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Clinical Nurse Specialists

Plan, direct, or coordinate the daily patient care activities in a clinical practice. Ensure adherence to established clinical policies, protocols, regulations, and standards.   (O'Net 29-1141.04)

 
Reported job titles:   Adult Health Clinical Nurse Specialist, Advanced Practice Nurse, Cardiothoracic Surgery, Board Certified Clinical Nurse Specialist, Diabetes, Cardiology Clinical Nurse Specialist, Cardiothoracic Surgery Clinical Nurse Specialist, Cardiovascular Clinical Nurse Specialist   (view all job titles)
 
  • Career Video
  • Wages
  • Employment Trends
  • Industries of Employment
  • Tasks
  • Knowledge
  • Skills
  • Abilities
  • Work Activities
  • Interests
  • Work Styles
  • License Information
  • Education & Training Requirements
  • Schools
  • Other Resources
  • Related Occupations
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    Wages
    for Registered Nurses which includes:
                          - Acute Care Nurses
                          - Advanced Practice Psychiatric Nurses
                          - Critical Care Nurses
                          - Clinical Nurse Specialists
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     Location Pay
    Period
    2016
    Percentile Wages Average
    Wage
    10% 25% 50%
    Median
    75% 90%
     Vermont Hourly $ 24.55   $ 27.14   $ 31.36   $ 37.57   $ 44.33   $ 32.59  
    Yearly $51,060   $56,440   $65,230   $78,150   $92,210   $67,780  
     
     Burlington-South Burlington, VT Metropolitan NECTA Hourly $ 25.04   $ 27.54   $ 32.10   $ 38.78   $ 45.57   $ 33.47  
    Yearly $52,090   $57,280   $66,760   $80,660   $94,780   $69,630  
     
     Southern Vermont Balance of State Hourly $ 23.72   $ 26.85   $ 30.98   $ 37.09   $ 43.61   $ 32.13  
    Yearly $49,340   $55,840   $64,440   $77,140   $90,710   $66,830  
     
     Northern Vermont Balance of State Hourly $ 24.42   $ 26.96   $ 30.94   $ 36.59   $ 41.97   $ 31.86  
    Yearly $50,800   $56,070   $64,360   $76,110   $87,290   $66,260  
     
    What are Percentile Wages?
    source: Occupational Employment Statistics, Vermont Labor Market Information, U.S. Bureau of Labor Statistics, released April 2017.
     


    Employment Trends
    for Registered Nurses which includes:
                                  - Acute Care Nurses
                                  - Advanced Practice Psychiatric Nurses
                                  - Critical Care Nurses
                                  - Clinical Nurse Specialists
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    Location Employment Annual % change
    (compounded)
    Annual job openings
    (due to growth and
    net replacements)
    2014 2024
    Vermont 6,629 7,359 1.1% 229
    source: Employment Projections, Vermont Economic & Labor Market Information, in cooperation with U.S. Bureau of Labor Statistics, statewide estimates released July 2016.
     


    Industries of Employment
    for Registered Nurses which includes:
                                - Acute Care Nurses
                                - Advanced Practice Psychiatric Nurses
                                - Critical Care Nurses
                                - Clinical Nurse Specialists
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    Industry Percent of Total
    2014
    Hospitals; state, local, and private 60.6%
    Ambulatory healthcare services 17.8%
    Nursing and residential care facilities 7.1%
    Educational services; state, local, and private 2.8%
    Federal government, all industries 2.8%
    source: Employment Projections, U.S. Bureau of Labor Statistics, National Employment Matrix, released July 2016.
     


    Tasks
    for Clinical Nurse Specialists
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  • Collaborate with other health care professionals and service providers to ensure optimal patient care.
     
  • Provide consultation to other health care providers in areas such as patient discharge, patient care, or clinical procedures.
     
  • Develop or assist others in development of care and treatment plans.
     
  • Develop and maintain departmental policies, procedures, objectives, or patient care standards based on evidence-based practice guidelines or expert opinion.
     
  • Read current literature, talk with colleagues, or participate in professional organizations or conferences to keep abreast of developments in nursing.
     
  • Evaluate the quality and effectiveness of nursing practice or organizational systems.
     
