Clinical Nurse Specialists
SOC: 29-1141.04

Description:

Plan, direct, or coordinate the daily patient care activities in a clinical practice. Ensure adherence to established clinical policies, protocols, regulations, and standards.


National Salary Information:

Hourly Statistics:

Annual Statistics:

Source: Bureau of Labor Statistics 2015 wage data.


Employment Projections:

Employment (2014):
2,751,000 employed

Projected (2024):
3,190,300 employed

Projected growth (2014-2024)


Source: Bureau of Labor Statistics 2015 2014-2024 employment projections external site. "Projected growth" represents the estimated change in total employment over the projections period (2014-2024). "Projected job openings" represent openings due to growth and replacement.


Alternate Titles:

  • Adult Health Clinical Nurse Specialist
  • Advanced Practice Nurse, Cardiothoracic Surgery
  • Board Certified Clinical Nurse Specialist, Diabetes
  • Cardiology Clinical Consultant
  • Cardiology Clinical Nurse Specialist
  • Cardiothoracic Surgery Clinical Nurse Specialist
  • Cardiovascular Clinical Nurse Specialist
  • Clinical Nurse
  • Clinical Nurse Specialist
  • Community Health Clinical Nurse Specialist
  • Critical Care Clinical Nurse Specialist
  • Emergency Department Clinical Nurse Specialist
  • Gerontological Clinical Nurse Specialist
  • Intensive Care Unit Clinical Nurse Specialist
  • Intensive Care Unit Nurse
  • Nephrology Nurse
  • Nurse Clinician
  • Pediatric Clinical Nurse Specialist
  • Pediatric Oncology Nurse
  • Public Health Clinical Nurse Specialist
  • Quality Management Nurse


  • Job Zone Five: Extensive Preparation Needed

    Experience:

    Extensive skill, knowledge, and experience are needed for these occupations. Many require more than five years of experience. For example, surgeons must complete four years of college and an additional five to seven years of specialized medical training to be able to do their job.

    Education:

    Most of these occupations require graduate school. For example, they may require a master's degree, and some require a Ph.D., M.D., or J.D. (law degree).

    Job Training:

    Employees may need some on-the-job training, but most of these occupations assume that the person will already have the required skills, knowledge, work-related experience, and/or training.


    Required Skills:

  • Reading Comprehension
  • Active Listening
  • Writing
  • Speaking
  • Mathematics
  • Science
  • Critical Thinking
  • Active Learning
  • Learning Strategies
  • Monitoring
  • Social Perceptiveness
  • Coordination
  • Persuasion
  • Negotiation
  • Instructing
  • Service Orientation
  • Complex Problem Solving
  • Operations Analysis
  • Technology Design
  • Operation Monitoring
  • Operation and Control
  • Troubleshooting
  • Quality Control Analysis
  • Judgment and Decision Making
  • Systems Analysis
  • Systems Evaluation
  • Time Management
  • Management of Financial Resources
  • Management of Material Resources
  • Management of Personnel Resources

  • Knowledge Used:

  • Administration and Management
  • Clerical
  • Economics and Accounting
  • Sales and Marketing
  • Customer and Personal Service
  • Personnel and Human Resources
  • Production and Processing
  • Computers and Electronics
  • Engineering and Technology
  • Design
  • Mechanical
  • Mathematics
  • Physics
  • Chemistry
  • Biology
  • Psychology
  • Sociology and Anthropology
  • Geography
  • Medicine and Dentistry
  • Therapy and Counseling
  • Education and Training
  • English Language
  • Foreign Language
  • History and Archeology
  • Philosophy and Theology
  • Public Safety and Security
  • Law and Government
  • Telecommunications
  • Communications and Media
  • Transportation


  • Tasks:

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

  • Tools & Technology:

