Clinical Nurse Specialists

Overview

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Job Zone Five: Extensive Preparation Needed
Experience

Extensive skill, knowledge, and experience are needed for these occupations. Many require more than five years of experience. For example, surgeons must complete four years of college and an additional five to seven years of specialized medical training to be able to do their job.

Education

Most of these occupations require graduate school. For example, they may require a master's degree, and some require a Ph.D., M.D., or J.D. (law degree).

Job Training

Employees may need some on-the-job training, but most of these occupations assume that the person will already have the required skills, knowledge, work-related experience, and/or training.

Examples

These occupations often involve coordinating, training, supervising, or managing the activities of others to accomplish goals. Very advanced communication and organizational skills are required. Examples include pharmacists, lawyers, astronomers, biologists, clergy, physician assistants, and veterinarians.

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.

Yearly Salary

High: $116K
Median: $75K
Low: $53K

Demand

Career Demand by State Career Demand by State Legend

Core Tasks

  • Provide specialized direct and indirect care to inpatients and outpatients within a designated specialty, such as obstetrics, neurology, oncology, or neonatal care.
  • Collaborate with other health care professionals and service providers to ensure optimal patient care.
  • Read current literature, talk with colleagues, or participate in professional organizations or conferences to keep abreast of developments in nursing.
  • Develop, implement, or evaluate standards of nursing practice in specialty area, such as pediatrics, acute care, and geriatrics.
  • Maintain departmental policies, procedures, objectives, or infection control standards.
  • Instruct nursing staff in areas such as the assessment, development, implementation, and evaluation of disability, illness, management, technology, or resources.
  • Develop and maintain departmental policies, procedures, objectives, or patient care standards, based on evidence-based practice guidelines or expert opinion.
  • Evaluate the quality and effectiveness of nursing practice or organizational systems.
  • Observe, interview, and assess patients to identify care needs.
  • Monitor or evaluate medical conditions of patients in collaboration with other health care professionals.
  • Provide coaching and mentoring to other caregivers to help facilitate their professional growth and development.
  • Provide direct care by performing comprehensive health assessments, developing differential diagnoses, conducting specialized tests, or prescribing medications or treatments.
  • Design evaluation programs regarding the quality and effectiveness of nursing practice or organizational systems.
  • Provide consultation to other health care providers in areas such as patient discharge, patient care, or clinical procedures.
  • Identify training needs or conduct training sessions for nursing students or medical staff.
  • Coordinate or conduct educational programs or in-service training sessions on topics such as clinical procedures.
  • Make clinical recommendations to physicians, other health care providers, insurance companies, patients, or health care organizations.
  • Design patient education programs that include information required to make informed health care and treatment decisions.
  • Participate in clinical research projects, such as by reviewing protocols, reviewing patient records, monitoring compliance, and meeting with regulatory authorities.
  • Develop or assist others in development of care and treatment plans.
  • Direct or supervise nursing care staff in the provision of patient therapy.
  • Develop nursing service philosophies, goals, policies, priorities, or procedures.
  • Lead nursing department implementation of, or compliance with, regulatory or accreditation processes.
  • Chair nursing departments or committees.
  • Present clients with information required to make informed health care and treatment decisions.
  • Plan, evaluate, or modify treatment programs, based on information gathered by observing and interviewing patients or by analyzing patient records.
  • Teach patient education programs that include information required to make informed health care and treatment decisions.
  • Write nursing orders.
  • Perform discharge planning for patients.
  • Prepare reports to document patients' care activities.

Technology Skills

Technology
Example
Hot Technology
Electronic mail software
Microsoft Outlook
Information retrieval or search software
Online medical databases
Internet browser software
Web browser software
Medical software
eClinicalWorks EHR software
Office suite software
Microsoft Office software
Presentation software
Microsoft PowerPoint
Spreadsheet software
Microsoft Excel
Word processing software
Microsoft Word

