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Demetrius Burns

What Is a Clinical Nurse Specialist?

Aug 19 2021

A clinical nurse specialist is an advanced practice registered nurse who has received a graduate-level degree—like a Master of Science in Nursing. Their training grants them greater flexibility than a typical nurse has. For example, they can interpret, diagnose, oversee patient issues, order tests, and refer patients to treatment facilities.

In this article we will explore the following:

  • What does a CNS do?
  • How do you choose a specialty?
  • What is the difference between a CNS and a NP?
  • How do you become a CNS?
  • How much does a CNS earn?

What does a CNS do?

Clinical nurse specialists work in many different capacities. In general, they divide their time between caring for patients and coordinating with nurses and other healthcare team members. In many ways, a CNS is like a nurse manager.

More specifically, they work in the following capacities:

  • Treating patients
  • Creating and changing treatment plans 
  • Advising other nurses
  • Providing feedback as an industry-expert
  • Performing research
  • Coordinating with other members of the healthcare team to enrich patient care
  • Determining opportunities to meet needs and create new policies

In total, a clinical nurse specialist wields a lot of authority. They guide nurses in both leadership and mentoring roles. They also can enact a lot of change within the medical facility in which they work. Some even open their own practice and see patients individually. This position allows for direct patient care and advocacy in a way that’s unique and rewarding.

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How do you choose a specialty?

When in school on track to become a CNS, a nurse will get a chance to choose a specialty. It’s essential they pick something that suits their personality and appeals to their career goals. The question then becomes, how to determine the right specialty? 

The areas a CNS can work are categorized as follows:

  • Patient population
  • Medical setting
  • Disease type
  • Care required
  • Specific patient problem

It’s important to take an inventory of past work history. What field of nursing has been the most enjoyable? It could be working with children, which would require a CNS to pursue a pediatric specialty. This position allows a nurse to work exclusively with children and provide them with excellent care and support.

A nurse may find they prefer working with women, focusing on reproductive health.  In this case, they would pursue the gynecological specialty.

Another field a nurse may feel drawn to is the mental health field, which would require a psychiatric nursing specialty.

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What is the difference between a CNS and NP?

The two positions overlap significantly. Yet, some distinctions separate both roles.

The National Council of State Boards of Nursing (NCSBN) conducted a study that showed the similarities between both roles. They surveyed 1,526 NPs and 1,344 CNSs and found that they both perform the following roles: :

  • Take patient medical histories
  • Provide physical examinations
  • Analyze patient data to make evidence-based decisions
  • Administer medications and other treatment methods
  • Give leadership and educate other nurses on staff

Though the roles have a lot in common, the CNS position focuses more on administrative or research-oriented roles,  while the nurse practitioner role is tailored to direct patient care.  In many ways, the CNS takes a big-picture approach to provide healthcare, whereas the nurse practitioner is involved with direct patient care.

Though they have these principal differences, the fundamental mission of a nurse practitioner and a clinical nurse specialist is the same. They both want to provide patients with quality health care.

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How do you become a CNS?

The first step to becoming a CNS involves gaining experience as a registered nurse. To earn an RN license, a potential nurse must graduate from an accredited nursing program. This can be either a Bachelor of Science in Nursing (BSN) or an Associate Degree in Nursing (ADN). After the completion of a degree program, a graduate must pass the NCLEX-RN.

After a nurse gains some experience as an RN, they need to earn at least a Master of Science in Nursing (MSN) degree. This degree should emphasize a specific clinical nurse specialist track.

Following graduation, a nurse is required to get CNS certified. There are many different certifications that are administered by the American Nurses Credentialing Center (ANCC). Certifications need to be reviewed every couple of years.

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How much does a CNS earn?

The U.S. Bureau of Labor Statistics (BLS)  does not track CNS salary data. They include this position with registered nurses who diagnose diseases or are treating practitioners. Within this scope, a CNS makes approximately $82,750, according to the BLS.

If you recently received your CNS license and are interested in finding work, we’ve got you covered! You can sign up with Incredible Health and we will help you find a job in no time.

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Top advanced practice jobs on Incredible Health

  • 🏥 Nurse Practitioner

    Westborough, MA | $64,000 to $145,000 /year

  • 🏥 Nurse Practitioner

    Liberty, TX | $64,000 to $145,000 /year

  • 🏥 Nurse Practitioner

    Plano, TX | $54,000 to $104,000 /year

  • 🏥 Nurse Practitioner

    Philadelphia, PA | $49,900 to $120,000 /year

  • 🏥 Nurse Practitioner

    Cleveland, OH | $64,000 to $145,000 /year

Written by Demetrius Burns

Demetrius was an Incredible Health contributor. He has worked as a freelance writer and content strategist. His work has appeared in outlets such as Java Magazine, Phoenix Magazine, and Nurse.org.

