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Summary Report for:
29-1141.04 - 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.

Sample of reported job titles: Board Certified Clinical Nurse Specialist, Diabetes; Cardiology Clinical Nurse Specialist; Cardiothoracic Surgery Clinical Nurse Specialist; Cardiovascular Clinical Nurse Specialist; Clinical Nurse Specialist; Critical Care Clinical Nurse Specialist; Emergency Department Clinical Nurse Specialist; Intensive Care Unit Clinical Nurse Specialist; Nurse Clinician; Pediatric Clinical Nurse Specialist

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Tasks  |  Tools & Technology  |  Knowledge  |  Skills  |  Abilities  |  Work Activities  |  Work Context  |  Job Zone  |  Education  |  Credentials  |  Interests  |  Work Styles  |  Work Values  |  Related Occupations  |  Wages & Employment  |  Job Openings  |  Additional Information

Tasks

  • 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.

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Tools & Technology

Tools used in this occupation:

Cardiac pacemaker generator or cardiac resynchronization therapy pacemaker CRT-P — Transcutaneous pacemakers; Transvenous pacemakers
Diagnostic or interventional vascular catheters or sets — Angiocaths; Pulmonary artery catheters
Emergency or resuscitation carts — Crash carts; Pediatric crash carts
Floor grade forceps or hemostats — Alligator forceps; Ring forceps; Straight hemostats
Medical suction or vacuum appliances — Nasal suctioning equipment; Oral suctioning equipment; Tracheal suctioning equipment
Tablet crushers or accessories — Pill crushers; Pill splitters

Technology used in this occupation:

Electronic mail software — Email software
Information retrieval or search software — Online medical databases
Internet browser software — Web browser software
Medical software — eClinicalWorks software; GE Healthcare Centricity EMR; Medscribbler Enterprise; StatCom Patient Flow Logistics Enterprise Suite

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Knowledge

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.
English Language — Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
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.
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.
Biology — Knowledge of plant and animal organisms, their tissues, cells, functions, interdependencies, and interactions with each other and the environment.
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.
Mathematics — Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.
Sociology and Anthropology — Knowledge of group behavior and dynamics, societal trends and influences, human migrations, ethnicity, cultures and their history and origins.
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.

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Skills

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.

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Abilities

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).

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Work Activities

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.

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Work Context

Electronic Mail — How often do you use electronic mail in this job?
Indoors, Environmentally Controlled — How often does this job require working indoors in environmentally controlled conditions?
Face-to-Face Discussions — How often do you have to have face-to-face discussions with individuals or teams in this job?
Telephone — How often do you have telephone conversations in this job?
Exposed to Disease or Infections — How often does this job require exposure to disease/infections?
Freedom to Make Decisions — How much decision making freedom, without supervision, does the job offer?
Contact With Others — How much does this job require the worker to be in contact with others (face-to-face, by telephone, or otherwise) in order to perform it?
Structured versus Unstructured Work — To what extent is this job structured for the worker, rather than allowing the worker to determine tasks, priorities, and goals?
Work With Work Group or Team — How important is it to work with others in a group or team in this job?
Coordinate or Lead Others — How important is it to coordinate or lead others in accomplishing work activities in this job?

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Job Zone

Title 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).
Related 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.
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.
Job Zone Examples These occupations often involve coordinating, training, supervising, or managing the activities of others to accomplish goals. Very advanced communication and organizational skills are required. Examples include librarians, lawyers, sports medicine physicians, wildlife biologists, school psychologists, surgeons, treasurers, and controllers.
SVP Range (8.0 and above)

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Education


Percentage of Respondents
Education Level Required
88   Master's degree
  Post-master's certificate Help
  Doctoral degree

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Credentials

Find Training Find Certifications Find Licenses

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Interests

Interest code: ESC

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.
Investigative — Investigative occupations frequently involve working with ideas, and require an extensive amount of thinking. These occupations can involve searching for facts and figuring out problems mentally.

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Work Styles

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.

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Work Values

Support — Occupations that satisfy this work value offer supportive management that stands behind employees. Corresponding needs are Company Policies, Supervision: Human Relations and Supervision: Technical.
Relationships — Occupations that satisfy this work value allow employees to provide service to others and work with co-workers in a friendly non-competitive environment. Corresponding needs are Co-workers, Moral Values and Social Service.
Achievement — Occupations that satisfy this work value are results oriented and allow employees to use their strongest abilities, giving them a feeling of accomplishment. Corresponding needs are Ability Utilization and Achievement.

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Related Occupations

25-1071.00 Health Specialties Teachers, Postsecondary Bright Outlook
25-1072.00 Nursing Instructors and Teachers, Postsecondary Bright Outlook
25-1193.00 Recreation and Fitness Studies Teachers, Postsecondary
29-1071.00 Physician Assistants Bright Outlook
29-1122.00 Occupational Therapists Bright Outlook
29-1123.00 Physical Therapists Bright Outlook
29-1141.02 Advanced Practice Psychiatric Nurses Bright Outlook
29-1151.00 Nurse Anesthetists Bright Outlook
29-1161.00 Nurse Midwives Bright Outlook
29-1171.00 Nurse Practitioners   Bright Outlook Bright Outlook  

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Wages & Employment Trends

Median wages data collected from Registered Nurses.
Employment data collected from Registered Nurses.
Industry data collected from Registered Nurses.

Median wages (2013) $31.84 hourly, $66,220 annual
State wages Local Salary Info
 
Employment (2012) 2,712,000 employees
Projected growth (2012-2022) Faster than average (15% to 21%) Faster than average (15% to 21%)
Projected job openings (2012-2022) 1,052,600
State trends Employment Trends
 
Top industries (2012)

Source: Bureau of Labor Statistics 2013 wage data external site and 2012-2022 employment projections external site. "Projected growth" represents the estimated change in total employment over the projections period (2012-2022). "Projected job openings" represent openings due to growth and replacement.

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Job Openings on the Web

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Sources of Additional Information

Disclaimer: Sources are listed to provide additional information on related jobs, specialties, and/or industries. Links to non-DOL Internet sites are provided for your convenience and do not constitute an endorsement.

  • Registered Nurses external site. Bureau of Labor Statistics, U.S. Department of Labor. Occupational Outlook Handbook, 2014-15 Edition.

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