Tools Used

Tool
Example
Clinical nutrition
Pill splitters
Computer Equipment and Accessories
Desktop computers
Independent living aids for the physically challenged
Patient walkers
Intravenous and arterial administration products
Arterial line catheters
Laboratory and scientific equipment
Evacuated blood collection tubes
Laboratory supplies and fixtures
Microscope slides
Lamps and lightbulbs and lamp components
Wood's lamps
Measuring and observing and testing instruments
Urinalysis test strips
Medical apparel and textiles
Protective medical face masks
Medical diagnostic imaging and nuclear medicine products
Pulmonary artery catheters
Medical facility products
Clinical trapeze traction bars
Mobile medical services products
Backboards
Orthopedic and prosthetic and sports medicine products
Traction weights
Patient care and treatment products and supplies
Bulb syringes
Patient exam and monitoring products
Intracranial pressure monitors
Personal safety and protection
Safety goggles
Respiratory and anesthesia and resuscitation products
End tidal carbon dioxide monitors
Surgical products
Fiberoptic endoscopes
Wound care products
Skin staplers

Top 10 Knowledge Required

Medicine and Dentistry
96%
Importance

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
89%
Importance

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
86%
Importance

Knowledge of the structure and content of the English language including the meaning and spelling of words, and rules of composition and grammar.

Psychology
86%
Importance

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.

Biology
80%
Importance

Knowledge of plant and animal organisms, their tissues, cells, functions, interdependencies, and interactions with each other and the environment.

Therapy and Counseling
79%
Importance

Knowledge of principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions, and for career counseling and guidance.

Customer and Personal Service
75%
Importance

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
75%
Importance

Knowledge of group behavior and dynamics, societal trends and influences, human migrations, ethnicity, cultures, and their history and origins.

Administration and Management
72%
Importance

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.

Mathematics
62%
Importance

Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.

Top 10 Skills

Speaking
83%
Importance

Talking to others to convey information effectively.

Active Learning
80%
Importance

Understanding the implications of new information for both current and future problem-solving and decision-making.

Critical Thinking
80%
Importance

Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.

Judgment and Decision Making
80%
Importance

Considering the relative costs and benefits of potential actions to choose the most appropriate one.

Monitoring
80%
Importance

Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.

Reading Comprehension
80%
Importance

Understanding written sentences and paragraphs in work-related documents.

Service Orientation
80%
Importance

Actively looking for ways to help people.

Social Perceptiveness
80%
Importance

Being aware of others' reactions and understanding why they react as they do.

Active Listening
78%
Importance

Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.

Complex Problem Solving
78%
Importance

Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.

Top 10 Abilities

Oral Comprehension
83%
Importance

The ability to listen to and understand information and ideas presented through spoken words and sentences.

Oral Expression
83%
Importance

The ability to communicate information and ideas in speaking so others will understand.

Deductive Reasoning
80%
Importance

The ability to apply general rules to specific problems to produce answers that make sense.

Inductive Reasoning
80%
Importance

The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).

Problem Sensitivity
80%
Importance

The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing that there is a problem.

Speech Clarity
80%
Importance

The ability to speak clearly so others can understand you.

Written Comprehension
80%
Importance

The ability to read and understand information and ideas presented in writing.

Written Expression
80%
Importance

The ability to communicate information and ideas in writing so others will understand.

Speech Recognition
78%
Importance

The ability to identify and understand the speech of another person.

Category Flexibility
75%
Importance

The ability to generate or use different sets of rules for combining or grouping things in different ways.

Top 10 Work Activities

Updating and Using Relevant Knowledge
96%
Importance

Keeping up-to-date technically and applying new knowledge to your job.

Assisting and Caring for Others
95%
Importance

Providing personal assistance, medical attention, emotional support, or other personal care to others such as coworkers, customers, or patients.

Communicating with Supervisors, Peers, or Subordinates
95%
Importance

Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person.

Establishing and Maintaining Interpersonal Relationships
92%
Importance

Developing constructive and cooperative working relationships with others, and maintaining them over time.

Making Decisions and Solving Problems
90%
Importance

Analyzing information and evaluating results to choose the best solution and solve problems.

Training and Teaching Others
90%
Importance

Identifying the educational needs of others, developing formal educational or training programs or classes, and teaching or instructing others.

Providing Consultation and Advice to Others
88%
Importance

Providing guidance and expert advice to management or other groups on technical, systems-, or process-related topics.

Evaluating Information to Determine Compliance with Standards
86%
Importance

Using relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards.

