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29-1141.04 - Clinical Nurse Specialists


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.


Key Facts
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Bright Outlook
1
Career Details
Green Job
Career Details
Current Employment
2,751,000
Estimate
Forecasted Employment
3,190,300
Estimate
Change in Employment
+439,300
Estimate
Change in Employment %
+16%
Estimate
Tasks
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Tasks
The tasks listed below can be performed to prepare you for a career in this field.
Core
  • Coordinate or conduct educational programs or in-service training sessions on topics, such as clinical procedures.
  • 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.
All data sourced from US Department of Labor, Employment & Training Administration O*Net Database.
Knowledge
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Knowledge

The items listed below are organized into sections that contain knowledge useful for pursuing a career in this field. Each section also contains a "Percentage of Importance" statistic that shows how relevant an item is to the occupation.
 Medicine and Dentistry
  • 93%
    Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.
 Education and Training
  • 91%
    Knowledge of principles and methods for curriculum and training design, teaching and instruction for individuals and groups, and the measurement of training effects.
 English Language
  • 88%
    Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
 Biology
  • 86%
    Knowledge of plant and animal organisms, their tissues, cells, functions, interdependencies, and interactions with each other and the environment.
 Psychology
  • 85%
    Knowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; psychological research methods; and the assessment and treatment of behavioral and affective disorders.
 Customer and Personal Service
  • 84%
    Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
 Sociology and Anthropology
  • 72%
    Knowledge of group behavior and dynamics, societal trends and influences, human migrations, ethnicity, cultures and their history and origins.
 Mathematics
  • 70%
    Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.
 Administration and Management
  • 69%
    Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources.
 Therapy and Counseling
  • 68%
    Knowledge of principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions, and for career counseling and guidance.
 Computers and Electronics
  • 59%
    Knowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.
 Philosophy and Theology
  • 59%
    Knowledge of different philosophical systems and religions. This includes their basic principles, values, ethics, ways of thinking, customs, practices, and their impact on human culture.
 Public Safety and Security
  • 57%
    Knowledge of relevant equipment, policies, procedures, and strategies to promote effective local, state, or national security operations for the protection of people, data, property, and institutions.
 Chemistry
  • 57%
    Knowledge of the chemical composition, structure, and properties of substances and of the chemical processes and transformations that they undergo. This includes uses of chemicals and their interactions, danger signs, production techniques, and disposal methods.
 Communications and Media
  • 56%
    Knowledge of media production, communication, and dissemination techniques and methods. This includes alternative ways to inform and entertain via written, oral, and visual media.
 Personnel and Human Resources
  • 55%
    Knowledge of principles and procedures for personnel recruitment, selection, training, compensation and benefits, labor relations and negotiation, and personnel information systems.
 Clerical
  • 54%
    Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology.
 Law and Government
  • 51%
    Knowledge of laws, legal codes, court procedures, precedents, government regulations, executive orders, agency rules, and the democratic political process.
 Economics and Accounting
  • 51%
    Knowledge of economic and accounting principles and practices, the financial markets, banking and the analysis and reporting of financial data.
All data sourced from US Department of Labor, Employment & Training Administration O*Net Database.
Tools
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Tools
The tools listed below include machines, equipment, tools, and software that is useful for individuals who are interested in this career.
 Floor grade instruments
  • Alligator forceps
  • Ring forceps
  • Straight hemostats
 Respiratory monitoring products
  • Apnea monitors
  • Arterial blood gas testing equipment
  • End tidal carbon dioxide monitors
 Intravenous and arterial cannulas and catheters and accessories
  • Arterial line catheters
  • Intravenous IV administration sets
  • Intravenous IV cutdown trays
  • Multiple lumen central line catheters
  • Swan Ganz artery catheters
  • Umbilical catheters
 Emergency medical services resuscitation products
  • Automated external defibrillators AED
 Medication dispensing and measuring devices and supplies
  • Automated medicine dispensing equipment
 Autotransfusion products
  • Autotransfusion systems
 Positive mechanical pressure ventilators and accessories
  • Bilevel positive airway pressure BiPAP ventilators
  • Mechanical intermittent positive pressure ventilators
 Syringes and accessories
  • Blood drawing syringes
  • Bulb syringes
  • Hypodermic syringes