Read more from Demetrius

Study: The Cost of Being a Nurse: Nurses May Pay Up To $14k a Year to Practice

Aug 10 2021

Personal Finance / Cost of Being a Nurse

. This means nurses are in high demand. 

It’s common knowledge that nurses graduate from school with a lot of debt. The average student loan debt for each nursing degree is: 

  • Associate’s Degree in Nursing (ADN): $19,928
  • Bachelor of Science in Nursing (BSN): $23,711
  • Master of Science in Nursing (MSN): $47,321

However, these are not the only costs associated with being a nurse. Nurses face several out-of-pocket costs required at their place of work—and we aren’t just talking about buying scrubs and shoes. 


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. That’s almost 17% of a nurse’s salary. This article will tabulate the individual costs and provide alternative ways for hospitals and facilities to help offset these costs for nurses. 

This article will be split up into the following sections:

  • On-site costs
  • Off-site costs
  • Career advancement
  • What this means for employers
  • Conclusion

On-site costs 

Nurses must spend a good amount of money simply to attend their jobs. The on-site costs for supplies include shoes, socks, scrubs, pens, and stethoscopes.

Shoes and socks

The typical nurse walks a 5K every shift. They are on their feet a lot! So they need durable compression socks for extra relief and support and specific types of shoes to perform their job effectively. Nurses we surveyed said they replace shoes and socks every six months. We calculated they spend $284 a year on shoes and socks.

Running annual total: $284

Scrubs

This is the official nurse uniform. Nurses need to purchase high-quality scrubs so that they don’t go through them as often. The average nurse buys scrubs every six months. The price for a durable pair of scrubs is around $85. If nurses buy three pairs every six months, they will spend $510 per year on scrubs. 

Running annual total: $794

Stethoscope

While you might think that hospitals or facilities provide their nurses with stethoscopes, this is not always the case. Nurses have to pay out of pocket for their equipment, and they tend to purchase them every two years for a total of $93. 

Running annual total: $887

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Off-site costs 

Along with the tangible costs associated with being on the job, nurses have to handle off-site costs when they aren’t working. These include childcare, mental health, and sleep aids. 

Childcare

Many nurses have children, and paying for childcare is a significant piece of off-site costs. Even if the nurse is from a two-parent household, it can be challenging to coordinate schedules and provide time to watch children. Therefore, nurses with kids need to calculate childcare costs into the equation. 

While childcare is not exclusive to nurses, the fact that they often work odd hours makes it hard for them to find adequate childcare. Accordingly, childcare costs may be even higher for nurses. 

The national monthly average for childcare costs for $700 for kids four and up, or $8,400 per year

Running annual total: $9,287

Mental health support

Nurse burnout is a real thing. Nurses face a challenging job and need all the support they can get. Sometimes they need mental health support. Insurance carriers typically cover mental health services and some hospitals provide nurses with a certain amount of free visits. 

Still, nurses often have to pay co-pays. The typical mental health co-pay amount is between $20-50 and successful treatment usually requires 15 to 20 treatments. This amounts to $1,000 annually, assuming 20 treatments at $50 each.

Running annual total: $10,287

Sleep Aids

Since nurses often work 12-hour shifts, they must get proper sleep. Sometimes nurses need to sleep during the day because of their shifts. They may need sleep aids such as masks and black-out curtains to help them. Masks tend to run at about $15 and curtains at $40.

Running annual total: $10,342

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Career advancement

The nursing field provides individuals with a great opportunity to advance their careers. This section will highlight the price of license renewal, conferences, continuing education, loan repayment, and certifications. 

License renewal

To practice, registered nurses need licenses. Every state has a different renewal period for when the nurse has to have their license renewed. We took the renewal cost for each state and created a yearly average from that number. After that, we added all the state’s combined annual costs and came up with an average. On average, it costs registered nurses $50 per year to renew their license. 

Running annual total: $10,392

Conferences

Nurses often attend conferences to develop their skills and network with other nurses and healthcare professionals. We calculated that the average cost to participate in a conference is about $350 and we estimated that a typical nurse goes to one conference a year.

Running annual total: $10,742 

Continuing education

As part of the license renewal process, nurses often have to take continuing education units (CEUs) to stay current with care practices and protocol. Here at Incredible Health, we provide free continuing education units. However, not all sites do. Most sites require a yearly subscription to have access to their classes, and they often cost $50 a year. 

