CNS/NP What's The Difference – In an acute care/critical care ...

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CNS/NP What's The Difference – In an acute care/critical care ...

  1. 1. CNS/NP What’s The Difference – In an acute care/critical care unit? Doris Sawatzky-Dickson RN MN Neonatal Intensive Care Unit Health Sciences Centre
  2. 2. Bedside Nurse CNS NP Resident
  3. 3. CLINICAL NURSE SPECIALIST Overlap with role of physician NURSE PRACTITIONER Education Research Professional Development Education Research Professional Development Direct Patient Care Direct Patient Care SCOPE OF NURSING PRACTICE: OVERLAP OF CNS/ NP ROLES Promote excellence in nursing practice Bryant-Lukosius, D. (2003). Continuum of advanced practice nursing roles. Unpublished document. School of Nursing, McMaster University.
  4. 4. Advance Practice in Acute Care - NICU CNS NP Direct Care •Specialty consults from bedside nurses •Care coordination of complex patients •Resource for bedside nursing issues •Assigned patients on assigned days •Care plan and orders for that shift •Resource for bedside nurses
  5. 5. Advance Practice in Acute Care - NICU CNS NP Education •Write patient education •Write nursing education packages •Teach nursing sessions regularly •May help with patient education •Teach nursing occasionally
  6. 6. Advance Practice in Acute Care - NICU CNS NP Research •Regular participation and leadership in studies •May be principal investigator •Occasional participation •Less likely to be principal investigator
  7. 7. Advance Practice in Acute Care - NICU CNS NP Publication & Leadership •Lead numerous committees •Regular publication and presentations •Very involved in unit leadership •Occasional presentations and publication •Not deeply involved in unit leadership
  8. 8. Advance Practice in Acute Care - NICU CNS NP Support of Systems •Very involved – quality improvement and evidence-based practice a key focus •Contributes to centre-wide and corporate leadership •Some involvement in local unit support •Less likely to be involved beyond unit level

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