Getting Information
86%
Importance

Observing, receiving, and otherwise obtaining information from all relevant sources.

Monitoring Processes, Materials, or Surroundings
85%
Importance

Monitoring and reviewing information from materials, events, or the environment, to detect or assess problems.

Detailed Work Activities

  • Treat acute illnesses, infections, or injuries.
  • Collaborate with healthcare professionals to plan or provide treatment.
  • Maintain medical or professional knowledge.
  • Establish nursing policies or standards.
  • Follow protocols or regulations for healthcare activities.
  • Train medical providers.
  • Evaluate program effectiveness.
  • Evaluate effectiveness of personnel policies or practices.
  • Collect medical information from patients, family members, or other medical professionals.
  • Examine patients to assess general physical condition.
  • Support the professional development of others.
  • Monitor patient conditions during treatments, procedures, or activities.
  • Evaluate patient functioning, capabilities, or health.
  • Diagnose medical conditions.
  • Prescribe medications.
  • Develop procedures to evaluate organizational activities.
  • Advise medical personnel regarding healthcare issues.
  • Develop educational programs.
  • Conduct research to increase knowledge about medical issues.
  • Monitor medical facility activities to ensure adherence to standards or regulations.
  • Develop medical treatment plans.
  • Supervise patient care personnel.
  • Manage healthcare operations.
  • Communicate detailed medical information to patients or family members.
  • Analyze patient data to determine patient needs or treatment goals.
  • Teach classes in area of specialization.
  • Prepare reports summarizing patient diagnostic or care activities.

Education

Interests

Social
87%
Importance

Work involves helping, teaching, advising, assisting, or providing service to others. Social occupations are often associated with social, health care, personal service, teaching/education, or religious activities.

Investigative
71%
Importance

Work involves studying and researching non-living objects, living organisms, disease or other forms of impairment, or human behavior. Investigative occupations are often associated with physical, life, medical, or social sciences, and can be found in the fields of humanities, mathematics/statistics, information technology, or health care service.

Conventional
61%
Importance

Work involves following procedures and regulations to organize information or data, typically in a business setting. Conventional occupations are often associated with office work, accounting, mathematics/statistics, information technology, finance, or human resources.

Enterprising
56%
Importance

Work involves managing, negotiating, marketing, or selling, typically in a business setting, or leading or advising people in political and legal situations. Enterprising occupations are often associated with business initiatives, sales, marketing/advertising, finance, management/administration, professional advising, public speaking, politics, or law.

Realistic
35%
Importance

Work involves designing, building, or repairing of equipment, materials, or structures, engaging in physical activity, or working outdoors. Realistic occupations are often associated with engineering, mechanics and electronics, construction, woodworking, transportation, machine operation, agriculture, animal services, physical or manual labor, athletics, or protective services.

Artistic
25%
Importance

Work involves creating original visual artwork, performances, written works, food, or music for a variety of media, or applying artistic principles to the design of various objects and materials. Artistic occupations are often associated with visual arts, applied arts and design, performing arts, music, creative writing, media, or culinary art.

Work Values

Support
86%
Importance

Occupations that satisfy this work value offer supportive management that stands behind employees. Corresponding needs are Company Policies, Supervision: Human Relations and Supervision: Technical.

Achievement
77%
Importance

Occupations that satisfy this work value are results oriented and allow employees to use their strongest abilities, giving them a feeling of accomplishment. Corresponding needs are Ability Utilization and Achievement.

Relationships
77%
Importance

Occupations that satisfy this work value allow employees to provide service to others and work with co-workers in a friendly non-competitive environment. Corresponding needs are Co-workers, Moral Values and Social Service.

Independence
72%
Importance

Occupations that satisfy this work value allow employees to work on their own and make decisions. Corresponding needs are Creativity, Responsibility and Autonomy.

Recognition
72%
Importance

Occupations that satisfy this work value offer advancement, potential for leadership, and are often considered prestigious. Corresponding needs are Advancement, Authority, Recognition and Social Status.

Working Conditions
72%
Importance

Occupations that satisfy this work value offer job security and good working conditions. Corresponding needs are Activity, Compensation, Independence, Security, Variety and Working Conditions.