 Blood pressure units and related products
  • Blood pressure monitors
  • Sphygmomanometers
 Scopes and specula and accessories for medical exam diagnostic use
  • Bronchoscopes
  • Nasal specula
  • Ophthalmoscopes
  • Otoscopes
  • Vaginal exam specula
 Acute care monitoring units and related products
  • Cardiac monitors
  • Fetal monitors
  • Hemodynamic monitors
  • Intracranial pressure monitors
  • Transport cardiac monitors
 Patient beds and accessories
  • Clinical trapeze traction bars
  • Isolettes
  • Newborn warming lamps
  • Specialty patient care beds
 Computers
  • Desktop computers
  • Laptop computers
  • Tablet computers
 Hearing testing products
  • Diagnostic tuning forks
 Medical thermometers and accessories
  • Digital patient thermometers
 Medical ultrasound and doppler and echo imaging products
  • Doppler ultrasound equipment
  • Ultrasound transducers
 Electrocardiography EKG units and related products
  • Electrocardiography EKG machines
  • Telemetry monitors
 Respiratory humidity and aerosol therapy products
  • Electronic compressor nebulizers
  • Handheld nebulizers
 Surgical equipment and accessories and related products
  • Electrosurgical cauterization machines
 Airway management products
  • Endotracheal ET tubes
  • Nasopharyngeal airways
  • Tracheotomy sets
 Injection and aspiration needles and accessories
  • Epidural catheters
  • Pericardiocentesis kits
  • Thoracentesis kits
  • Thoracentesis trays
 Specimen collection and transport containers and supplies
  • Evacuated blood collection tubes
  • Lancets
  • Specimen collection containers
  • Tourniquets
 Heat and cold therapy products
  • Hyper/hypothermia blankets
 Intubation supplies
  • Intubation sets
  • Magill forceps
 Suture and related products
  • Laceration repair trays
  • Suture removal kits
 Resuscitation supplies
  • Manual resuscitation bags
 Medical gloves and accessories
  • Medical examination protective gloves
 Patient transport products
  • Medical gurneys
  • Transfer boards
  • Wheelchairs
 Oxygen therapy delivery systems and devices
  • Nasal catheters
  • Oxygen concentrators
  • Oxygen delivery masks
  • Oxygen flowmeters
 Medical suction and vacuum products
  • Nasal suctioning equipment
  • Oral suctioning equipment
  • Tracheal suctioning equipment
 Nasoenteric tubes
  • Nasogastric tubes
 Ophthalmic diagnostic exam products
  • Ophthalmic slit lamps
  • Ophthalmic tonometers
  • Visual acuity charts
 Casting and splinting supplies
  • Orthopedic splinting equipment
 Medical staff clothing and related articles
  • Protective face shields
  • Protective gowns
  • Protective medical face masks
 Pulse oximeters
  • Pulse oximeters
 Surgical cutting instruments and snares and related products
  • Ring cutters
  • Straight surgical scissors
  • Surgical scalpels
 Medical tissue closure and related products
  • Skin staplers
  • Surgical staple removers
 Electrotherapy equipment
  • Transcutaneous electric nerve stimulation TENS equipment
 Cardiac pacemakers and related products
  • Transcutaneous pacemakers
  • Transvenous pacemakers
 Urological supplies
  • Urinary catheters
All data sourced from US Department of Labor, Employment & Training Administration O*Net Database.
Technology
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Technology
The technologies listed below include machines, equipment, tools, and software that is useful for individuals who are interested in this career.
 Industry specific software
  • Allscripts Professional EHR
  • Amkai AmkaiCharts
  • Bizmatics PrognoCIS EMR
  • Cerner Millennium
  • ChartWare EMR
  • e-MDs software
  • eClinicalWorks
  • GE Healthcare Centricity EMR
  • Medscribbler Enterprise
  • MicroFour PracticeStudio.NET EMR
  • NextGen Healthcare Information Systems EMR
  • SOAPware EMR
  • StatCom Patient Flow Logistics Enterprise Suite
  • SynaMed EMR
  • Texas Medical Software SpringCharts EMR
 Content authoring and editing software
  • Microsoft ExcelHOT
  • Microsoft PowerPointHOT
  • Microsoft WordHOT
  • Word processing software
 Data management and query software
  • Online medical databases
All data sourced from US Department of Labor, Employment & Training Administration O*Net Database.
Certifications
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Certifications
The certifications listed below are useful to pursue if you are interested in a career in this field.
 Specialty
 Advanced
 Core
All data sourced from US Department of Labor, Employment & Training Administration O*Net Database.
Licensing
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Licensing
The licensing information below is organized into sections and is useful for pursuing if you are interested in a career in this field.
No specific licensing information is listed for this occupation in the area you have selected.
All data sourced from US Department of Labor, Employment & Training Administration O*Net Database.
Related Programs
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Online Programs related to this career, offered by participating institution(s), are listed below.

Clicking on the Degree programs in the list below will take you away from the Careers page.
INSTITUTION
PROGRAMS
Central Virginia Community College
Germanna Community College
J Sargeant Reynolds Community College
Laurel Ridge Community College
Mountain Empire Community College
New River Community College
Patrick & Henry Community College
Piedmont Virginia Community College
Rappahannock Community College
Southside Virginia Community College