Clinical Nurse Specialist Puns

I would love to pick your brains. Really curious about how your day as a nurse-specialist differs from that of a standard ward based nurse, what your hours are like, what kind of specialism you work in, etc!

Looking for some people to share how they became a CNS, what was your path? What do you do now and do you enjoy it? Do you generally reccomend the CNS route? Thanks for sharing!

Right now I feel like a CNS is a bit like a Warrant Officer in the military; everyone knows you're important for getting expert guidance, but we can't seem to figure out what it is you actually do.

Right now my working theory is that a CNS is paid to be a know-it-all and ensure that a hospital is using up to date EBP and aiding in system improvements for nurses & providers. Are you truly the Tyrion Lanister's of the the hospital who "drink coffee and know things"?

So we do an MD directing CRNAs for every surgery as the model for anesthesia.

Qk modifier for the doctor, QX for the CRNA. The CRNA is billed under the hospital, but they are both 50% of the total anesthesia charge.

However this person we hired was not credentialed to work as a CRNA. They only have taxonomy 364S00000X, clinical nurse specialist. Instead of 367500000X, Nurse Anesthetist, Certified Registered. They represent themselves as So and SO, CRNA.

I checked here and they were only certified starting August of this year. This person has been here for years working as the CRNA during surgeries. So basically the hospital just allowed them to misrepresent themselves as qualified to monitor a patient under anesthesia, when they are not. The anesthesiologist is doing 4-5 other procedures simultaneously so this really shouldn't be acceptable.

Ignoring here the obvious ethical problems of using someone unqualified so you can bill more surgeries ...

I guess we just sort of ignored the denials for the CRNA 1500 from payers who check that the scope is correct. Sometimes using any APN doesn't trigger any flags in the payer's system. We can perform more surgeries that way and those are on a separate UB, and those UBs won't deny simply because we used someone who we shouldn't have as the CRNA .

What's the best way to deal with these 1500 denials? Maybe I'm mistaken and CNS people can work as CRNAs?

What is the job description? What field are you in? Do you like your job? What’re some pros and cons?

Edit: posted this on the rush to work as a CNS, forgot I am in fact an NP to since I hold a full time CNS position and a part time NP position.

Hello,

I am a student in the CNS program at CSU Dominguez Hill and I have to interview a Clinical Nurse Specialist for my class. The facility that I work at does not have a Clinical Nurse Specialist, so I was wondering if anyone can help me out? The interview can be done entirely through email, but it will be posted on my class discussion board. I would appreciate any help

Thank you

I am very interested in what this role can do but I've heared mixed reviews about this role. Are there any CNS's out there on the East coast? How much is your salary (approximation)? Is the role in demand? What are your duties and responsibilities? Is going back to school for this license worth it?

Hey everyone, I was wondering how many of you started as nurses and transitioned to a clinical specialist role. I am a new nurse, and was recently contacted by a recruiter about a position for a medical device company as a clinical specialist. Seems like a good gig. I don’t know too much about the medical device world yet, so I do not know if it is the right move. Any personal experiences from people who have made similar moves?

Hi everyone. I’m currently in my MSN program, and contemplating switching from MSN education as I’ve heard the pay isn’t great. I live in Los Angeles, and currently make 58/h and don’t want to get my MSN only to make 58/hour. Haha.

I was thinking of doing CNS but I don’t even know how I’d go about it. Do I get myMSN NP? Or is there a specific program for CNS? I can’t find many answers online.

Any CNS here? Do you like your job? Tips?

What exactly does a clinical nurse specialist do? I realize they're different from nurse practitioners, but I'm unclear on their role exactly and how they fit in to the hospital setting. Anyone here a CNS who can enlighten me? I've been looking at NNP programs for the future, but curious if a CNS role would suit me better. Thanks!

As the title implies, where in your opinion would you think a CNS can have the most positive outcome in patient care. Please be aware I'm not trying to start a debate of "well there shouldn't be any CNS's". I've seen haematology/oncology as a good example where IMO it worked really well and complimented the MDT. Obviously primary care is another example

Any future or current CNSs out there? I am currently in my last year of grad school. I am looking for a voice from the CNS crowd on reddit.

Trying to decide what to go back to school for.. what exactly do cnss do? Why would one be a cns over an np?

I live in pa and have not seen many cns here, do you think that will change with all the Medicare changes?

If you are a cns or np are you happy with your career change? Thanks for any help/insight you can provide!

As APRN roles go, I have a pretty good idea of what NPs, CNMs, and CRNAs do, but I don’t know much at all about what kinds of work CNSs do, in terms of patient care as well as how you work with the rest of the care team. Do you have a masters? A doctorate? What's your specialty? What settings do you practice in? What's a typical day like for you? What's the best and worst part of your job?

I'm currently an ABSN student, with my sights set on a DNP later on, but I'm getting more and more curious about other post-grad options that involve direct patient care. Thanks for reading!