CNS/Nursing Practice Specialist White 9
Massachusetts General Hospital(MGH)

Boston, Massachusetts

Posted in Health and Safety

Job Info

Nursing Practice Specialist/Clinical Nurse Specialist - White 9 (Job Share)

We are seeking a Clinical Nurse Specialist/Nursing Practice Specialist to join our team on White 9. White 9, is a 25 bed acute care medical unit with telemetry beds. Nurses provide, complex, holistic and compassionate care to patients with a wide variety of acute medical illnesses and chronic diseases. Many patients admitted to this unit have multi-system complexities including alterations in gas exchange, airway clearance, cardiac function, renal function, nutrition, hepatic function and mental states and often transfer from the Medical ICU. Frequent physical assessment is essential to patient care with the use of EKG's, cardiac monitors and oxygen saturation devices as aids to assessment.

Our primary focus and concern is the patient. Our philosophy is that all care revolves around the patient need. We have a participatory management philosophy. All staff is included in decision-making that affects the unit. We have written holiday policy guidelines, clinical practice guidelines, and Quality initiatives listed for the unit. We have a strong resource nurse and attending nurse roles on the unit. This role facilitates and coordinates care on a day-to-day basis with the professional staff on the unit. We have a unit-based CPR instructor that offers classes once a month.

The Clinical Nurse Specialist/ Nursing Practice Specialist (CNS/NPS) is an integral part of the care team with expert clinical knowledge who promotes evidenced based practice to support and elevate care delivery across the care team. The CNS/NPS demonstrates excellence in professional surgical nursing practice. The CNS/NPS develops, implements, and evaluates educational programs based upon assessed learning needs of patients, families, and staff; oversees the orientation of new members of the team; provides expert consultation to patients, families, nurses, and other health care providers to promote positive patient care outcomes; participates in research activities that will positively affect patient care and patient care outcomes; demonstrates accountability for ongoing personal/professional development.

Job Description

1. Clinical Practice - Provides expert-level consultation and advises clinical staff on the formulation of diagnoses and treatment plans for patients and families. Demonstrates excellence in providing direct and indirect nursing care to patients and their families.

1.1 Expert-level consultation

i. Supports independent nursing practice of professional nurses through collaborative, consultative, and role modeling activities.

ii. Analyzes clinical and non-clinical variables to influence, supervise, manage or oversee patient care needs and predict and manage responses.

iii. Provides expert consultation within their specialty area at the unit, program, service, administrative, and community level(s).

iv. Identifies current trends in health care and their implication for nursing practice.

v. Promotes the attainment of the goals of the patient/family plan of care.

vi. Applies new technology, nursing theories, research findings and experiential knowledge to improve patient/family health care outcomes and to assist in the development of nursing practice as applicable.

vii. Responds to change in clinical practice by planning, designing, implementing and evaluating guidelines, protocols and standards in collaboration with clinicians and other members of the health care team.

viii. Identifies and recommends interventions regarding ethical issues in patient/family care and guides staff and other providers in application of ethical concepts to address patient care issues.

ix. Applies innovative approaches to solving complex problems.

x. Acts as a content resource to colleagues, patient/families, and others as identified.

xi. Analyzes and evaluates the effectiveness of the consultative process.

1.2 Provide direct patient care as applicable.

i. Initiates, facilitates, coordinates, and manages interdisciplinary collaboration for the purposes providing direct care of the patient and family.

ii. Participates in the attainment of the goals of the patient and family.

2. Education - Plans and delivers relevant staff and patient education to nurses and other members of the health care team on matters regarding plan of care of the patient and family.

2.1 Identifies learning needs and develops and implements programs for patient education within the area of specialization.

2.2 Supports, participates, and contributes to educational programs for clinical and support staff both locally and across the larger organization.

2.3 Facilitates the acquisition of advanced clinical skills in staff nurses and students through role modeling, practice, and consultation in the clinical setting.

3. Research and Evidence-Based Practice - Actively participates in research and evidence-based practice activities that will positively affect patient care and patient care outcomes.

3.1 Uses nursing theories, research findings and evidence-based practice to plan, design, evaluate nursing practice and to generate researchable clinical problems.

3.2 Promotes staff and student utilization of the research process.

3.3 Participates in and supports research.

3.4 Utilizes scientific method in collecting data on clinical practice issues.

3.5 Initiates, participates in and continually evaluates quality assurance and performance improvement activities for evaluation of structure, process and outcome criteria as it relates to clinical practice. Identifies improvement opportunities, designs and plans programs for improvement and implements programs in the clinical environment.

4. Professional Development - Demonstrates accountability for ongoing personal/professional development.

4.1 Maintains and updates clinical knowledge and skills based on current nursing and health care practices.

4.2 Identifies own learning needs and goals and designs a plan to meet them.

4.3 Takes responsibilities for leadership and participation on committees and task forces of the Department of Nursing, MGH at large, and across MGB.

4.4 Participates in activities that foster peer support and networking.

4.5 Fulfills professional role through involvement in professional organization activities, presentations, and publications.

Primary responsibilities of the CNS include:

Supporting independent nursing practice through collaborative, consultative and role modeling activities

  • Applying new technology, nursing theories, research findings and experiential knowledge to improve nursing practice
  • Responding to changes in clinical practice by planning, designing, implementing or evaluating guidelines, protocols and standards in collaboration with the nursing director, nursing staff and others.
  • Implementing and evaluating educational programs and practice changes based upon assessed learning needs of patients, families, and staff.

  • This position is a job share working every Friday.
  • Massachusetts RN License required.
  • Master's degree in Nursing.
  • Minimum of five years RN experience in a medical setting.
  • Knowledge expert in the care of the surgical patient across the continuum.
  • Dedication to both bedside teaching and formal hospital education programs.
  • Ability to multi-task and to support staff nurses, who range from new graduates to those with 30+ years of experience.
  • Ability to develop and support unit-based quality improvement/research projects.

a. Graduation from a graduate degree program with a clinical practicum designed to prepare the graduate for practice as a CNS that is approved by a national accrediting organization for academic programs acceptable to the Board; and

b. Successful completion of, at minimum, core content at the graduate level in advanced assessment, advanced pathophysiology and advanced pharmacotherapeutics.

c. Current CNS certification granted by a Board recognized certifying organization


Nursing Practice Specialist Requirements

a. Master's degree in Nursing or related field.

b. Relevant professional experience in a medical unit.

c. Certification in specialty area or willingness to obtain.

EEO Statement
Massachusetts General Hospital is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. Applications from protected veterans and individuals with disabilities are strongly encouraged.

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