Running annual total: $10,792

Degree costs

One of the clearest paths to advancing your career as a nurse is to pursue an advanced degree. Most registered nurses need at least an Associate’s Degree in Nursing (ADN) to work in the field. However, many registered nurses have a Bachelor’s Degree in Nursing (BSN), and some have a Master of Science in Nursing (MSN). As such, nurses who take this route leave with a lot of debt. 

According to NerdWallet, the following breakdown for monthly loan repayments are:

  • $196 per month for ADN
  • $235 per month for BSN
  • $544 per month for MSN

We chose to take the $235 per month number to represent the average registered nurse monthly loan repayment for this study. Given that amount, it would cost a nurse $2,820 a year to make student loan repayments. 

Running annual total: $13,612

Certifications

Registered nurses often specialize in a particular field. For example, there’s an ICU nurse role or the Cath Lab nurse position. Most positions require certification. The average certificate expires after five years and costs $395 to renew or $79 per year. 

Running annual total: $13,691

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What this means for employers

To conclude, it’s pretty expensive to practice nursing. There are on-site, off-site, and career advancement costs associated with the profession. In total, it costs approximately $13,700 per year to practice as a registered nurse. That’s a significant amount and puts a lot of pressure on nurses. This amount constricts nurses’ finances and puts them in a vulnerable position, especially students just entering the field. 

“Most schools do not educate or prepare students for the costs they may face once they are fully in the nursing world,” said Sierra Lucas, a registered nurse who works at Incredible Health. “It can come as a shock and be slightly overwhelming. Providing the proper education and resources beforehand could prove to be helpful for many.”

Hospitals could try paying for at least some of the career advancement requirements like conferences, certifications, and student loan repayments to mitigate these costs. Some hospitals or programs provide student loan forgiveness. Still, hospitals taking the initiative to help offset these costs would be helpful. 

Moreover, nurses can save money at several retailers simply by being a nurse. These savings can help nurses recoup some losses. 

Last, several community colleges and websites, including Incredible Health, offer free CEUs to nurses as well.

Conclusion 

To retain and recruit more nurses, it’s important to keep their costs low. This will help boost morale and decrease burnout, among other things. Several nursing unions, such as the National Nurses United and the National Union of Healthcare Workers are fighting to reduce some of the costs associated with nursing and increase wages. 

If your hospital is looking for a better way to hire nurses, click here. Incredible Health’s award-winning marketplace technology can help your talent acquisition team hire permanent, experienced nurses in 20 days or less, save at least $2M per year per facility, and improve nurse retention. 


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Written by Demetrius Burns

Demetrius was an Incredible Health contributor. He has worked as a freelance writer and content strategist. His work has appeared in outlets such as Java Magazine, Phoenix Magazine, and Nurse.org.

Read more from Demetrius

An Overview of the Dialysis Nurse

Jun 06 2021

Nurse Types / Dialysis Nurse

Over 10% of the United States population has diabetes. It is a number that continues to increase over the years as a result of many factors. Accordingly, there is a growing need for dialysis nurses to help people who have kidney failure from diabetes and other health care issues. 

In this article, we will explore the following: 

  • What is a dialysis nurse?
  • What does a dialysis nurse do?
  • Where do dialysis nurses work?
  • How do you become a dialysis nurse?
  • How much do dialysis nurses make?

What is a dialysis nurse?

Dialysis nurses work with patients experiencing kidney disease. They assist patients as they go through dialysis treatment – a procedure that removes toxins that are typically released by a healthy set of kidneys. 

Dialysis nurses monitor their patients and report any changes to the medical team. Though they work primarily with dialysis patients, these nurses work with patients with all kinds of kidney-related medical issues. 

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What does a dialysis nurse do?

Dialysis nurses have an essential job to do as healthcare providers. Their patients are often hooked up to the machines for multiple hours, and the nurses must continue monitoring them. 

Some of the primary duties of a dialysis nurse include:

  • Monitoring and recording patients’ vitals during the dialysis period
  • Educating patients, families, and caregivers about their disease and treatment plan
  • Checking that the hemodialysis and peritoneal dialysis treatments get administered to the patients properly
  • Notifying other medical staff in the case of adverse reactions
  • Designing a treatment plan for each patient
  • Gathering bloodwork and other laboratory tests 
  • Administering medications as needed 

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Where do dialysis nurses work?

Dialysis nurses work in a couple of different settings, though they are limited to working where there is dialysis treatment. Some of the locations include: 

  • Dialysis clinics
  • Hospitals 
  • Outpatient clinics

Some dialysis nurses can also travel to patient’s houses to administer dialysis for patients without access to hospitals or clinics. 

