Clinical Nurse Specialist Essay

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Clinical log 1
The purpose of this paper is to examine a clinical situation that required the writer to expand knowledge base about different roles of a clinical nurse specialist. Description of the situation is followed by its examination and analysis, and concluded with the writer’s reflection and insight for future practice.
Description of a Clinical Situation
My preceptor received a referral for a patient who had a surgery for a construction of an ileal conduit over seven days ago. Although stuff nurses were fully capable of nursing care, teaching, and preparation for discharge, they waited until the patient’s discharge day and relied on my preceptor to do all of them. Being unable to find out the detailed referral reason except the message …show more content…

It turns out, many of my co-workers were the same. The most of them did not know that my preceptor was a CNS, and even if they knew, they did not know the roles of CNSs. Without having the knowledge of a CNS, I, as a stuff nurse, have involved as many resources as possible for my clients in the past, and my preceptor, the wound care nurse was no exception.
Canadian Nurses Association (CNA, 2014) defines a CNS as “a registered nurse who holds a graduate degree in nursing and has a high level of expertise in a clinical specialty” (p.1) and describes its five scopes as a clinician, a consultant, an educator, a researcher, and a leader (CNA, 2009; Virani & Associates for Canadian Nurses Association [CNA], 2012). Thus, CNSs are expected to work with and to influence multi levels within the practice setting that includes community, organizations, and politics (CNA, 2009, 2014). Focused on enterostomal nursing, a registered nurse who graduated from Enterostomal Therapy Nursing Education Program (ETNEP) provided by Canadian Association for Enterostomal Therap (CAET) may use the unprotected title of enterostomal therapy (ET) nurse, and an ET nurse who successfully wrote CNA Certification exam is allowed to use a protected title of Certified Enterostomal Therapy Nurse Canada (CAET,

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