prior to the enactment of educational or certification requirements and holding "grandfathered licensure" will be considered. Awarding of APRN licensure will be at the discretion of the Maryland and/or District of Columbia state board(s) of nursing. National CNS certification appropriate to designated population (family-individual across the lifespan, adult-gerontology, pediatrics, neonatal, women's health/gender related, or psychiatric/mental health). CPR certification required. Knowledge, Skills & Abilities:Demonstrates advanced clinical knowledge and skills in providing direct care to a designated patient population. Verbal and written communication skills. Basic computer skills preferred. Primary Duties and Responsibilities: Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations. Participates in the assessment, implementation, and evaluation of clinical services utilizing evidenced based, cost effective nursing interventions to meet the needs of a designated patient population. Conducts comprehensive, holistic assessments of individuals within the population of expertise. Uses reliable and valid age-appropriate assessment tools to identify acute and chronic health concerns and care needs. Conducts pharmacologic assessments to ensure safe and effective administration of medications and interprets laboratory values and results of diagnostic studies considering patient's age, ethnicity, and health status. Assesses patient, family, and caregiver preferences in the design and implementation of patient's plan of care while consulting with other registered nurses. Ensures the plan of care is comprehensive, individualized, age and disease appropriate plan for health promotion. Recommends evidenced based clinical and specialty care interventions as appropriate and within the CNS scope of practice. Acts as a patient and family advocate and facilitates patient's transitions of care with emphasis on quality, safety, and risk avoidance. Serves as role model for ethical practice and a resource for patients and families, nursing, and other interdisciplinary care providers. Provides consultation services to staff nurses, providers, and the interdisciplinary care team members focusing on the patient's mental status, mobility, functional status, self-care ability, and home environment. Communicates consultative findings to appropriate team members. Identifies practice improvements based on data obtained through consultations and recommends resources needed to achieve expected care outcomes. Designs theoretical and evidenced based health education strategies appropriate to the patient and/or family developmental level, health literacy level, learning needs, readiness to learn, personal preference, and technologic competency. Provides just in time teaching to nursing associates when appropriate. Participates in the orientation and mentoring of nurses, interdisciplinary staff, and/or advanced practice nurses. Facilitates the delivery of evidenced based, clinically competent nursing care to meet the goals of MedStar Health and the Department of Nursing. Supports the provision of nursing care utilizing the contemporary primary nursing care delivery model and the interdisciplinary model of care. Determines nursing practice and system interventions that promote patient and family safety. Participates in professional nursing through the MSH Nursing Collaborative Governance Councils and specialty professional organizations. Leads and/or participates in High Reliability Organization (HRO) activities and quality improvement initiatives at the local and system level. Supports a healthy and safe work/practice environment. Designs and evaluates programs for effective implementation of MSH Clinical Practice Guidelines (CPGs). Searches for, evaluates, and interprets evidence when developing MSH CPGs and quality improvement initiatives. Analyzes research findings and other evidence for their potential application to clinical nursing practice. Uses data to assess the quality and effectiveness of clinical programs in meeting nurse sensitive care outcomes. Assesses barriers, facilitators, and gaps in the adoption and integration of evidenced-based practices and designs interventions to address identified improvement opportunities. Assists in the evaluation of technology, products and supplies to support their safe and effective integration into nursing care delivery. Incorporates evidenced based practices, products, and technology into clinical policies and practice. Establishes collaborative relationships within and across departments that promote patient safety, culturally competent care, and clinical excellence. Collaborates with nursing practice leaders and other CNSs, patient care managers, professional development specialists, nurse educators, and unit-based champions to determine gaps in nursing practice. Uses leadership, team building, negotiation, and conflict resolution skills to build partnerships among interdisciplinary team members. Participates in MSH Interdisciplinary Model of Care (IMOC) rounds to enhance communication and assist in planning, implementing, and evaluating care. Provides leadership for establishing, improving, and maintaining collaborative relationships to meet the clinical needs of patients, families, and communities. Facilitates decision making regarding care and treatment options with patients and families, and the interdisciplinary team. Uses coaching and advanced communication skills to facilitate the development of effective clinical teams. Uses the best available evidence to evaluate care delivery processes to improve patient safety, efficiency, reliability, and quality. Evaluates innovative approaches to care delivery, keeping in mind the needs of the assigned population. Disseminates expert knowledge and mentors nurses to translate research into practice. Participates in meetings and on committees and represents the department and hospital in community outreach efforts. Performs other duties as assigned.About MedStar Health MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, DC, region, while advancing the practice of medicine through education, innovation and research. Our 30,000 associates and 5,400 affiliated physicians work in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest visiting nurse association in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar is dedicated not only to teaching the next generation of doctors, but also to the continuing education and professional development of our whole team. MedStar Health offers diverse opportunities for career advancement and personal fulfillment.

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