  • Alligator forceps
  • Angiocaths
  • Apnea monitors
  • Arterial blood gas testing equipment
  • Arterial line catheters
  • Automated external defibrillators AED
  • Automated medicine dispensing equipment
  • Autotransfusion systems
  • Backboards
  • Bedpans
  • Bilevel positive airway pressure BiPAP ventilators
  • Blood drawing syringes
  • Blood glucometers
  • Blood pressure monitors
  • Breast pumps
  • Bronchoscopes
  • Bulb syringes
  • Cardiac monitors
  • Cast carts
  • Cast cutting saws
  • Chest drains
  • Clinical trapeze traction bars
  • Crash carts
  • Crutches
  • Desktop computers
  • Diagnostic tuning forks
  • Digital patient thermometers
  • Doppler ultrasound equipment
  • Ear curettes
  • Electrocardiography EKG machines
  • Electronic compressor nebulizers
  • Electrosurgical cauterization machines
  • End tidal carbon dioxide monitors
  • Endotracheal ET tubes
  • Enema equipment
  • Enteral feeding sets
  • Epidural catheters
  • Evacuated blood collection tubes
  • Eye lavage kits
  • Fetal monitors
  • Fiberoptic endoscopes
  • Graduated glass laboratory cylinders
  • Handheld nebulizers
  • Hemodynamic monitors
  • Hyper/hypothermia blankets
  • Hypodermic syringes
  • Incentive spirometers
  • Incision drainage equipment
  • Intracranial pressure monitors
  • Intravenous infusion pumps
  • Intravenous IV administration sets
  • Intravenous IV cutdown trays
  • Intubation sets
  • Isolettes
  • Laceration repair trays
  • Lancets
  • Laptop computers
  • Magill forceps
  • Manual resuscitation bags
  • Mechanical intermittent positive pressure ventilators
  • Mechanical stethoscopes
  • Medical examination protective gloves
  • Medical gurneys
  • Medical scales
  • Microscope slides
  • Multiple lumen central line catheters
  • Nasal catheters
  • Nasal specula
  • Nasal suctioning equipment
  • Nasogastric tubes
  • Nasopharyngeal airways
  • Newborn warming lamps
  • Occlusion clamps
  • Ophthalmic slit lamps
  • Ophthalmic tonometers
  • Ophthalmoscopes
  • Oral suctioning equipment
  • Orthopedic splinting equipment
  • Ostomy equipment
  • Otoscopes
  • Oxygen concentrators
  • Oxygen delivery masks
  • Oxygen flowmeters
  • Patient restraints
  • Patient walkers
  • Pediatric crash carts
  • Pericardiocentesis kits
  • Pill crushers
  • Pill splitters
  • Pneumatic boots
  • Protective face shields
  • Protective gowns
  • Protective medical face masks
  • Pulmonary artery catheters
  • Pulse oximeters
  • Reflex hammers
  • Ring cutters
  • Ring forceps
  • Safety goggles
  • Sandbags
  • Skin staplers
  • Specialty patient care beds
  • Specimen collection containers
  • Sphygmomanometers
  • Straight hemostats
  • Straight surgical scissors
  • Surgical irrigation sets
  • Surgical razors
  • Surgical scalpels
  • Surgical staple removers
  • Suture removal kits
  • Swan Ganz artery catheters
  • Tablet computers
  • Telemetry monitors
  • Thoracentesis kits
  • Thoracentesis trays
  • Tongue blades
  • Tourniquets
  • Tracheal suctioning equipment
  • Tracheotomy sets
  • Traction weights
  • Transcutaneous electric nerve stimulation TENS equipment
  • Transcutaneous pacemakers
  • Transfer boards
  • Transport cardiac monitors
  • Transvenous pacemakers
  • Ultrasound transducers
  • Umbilical catheters
  • Urinalysis test strips
  • Urinary catheters
  • Urine analysis equipment
  • Vaginal exam specula
  • Venous Oxygen Saturation SVO2 monitors
  • Visual acuity charts
  • Wheelchairs
  • Wood's lamps
  • Allscripts Professional EHR
  • Amkai AmkaiCharts
  • Bizmatics PrognoCIS EMR
  • Cerner Millennium
  • ChartWare software
  • e-MDs software
  • eClinicalWorks software
  • Email software
  • GE Healthcare Centricity EMR
  • Medscribbler Enterprise
  • MicroFour PracticeStudio.NET EMR
  • Microsoft Excel
  • Microsoft Office software
  • Microsoft PowerPoint
  • Microsoft Word
  • NextGen Healthcare Information Systems EMR
  • Online medical databases
  • SOAPware software
  • StatCom Patient Flow Logistics Enterprise Suite
  • SynaMed EMR
  • Texas Medical Software SpringCharts EMR
  • Web browser software


  • healthcare practitioners and technical


    industry stats

    SOC: 29-0000

    Total Employed: 8,021,800

    Average Annual Salary: $77,800