  • Develop, implement, or evaluate standards of nursing practice in specialty area such as pediatrics, acute care, and geriatrics.
     
  • Design evaluation programs regarding the quality and effectiveness of nursing practice or organizational systems.
     
  • Plan, evaluate, or modify treatment programs based on information gathered by observing and interviewing patients, or by analyzing patient records.
     
  • Direct or supervise nursing care staff in the provision of patient therapy.
     
    source: Occupational Information Network: Clinical Nurse Specialists  updated July 2013
     


    Knowledge
    for Clinical Nurse Specialists
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  • 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.
     
  • 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.
     
  • Biology - Knowledge of plant and animal organisms, their tissues, cells, functions, interdependencies, and interactions with each other and the environment.
     
  • 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.
     
  • English Language - Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
     
  • Mathematics - Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.
     
  • 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.
     
  • 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.
     
  • 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.
     
    source: Occupational Information Network: Clinical Nurse Specialists  updated July 2013
     


    Skills
    for Clinical Nurse Specialists
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  • Speaking - Talking to others to convey information effectively.
     
  • Active Learning - Understanding the implications of new information for both current and future problem-solving and decision-making.
     
  • Active Listening - Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
     
  • Coordination - Adjusting actions in relation to others' actions.
     
  • Critical Thinking - Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
     
  • Reading Comprehension - Understanding written sentences and paragraphs in work related documents.
     
  • Service Orientation - Actively looking for ways to help people.
     
  • Social Perceptiveness - Being aware of others' reactions and understanding why they react as they do.
     
  • Instructing - Teaching others how to do something.
     
  • Judgment and Decision Making - Considering the relative costs and benefits of potential actions to choose the most appropriate one.
     
    source: Occupational Information Network: Clinical Nurse Specialists  updated July 2013
     


    Abilities
    for Clinical Nurse Specialists
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  • Oral Expression - The ability to communicate information and ideas in speaking so others will understand.
     
  • Oral Comprehension - The ability to listen to and understand information and ideas presented through spoken words and sentences.
     
  • Problem Sensitivity - The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.
     
  • Deductive Reasoning - The ability to apply general rules to specific problems to produce answers that make sense.
     
  • Inductive Reasoning - The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).
     
  • Speech Clarity - The ability to speak clearly so others can understand you.
     
  • Written Comprehension - The ability to read and understand information and ideas presented in writing.
     
  • Written Expression - The ability to communicate information and ideas in writing so others will understand.
     
  • Speech Recognition - The ability to identify and understand the speech of another person.
     
  • Information Ordering - The ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations).
     
    source: Occupational Information Network: Clinical Nurse Specialists  updated July 2013
     


    Work Activities
    for Clinical Nurse Specialists
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  • Establishing and Maintaining Interpersonal Relationships - Developing constructive and cooperative working relationships with others, and maintaining them over time.
     
  • Assisting and Caring for Others - Providing personal assistance, medical attention, emotional support, or other personal care to others such as coworkers, customers, or patients.
     
  • Updating and Using Relevant Knowledge - Keeping up-to-date technically and applying new knowledge to your job.
     
  • Communicating with Supervisors, Peers, or Subordinates - Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person.
     
  • Making Decisions and Solving Problems - Analyzing information and evaluating results to choose the best solution and solve problems.
     
  • Coaching and Developing Others - Identifying the developmental needs of others and coaching, mentoring, or otherwise helping others to improve their knowledge or skills.
     
  • Training and Teaching Others - Identifying the educational needs of others, developing formal educational or training programs or classes, and teaching or instructing others.
     
  • Organizing, Planning, and Prioritizing Work - Developing specific goals and plans to prioritize, organize, and accomplish your work.
     
  • Provide Consultation and Advice to Others - Providing guidance and expert advice to management or other groups on technical, systems-, or process-related topics.
     
  • Developing and Building Teams - Encouraging and building mutual trust, respect, and cooperation among team members.
     
    source: Occupational Information Network: Clinical Nurse Specialists  updated July 2013
     


    Interests
    for Clinical Nurse Specialists
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  • Enterprising - Enterprising occupations frequently involve starting up and carrying out projects. These occupations can involve leading people and making many decisions. Sometimes they require risk taking and often deal with business.
     
