Clinical Nurse Specialist CNS , Cancer Center - Cellular Therapy/BMT Program

1.
0 FTE Full time Day - 10 Hour R2659383 Onsite 107085030 BMT SL Other PALO ALTO, 900 Welch Rd, California
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Day - 10 Hour (United States of America)
The Clinical Nurse Specialist (CNS) is an advanced practice nurse who serves as an expert clinician, educator, consultant, researcher, and leader within a specialized area of nursing practice.
The CNS provides direct patient and family care while partnering with interdisciplinary teams to advance clinical practice, improve patient outcomes, and support nursing professional development.
Working across the patient, nursing practice, and organizational spheres, the CNS promotes evidence-based care, drives quality and performance improvement initiatives, mentors nursing staff, and facilitates system-wide change to enhance the delivery of safe, high-quality care across Stanford Health Care.
The CNS is accountable to nursing leadership and plays a key role in developing clinical competencies, integrating best practices, and fostering professional growth among nursing teams.

A Brief Overview The Clinical Nurse Specialist (CNS) is a direct care clinician who also collaborates with members of the health care team to enhance patient care by developing and supporting nursing staff and providing care to patients and families within an identified specialty.

This model describes the CNS's practice competencies within three spheres of influence:
the patient/client, nursing and nursing practice and the organization/system sphere with the patient being the most important sphere.
The CNS's clinical expertise arises from competencies inherent within a specialty of nursing practice and are used to address nursing issues within the patient/client, nursing and nursing practice, and the organization/system spheres.
The essential roles of the CNS:
expert clinician, interdisciplinary consultant, educator, researcher, and leader help to:

Provide direct patient and family care,
Direct specialty knowledge and skill acquisition,
Shape core competencies of clinical practice,
Promote evidence-based outcome-guided nursing care,
Integrate quality patient care across SHC practice sites,
Promote promoting an environment of mentoring and system change that empower the nurse to experience professional growth and development.

The CNS is accountable to and evaluated by a Nursing Administrator at the Director, Nurse Manager, or Clinic Manager level.

This job description covers all classifications for CNSs within the organization.
All CNSs must meet all elements of the Essential Functions, Qualifications, and Supervision.
There is a voluntary Career Ladder for CNSs who are interested in promotions for clinical expertise and contributions to the institution as well as the profession.
Promotion is determined based on the Center for Advanced Practice Career Ladder Handbook.

Locations Stanford Health Care
What You Will Do 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/well-being 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 evidence-based techniques.

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

Develops evidence-based 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, cost-effective programs or protocols of care.

Evaluates nursing practice that promotes patient-centered and evidence-based 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 outcom.