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Clinical Nurse Specialists

It's a bright outlook for

This career will grow rapidly in the next few years.

Learn more about what they do.

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.

Related: Acute Care Nurses Advanced Practice Psychiatric Nurses Critical Care Nurses Nurse Practitioners Registered Nurses

Industries: Health & Counseling

Summary
Details

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

Monitoring
- Keeping track of how well people and/or groups are doing in order to make improvements.
Persuasion
- Talking people into changing their minds or their behavior.
Mathematics
- Using math to solve problems.
Equipment Maintenance
- Planning and doing the basic maintenance on equipment.
Troubleshooting
- Figuring out what is causing equipment, machines, wiring, or computer programs to not work.
Management of Material Resources
- Managing equipment and materials.
Coordination
- Changing what is done based on other people's actions.
Instructing
- Teaching people how to do something.
Learning Strategies
- Using the best training or teaching strategies for learning new things.
Operation and Control
- Using equipment or systems.
Science
- Using scientific rules and strategies to solve problems.
Judgment and Decision Making
- Thinking about the pros and cons of different options and picking the best one.
Critical Thinking
- Thinking about the pros and cons of different ways to solve a problem.
Negotiation
- Bringing people together to solve differences.
Programming
- Writing computer programs.
Systems Analysis
- Figuring out how a system should work and how changes in the future will affect it.
Quality Control Analysis
- Testing how well a product or service works.
Reading Comprehension
- Reading work-related information.
Systems Evaluation
- Measuring how well a system is working and how to improve it.
Writing
- Writing things for co-workers or customers.
Complex Problem Solving
- Noticing a problem and figuring out the best way to solve it.
Social Perceptiveness
- Understanding people's reactions.
Operations Analysis
- Figuring out what a product or service needs to be able to do.
Technology Design
- Making equipment and technology useful for customers.
Active Listening
- Listening to others, not interrupting, and asking good questions.
Service Orientation
- Looking for ways to help people.
Time Management
- Managing your time and the time of other people.
Installation
- Installing equipment, machines, wiring, or computer programs.
Management of Financial Resources
- Making spending decisions and keeping track of what is spent.
Equipment Selection
- Deciding what kind of tools and equipment are needed to do a job.
Active Learning
- Figuring out how to use new ideas or things.
Operations Monitoring
- Watching gauges, dials, or display screens to make sure a machine is working.
Speaking
- Talking to others.
Repairing
- Repairing machines or systems using the right tools.
Management of Personnel Resources
- Selecting and managing the best workers for a job.

Number Facility
- Adding, subtracting, multiplying, or dividing.
Speed of Closure
- Quickly knowing what you are looking at.
Perceptual Speed
- Quickly comparing groups of letters, numbers, pictures, or other things.
Gross Body Equilibrium
- Keeping your balance or staying upright.
Time Sharing
- Doing two or more things at the same time.
Finger Dexterity
- Putting together small parts with your fingers.
Multilimb Coordination
- Using your arms and/or legs together while sitting, standing, or lying down.
Speed of Limb Movement
- Quickly moving your arms and legs.
Static Strength
- Lifting, pushing, pulling, or carrying.
Oral Expression
- Communicating by speaking.
Originality
- Creating new and original ideas.
Category Flexibility
- Grouping things in different ways.
Written Expression
- Communicating by writing.
Stamina
- Exercising for a long time without getting out of breath.
Speech Clarity
- Speaking clearly.
Dynamic Strength
- Exercising for a long time without your muscles getting tired.
Far Vision
- Seeing details that are far away.
Near Vision
- Seeing details up close.
Control Precision
- Quickly changing the controls of a machine, car, truck or boat.
Response Orientation
- Quickly deciding if you should move your hand, foot, or other body part.
Explosive Strength
- Jumping, sprinting, or throwing something.
Inductive Reasoning
- Making general rules or coming up with answers from lots of detailed information.
Fluency of Ideas
- Coming up with lots of ideas.
Flexibility of Closure
- Seeing hidden patterns.
Gross Body Coordination
- Moving your arms, legs, and mid-section together while your whole body is moving.
Glare Sensitivity
- Seeing something even if there is a glare or very bright light.
Hearing Sensitivity
- Telling the difference between sounds.
Visualization
- Imagining how something will look after it is moved around or changed.
Deductive Reasoning
- Using rules to solve problems.
Trunk Strength
- Using your lower back and stomach.
Speech Recognition
- Recognizing spoken words.
Peripheral Vision
- Seeing something to your side when your are looking ahead.
Dynamic Flexibility
- Quickly and repeatedly bending, stretching, twisting, or reaching out with your body, arms, and/or legs.
Depth Perception
- Deciding which thing is closer or farther away from you, or deciding how far away it is from you.
Night Vision
- Seeing at night or under low light.
Information Ordering
- Ordering or arranging things.
Oral Comprehension
- Listening and understanding what people say.
Written Comprehension
- Reading and understanding what is written.
Sound Localization
- Noticing the direction that a sound came from.
Arm-Hand Steadiness
- Keeping your arm or hand steady.
Manual Dexterity
- Holding or moving items with your hands.
Rate Control
- Changing when and how fast you move based on how something else is moving.
Reaction Time
- Quickly moving your hand, finger, or foot based on a sound, light, picture or other command.
Wrist-Finger Speed
- Making fast, simple, repeated movements of your fingers, hands, and wrists.
Selective Attention
- Paying attention to something without being distracted.
Mathematical Reasoning
- Choosing the right type of math to solve a problem.
Problem Sensitivity
- Noticing when problems happen.
Visual Color Discrimination
- Noticing the difference between colors, including shades and brightness.
Memorization
- Remembering words, numbers, pictures, or steps.
Spatial Orientation
- Knowing where things are around you.
Extent Flexibility
- Bending, stretching, twisting, or reaching with your body, arms, and/or legs.
Auditory Attention
- Paying attention to one sound while there are other distracting sounds.