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How do you become a dialysis nurse?

Becoming a dialysis nurse takes about three to six years. In many ways, the path is like other nursing types. However, there are a few ways that it diverges. 

Earn a nursing degree:

The first step toward becoming a dialysis nurse involves receiving a nursing degree. You can earn two degree types that will qualify you to become a registered nurse: an Associate Degree in Nursing (ADN) or a Bachelor of Science in Nursing (BSN). You can receive your associate degree in two years at a community college. Your bachelor’s degree will take about four years at a college or university. 

Become an RN: 

After you graduate from your nursing program, you’re ready to take the NCLEX-RN exam. This is a standardized test that will determine whether you receive your RN license. The test goes over eight areas of care. These include: 

  • Management of Care/Coordinated Care
  • Basic Care and Comfort 
  • Health Promotion and Maintenance 
  • Psychosocial Integrity
  • Physiological Adaptation
  • Pharmacological and Parenteral Therapies 
  • Reduction of Risk Potential 
  • Safety and Infection Control 

The test has a base cost of about $200 if you wish to work within the U.S. The RN exam has a minimum of 75 questions and a maximum of 265. RNs have six hours to pass the exam. 

Gain experience: 

After receiving your RN license, it’s essential to gain bedside experience as a medical-surgical nurse, preferably nephrology nursing. Not many nurses get hired directly after they receive their registered nursing degree. Having bedside knowledge is essential. 

Obtain certification: 

The last step is receiving certification from the Nephrology Nursing Certification Commission. This group offers two certificates for dialysis nurses. 

Some of the qualifications that overlap for both certifications include: 

  • Having at least 2,000 hours of experience caring for dialysis patients
  • Completing at least 20 hours of continuing education credits at an accredited organization

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How much do dialysis nurses make?

Dialysis nurses’ salary depends on location, education, and experience. However, they typically make around what an RN makes. According to the Bureau of Labor Statistics, dialysis nurses make approximately 80,010. 

Dialysis nurse salary by state
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Massachusetts
Maryland
Michigan
Minnesota
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Written by Demetrius Burns

Demetrius was an Incredible Health contributor. He has worked as a freelance writer and content strategist. His work has appeared in outlets such as Java Magazine, Phoenix Magazine, and Nurse.org.

Read more from Demetrius

Why We Need More Mental Health Providers

Feb 23 2021

Health care is a human right and that includes mental health care. Period. According to the U.S. Department of Health and Human Services, 1 in 5 American adults have experienced a mental health issue, and 1 in 25 Americans live with serious mental illness, such as schizophrenia, bipolar disorder or major depression. 

Unfortunately, about 50% of people with severe psychiatric disorders do not receive treatment. That presents an issue for not only the people with mental health issues but to the greater community. 

The truth is, people with untreated mental health issues pose a threat to themselves and others. Many factors contribute to these disturbing numbers. Primarily, the lack of treatment stems from a shortage of mental health providers. 

There are areas where the mental health professionals’ ratio to residents is smaller than one per 30,000 people. 

Mental health professionals aren’t just psychiatrists. There are various roles within the field that are non-traditional nursing or psychiatrist positions. Some of these include counselors, clinical social workers, family nurse practitioners, peer specialists and psychiatric nurses. 

In this post, we will look into:

  • The state of mental health care
  • Solutions to the shortage
  • Why psychiatric nurses are important
  • How to become a psychiatric nurse 

The state of mental health care

According to some, mental illness is the pandemic of the 21st century. Beyond a lack of mental health providers, there are several barriers to mental health care.

Some of the common barriers involve stigma, financial limitations and racial inequalities. Many people with mental health issues fear facing shame or discrimination if they disclose their mental illness. As such, some prefer to self-medicate to solve their problems, which only amplifies the issue. 

Alternatively, many people can’t afford access to mental health care and go without it. From medication to therapist appointments, paying for mental health care can significantly burden people. 

Another potential barrier to mental health care access involves a gap between different racial and ethnic groups. A recent study found that more than half all minorities facing severe mental illness don’t get treatment. Some patients also feel reluctant to seek out treatment if they feel like the clinician can’t empathize with their cultural background.

The mental health field is underfunded and short-staffed because there is a growing demand and dwindling supply. As older professionals leave the area, they aren’t replaced by younger professionals quickly enough. Additionally, state mental health cuts impact the funding for mental health care as well. 

Many potential mental health professionals choose not to work in the field because they worry about violence in the workplace or misconceptions regarding pay. 