  • Social - Social occupations frequently involve working with, communicating with, and teaching people. These occupations often involve helping or providing service to others.
     
  • Conventional - Conventional occupations frequently involve following set procedures and routines. These occupations can include working with data and details more than with ideas. Usually there is a clear line of authority to follow.
     
    source: Occupational Information Network: Clinical Nurse Specialists  updated June 2009
     


    Work Styles
    for Clinical Nurse Specialists
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  • Integrity - Job requires being honest and ethical.
     
  • Initiative - Job requires a willingness to take on responsibilities and challenges.
     
  • Dependability - Job requires being reliable, responsible, and dependable, and fulfilling obligations.
     
  • Leadership - Job requires a willingness to lead, take charge, and offer opinions and direction.
     
  • Adaptability/Flexibility - Job requires being open to change (positive or negative) and to considerable variety in the workplace.
     
  • Cooperation - Job requires being pleasant with others on the job and displaying a good-natured, cooperative attitude.
     
  • Achievement/Effort - Job requires establishing and maintaining personally challenging achievement goals and exerting effort toward mastering tasks.
     
  • Concern for Others - Job requires being sensitive to others' needs and feelings and being understanding and helpful on the job.
     
  • Attention to Detail - Job requires being careful about detail and thorough in completing work tasks.
     
  • Persistence - Job requires persistence in the face of obstacles.
     
    source: Occupational Information Network: Clinical Nurse Specialists  updated July 2013
     


    State of Vermont License Information
    that may be required for Clinical Nurse Specialists
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    License Name Licensing Agency
    Nurse, Registered (RN) Vermont Secretary of State
    Office of Professional Regulation
    Vermont State Board of Nursing
     
    source: Vermont Department of Labor, Licensed & Certified Occupations in Vermont, 2015.
     


    Education and Training Requirements
    for Clinical Nurse Specialists
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  • Job Zone Five: Extensive Preparation Needed
  •  
  • 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).
  •  
  • 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.
  •  
  • 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.
  •  
    source: Occupational Information Network: Clinical Nurse Specialists  updated July 2013
     


    Schools
    offering instructional programs related to Clinical Nurse Specialists
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      Related Instructional Programs
     
    • Clinical Nurse Specialist.
     
    • Nursing Administration.
     
     Search for schools offering these programs at
     
     
     
    source: National Center for Education Statistics 2000 Classification of Instructional Programs .
     


    Other Resources
    for Clinical Nurse Specialists
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  • Health Care Careers
  • A resource of the University of Vermont, the Area Health Education Centers Program (AHEC) has four regional centers where you can learn about careers in healthcare and the college programs, finanical aide and other resoures needed to pursue that career.
     
  • Labor Exchange Information
  • A source for occupational characteristics, such as age, gender, race, and years of education and an alternative source for occupational wage rates. Limited to people looking for jobs and the jobs advertised through VDOL Vermont Job Link.
  • Look for statewide information over the latest 12 months for Registered Nurses.
  •  
  • Occupational Outlook Handbook
  • The Occupational Outlook Handbook is a nationally recognized source of career information, designed to provide valuable assistance to individuals making decisions about their future work lives. Revised every two years, the Handbook describes what workers do on the job, working conditions, the training and education needed, earnings, and expected job prospects in a wide range of occupations.
    Go to Occupational Outlook Handbook
    Handbook occupations related to Clinical Nurse Specialists :
  • Registered Nurses
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  • For additional information on Clinical Nurse Specialists , go to O*NET Online Detail Report.
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    Related Occupations
    Occupations with skill requirements similar to Clinical Nurse Specialists
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  • Career/Technical Education Teachers, Secondary School
  •  
  • Emergency Management Directors
  •  
  • Equal Opportunity Representatives and Officers
  •  
  • Medical and Health Services Managers
  •  
  • Nurse Midwives
  •  
  • Nurse Practitioners
  •  
  • Nursing Instructors and Teachers, Postsecondary
  •  
  • Physical Therapists
  •  
  • Physician Assistants
  •  
    source: Occupational Information Network: Clinical Nurse Specialists 
     

     
     
     
    Vermont.gov State of Vermont Department of Labor