Customer and Personal Service
- 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.
Building and Construction
- Knowledge of materials, methods, and the tools involved in the construction or repair of houses, buildings, or other structures such as highways and roads.
Computers and Electronics
- Knowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.
Personnel and Human Resources
- Knowledge of principles and procedures for personnel recruitment, selection, training, compensation and benefits, labor relations and negotiation, and personnel information systems.
Philosophy and Theology
- 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.
Psychology
- 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.
Therapy and Counseling
- Knowledge of principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions, and for career counseling and guidance.
Public Safety and Security
- 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.
English Language
- Knowledge of the structure and content of the English language including the meaning and spelling of words, and rules of composition and grammar.
Law and Government
- Knowledge of laws, legal codes, court procedures, precedents, government regulations, executive orders, agency rules, and the democratic political process.
Administration and Management
- 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.
Food Production
- Knowledge of techniques and equipment for planting, growing, and harvesting food products (both plant and animal) for consumption, including storage/handling techniques.
Sales and Marketing
- Knowledge of principles and methods for showing, promoting, and selling products or services. This includes marketing strategy and tactics, product demonstration, sales techniques, and sales control systems.
Design
- Knowledge of design techniques, tools, and principles involved in production of precision technical plans, blueprints, drawings, and models.
Economics and Accounting
- Knowledge of economic and accounting principles and practices, the financial markets, banking, and the analysis and reporting of financial data.
Engineering and Technology
- Knowledge of the practical application of engineering science and technology. This includes applying principles, techniques, procedures, and equipment to the design and production of various goods and services.
Medicine and Dentistry
- 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.
Mechanical
- Knowledge of machines and tools, including their designs, uses, repair, and maintenance.
History and Archeology
- Knowledge of historical events and their causes, indicators, and effects on civilizations and cultures.
Sociology and Anthropology
- Knowledge of group behavior and dynamics, societal trends and influences, human migrations, ethnicity, cultures, and their history and origins.
Fine Arts
- Knowledge of the theory and techniques required to compose, produce, and perform works of music, dance, visual arts, drama, and sculpture.
Administrative
- Knowledge of administrative and office procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and workplace terminology.
Physics
- Knowledge and prediction of physical principles, laws, their interrelationships, and applications to understanding fluid, material, and atmospheric dynamics, and mechanical, electrical, atomic and sub-atomic structures and processes.
Biology
- Knowledge of plant and animal organisms, their tissues, cells, functions, interdependencies, and interactions with each other and the environment.
Chemistry
- 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.
Education and Training
- Knowledge of principles and methods for curriculum and training design, teaching and instruction for individuals and groups, and the measurement of training effects.
Telecommunications
- Knowledge of transmission, broadcasting, switching, control, and operation of telecommunications systems.
Production and Processing
- Knowledge of raw materials, production processes, quality control, costs, and other techniques for maximizing the effective manufacture and distribution of goods.
Mathematics
- Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.
Geography
- Knowledge of principles and methods for describing the features of land, sea, and air masses, including their physical characteristics, locations, interrelationships, and distribution of plant, animal, and human life.
Transportation
- Knowledge of principles and methods for moving people or goods by air, rail, sea, or road, including the relative costs and benefits.
Foreign Language
- Knowledge of the structure and content of a foreign (non-English) language including the meaning and spelling of words, rules of composition and grammar, and pronunciation.
Communications and Media
- Knowledge of media production, communication, and dissemination techniques and methods. This includes alternative ways to inform and entertain via written, oral, and visual media.