In a case study, we compared talkspace vs betterhelp, we discovered that both platforms have many highly skilled mental health professionals and therapists. Each of these professionals has a minimum of four years of experience and 2,000 hours of practical, hands-on experience. Talkspace stands out by offering private counseling through a network of licensed therapists. Customers using Talkspace can benefit from unique features such as unlimited texting and easy access to licensed and qualified therapists without needing to schedule appointments beforehand.

One of the most important ways to solve this problem includes hiring more mental health practitioners and educating people about the field in general. 

Solutions to the shortage

There are several ways to address this issue. People don’t have to go without their vital mental health services forever. 

Telehealth: Telehealth appointments are online mental health sessions conducted by video (such as Skype or Zoom). These sessions are often more convenient for the patient and therapist. They are especially relevant during the COVID-19 pandemic. 

Having consistency helps and telehealth patients don’t have to worry about commuting to get to their appointments. Also, some people don’t have transportation access, so this is an ideal solution for that. 

Though this won’t solve staff shortages, it will increase access to care. 

Grants: There are several opportunities for funding through grants (non-repayable funds or resources). Specifically, The Substance Abuse and Mental Health Services Administration (SAMHSA) provides grants for mental health. 

One grant they currently provide is the Mental Health Awareness Training Grants program. This program trains various groups (school personnel, first responders, law enforcement, veterans, armed service members and their families) to understand mental disorders’ signs and symptoms, specifically serious mental illness. 

Community Initiatives: These are programs run by nonprofits or people within the community at large. The Centro de Bienestar program in San Jose, CA, exemplifies this. The initiative focuses on the Latino and Asian Pacific Islander residents of Santa Clara County. Some of its aims include developing self-image, self-esteem, severe depression and mental illness in general. 

Why psychiatric nurses are important

As we mentioned earlier, one of the significant ways to address the shortage involves hiring more psychiatric nurses and mental health workers. 

First, these nurses are essential to the field because they help provide greater access to people with mental health issues. 

Specifically, they prescribe medicine and practice therapy. In many ways, they have a lot of the same duties as a psychiatrist.

They also uniquely address a patient’s mental and medical health needs.

Having more psychiatric nurses will help reduce the stigma around mental health and provide solace for patients.

The field also offers nurses a chance to specialize. Some of the specialties include clinical social workers to nurse practitioners, to psychiatric nursing. 

Though psychiatrists are essential, there are many roles within the mental health field needing people. 

How to become a psychiatric nurse 

If psychiatric nurses feel under-trained, they may not want to stay on in the position. So, we can partially address the shortage by increasing the amount of training psychiatric nurses receive. One of the most important factors is having the funds to train the nurses properly. 

To become a psychiatric nurse, a person must possess an associate degree or Bachelor of Science in Nursing and pass the National Council Licensure Examination (NCLEX) to receive licensure in their residence state. 

Moreover, a psychiatric nurse must have:

  • Two years’ experience as a full-time registered nurse
  • 2,000 hours or more in clinical practice within mental health-psychiatric nursing within the last three years
  • 30 hours of continuing education in mental health-psychiatric nursing 

Some skills needed to become a psychiatric nurse are:

  • Interpersonal Skills: Psychiatric nurses must have excellent one-on-one people skills since they provide patient assessments, communicate with colleagues about patients, and help educate family members on treatment plans and medications
  • Problem-solving: As a psychiatric nurse, you will deal with all sorts of patient issues that arise on the floor. Knowing how to stay calm and react with critical, logical thinking can help you succeed within this position. You often need to respond quickly to prevent harm to a patient
  • Ability to read non-verbal cues: Often, patients within mental health facilities aren’t able to verbalize their feelings. Therefore, it becomes paramount that a psychiatric nurse can notice subtle non-verbal cues that hint at the issue. 

Psychiatric Nurse Salary

The average psychiatric nurse salary is about $61,736. For entry-level psychiatric nurses, the hourly rate is between $25-$35. For midlevel, it goes up to between $26-$42 and for advanced-level positions, it’s $28-$46. 

There are several factors that influence salary estimations, from where you live to how much you’ve specialized. For example, if you live in a place with a higher cost of living like California, expect a higher salary. 

There’s a myth that psychiatric nursing isn’t one of the better-paying nursing jobs. That’s not true. You can make a good living in this field and it needs more people. 

To conclude, people across the country require mental health care and it’s a profitable and fulfilling field to join. It takes the right kind of person to make a difference. 

Written by Demetrius Burns

Demetrius was an Incredible Health contributor. He has worked as a freelance writer and content strategist. His work has appeared in outlets such as Java Magazine, Phoenix Magazine, and Nurse.org.

Read more from Demetrius
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