Clinical Nurse Specialist

City/State
Bronx, New York

Grant Funded
No

Department
Ancillary Nursing Professional Practice

Bargaining Unit
NYSNA

Work Shift
Day

Work Days
MON-FRI

Scheduled Hours
8 AM-4:30 PM

Scheduled Daily Hours
7.5 HOURS

Hourly Rate
$82.75

The Clinical Nurse Specialist maintains standards of the practice for nursing as defined by the American Nurses Association Code of Ethics, Nursing Scope and Standards of Practice and Nursing's Social Policy Statement. The Clinical Nurse Specialist actualizes the vision, mission, values, balanced scorecard performance measures for Montefiore medical Center. The Clinical Nurse Specialist participates in performance improvement/research activities; maintains professional practice standards and clinical expertise;

and demonstrates leadership skills. The Clinical Nurse Specialist demonstrates core and unit specific competencies based on the patient population served. The Clinical Nurse Specialist is a registered nurse who is a clinical expert in the delivery of evidence- based nursing interventions within a designated population (e.g. geriatrics); type of problem (e.g. wound management); setting (e.g. critical care); type of care (e.g. palliative care) or disease/pathology/medical specialty (e.g. diabetes, oncology).

The Clinical Nurse Specialist possesses advanced knowledge of the science of nursing with a specialty focus and applies that knowledge to nursing assessments, diagnoses, interventions and in the design of innovations and assists the interdisciplinary team in the assessment, planning, implementation and evaluation of the care of a select group of patients. The Clinical Nurse Specialist also functions independently to provide theory and evidence-based care to patients and families in their attainment of health goals.

The Clinical Nurse Specialist makes recommendations to establish standards of practice and participates in educational activities, clinical research studies and technological developments as pertinent to the advancement of quality in the clinical specialty. The Clinical Nurse Specialist works with nurses to advance their nursing practices and improve outcomes and provides clinical expertise to interdisciplinary team members to effect system-wide changes to improve programs of care throughout Montefiore Medical Center.

• Patient/Family Clinical Practice - Demonstrates clinical expertise in the provision of high quality, age appropriate care within the designated clinical specialty.
• Conducts comprehensive wellness and illness assessments utilizing known or innovative evidence based tools, techniques/methods.
• Identifies the need for new or modified assessment methods or instruments within the specialty area.
• Describes problems, e.g. variations in normal and abnormal symptoms, functional status or risk behaviors inherent in disease, illness or developmental processes, which have etiologies amenable to nursing interventions.
• Provides direct and indirect evidence based interventions for complex patient-family illness/risk behaviors within the specialty.
• Provides consultation recommendations to the interdisciplinary team for specific specialty patient- family care issues.
• Collaborates with interdisciplinary team members to integrate specific nursing interventions for a comprehensive plan of care or its revision to enhance patient-family outcomes.
• Recommends referrals to interdisciplinary team members for specific patient-family needs within the specialty.
• Provides/coordinates complex discharge planning/ direct and indirect education/support groups, incorporating relevant cultural diversity and age appropriate content/techniques, as clinically indicated, for specific specialty patient-family health goals.
• Evaluates the effectiveness and outcomes of interventions individually and in collaboration with the interdisciplinary team.
• Intervenes in emergent clinical situations to provide appropriate solutions and limit recurrences.
• Nurses and Nursing Practice - Directs the provision of quality, age appropriate, cost effective patient-family nursing care delivery within the specialty.
• Utilizes/designs methods/tools to assess patterns of outcomes related to…