Education

Bachelor's degree

Work Experience

No work experience

Training

No on-the-job training

Education and Training Opportunities

Washington Annual Salary

112180/yr

Washington Hourly Wage

53.93/hr

Currently Employed

69,180

Yearly Projected Openings

5150

Social: People interested in this work like activities that include helping people, teaching, and talking. They do well at jobs that need:

Integrity
Adaptability/Flexibility
Initiative
Concern for Others
Dependability
Attention to Detail

Acute care fetal or maternal monitoring units
Anesthesia nerve block kit or tray
Apnea monitors
Arterial blood gas monitors
Arterial line catheters
Autotransfusion units
Bedpans
Blood collection syringes
Blood pressure cuff kits
Breast pumps
Bronchoscopes
Cardiac output CO monitoring units
Cardiac pacemaker generators or cardiac resynchronization therapy pacemakers CRT-P
Cast cutters or saws
Cast or splint carts or stands
Central venous catheters
Clinical incubators or infant warmers
Clinical trapeze bars
Crutches
Desktop computers
Diagnostic or interventional vascular catheters for general use
Electrocardiography EKG transmitters or telemetry devices
Electrocardiography EKG units
Electronic blood pressure units
Electronic medical thermometers
Electrosurgical or electrocautery equipment
Emergency or resuscitation carts
End tidal carbon dioxide monitors
Endoscopic hemostatic balloons or needles or tubes or accessories
Endoscopic instrument sets
Endotracheal or tracheotomy sets
Endotracheal tubes
Enema kits
Enteral feeding infusion pump tubing sets
Eye charts or vision cards
Finger ring removers or cutters
Flow sensors or regulators or components
Glucose monitors or meters
Goggles
Gurneys or scissor lifts
Intermittent positive pressure breathing IPPB machines
Intracranial pressure ICP monitoring units
Intravenous infusion pumps for general use
Intravenous or arterial catheter trays
Intubation forceps
Intubator components
Laboratory graduated cylinders
Lancets
Manual resuscitators
Medical acoustic stethoscopes
Medical aspiration or irrigation syringes
Medical exam or non surgical procedure gloves
Medical nasal oxygen catheters or catheterization kits
Medical or surgical suction or vacuum appliances
Medical oxygen masks or parts
Medical radiological positioning aids for general radiological use
Medical staff isolation or cover gowns
Medical staplers for external use
Medical syringes with needle
Medical tuning forks
Medical ultrasound or doppler or echocardiograph transducer
Medical ultrasound or doppler or echocardiograph transducer accessories
Medication or pill dispensers
Microscope slides
Mobile medical services automated external defibrillators AED or hard paddles
Mobile medical services spine boards
Multiparameter vital sign units
Nasal exam specula or dilators
Nasogastric tubes
Nasopharyngeal tubes or airways
Nebulizers
Non invasive bi level machines
Notebook computers
Ophthalmic irrigation or aspiration supplies
Ophthalmic slit lamps
Ophthalmic tonometers
Ophthalmoscopes or otoscopes or scope sets
Orthopedic splint systems
Orthopedic traction hardware or weights
Ostomy appliances
Otological instruments
Oxygen concentrators
Patient care beds for specialty care
Patient floor scales
Patient shifting boards
Patient stabilization or fall prevention devices
Perfusion oxygen or hematocrit saturation monitors
Pericardiocentesis needles or kits
Pleural cavity drainage units or containers
Pulse oximeter units
Reflex hammers or mallets
Skin staple removers or kits
Specimen collection container
Spirometers
Surgical clamps or clips or forceps
Surgical drains or drain sets
Surgical irrigation sets
Surgical isolation or surgical masks
Surgical scalpels or knives or blades or trephines
Surgical scissors
Surgical shave kits or prep razors or clippers
Suture removal kits or trays or packs or sets
Suturing kits or trays or packs or sets
Tablet computers
Tablet crushers
Therapeutic heating or cooling blankets or drapes
Thoracentesis sets or trays
Tongue depressors or blades or sticks
Tourniquets
Transcutaneous electric nerve stimulation units
Ultraviolet UV lamps
Umbilical catheters
Urinalysis analyzers
Urinalysis test strips
Urinary catheterization kits
Vacuum blood collection tubes or containers
Vaginal exam speculas
Vascular or compression apparel or support
Walkers or rollators
Wheelchairs