Where are the Florida Clinical Nurse Specialists?

[Theresa Morrison PhD CNS-BC]

article submitted to Florida Nurse

Where are the Florida Clinical Nurse Specialists?   

 

Theresa Morrison, PhD, CNS, CNS-BC and Patricia Geddie, PhD, CNS, AOCNS,

 

Nationally, Clinical Nurse Specialists (CNSs) comprised 16% of all Advance Practice Registered Nurses (APRNs).  There are 59,242 licensed CNSs in the U.S.  A recent NACNS survey found that 67% of CNSs work in hospitals; 7% work in nursing education; and 7% work in ambulatory care.  Seventy-one percent of CNSs work with adult/gerontology population, 10% psychiatric/mental health, and 9% pediatric.   CNSs are board certified in eleven recognized APRN roles, such as: Psychiatric & Mental Health, Critical Care, Advanced Oncology, and Pediatrics.  

 

Currently, CNSs have prescriptive privileges in 35 states.  CNSs are recognized for Part B participation in Medicare, Title 18 and may independently bill for these services. CNSs are eligible for Medicare’s Primary Care Incentive Program in the Patient Protection and Affordable Care Act.  

 

In 2007, Florida legislation approved CNS title protection and separate licensure.

Florida licensing requirements for CNSs and ARNPs are the same – master’s degree in an approved advance practice nurse program and provide proof of current certification from a nationally recognized certifying body.  The core educational curriculum for CNSs and Nurse Practitioners (NPs) include: physical assessment, pathophysiology, and pharmacology. However, the current Florida Statute does not permit expansion of the CNS scope of practice to that of the NP including prescriptive authority.

 

Clinical Nurse Specialists (CNSs) in Florida are a “rare breed” of Advanced Practice Registered Nurses (APRN).  In 2010-2011 there were only 76 Florida licensed CNSs (Florida State Health website). Historically, Florida CNSs (except those who function in mental health) have not sought a Florida license due to the restriction for prescriptive authority. In addition, CNSs licensed outside of Florida are reluctant to relocate to Florida. 

 

The FNA CNS-Special Interest Group (SIG) is resubmitting a reference proposal, originally presented to the FNA Board January 2014. The proposal will recommend a revision to the current Florida Statute FS 464.003 to include the CNS in  “Advanced or specialized nursing practice” definition and align with the Consensus Model for APRN Regulation (National Council for State Board of Nursing).  Florida CNS’ scope of practice should be aligned with the current prescriptive authority of NPs.

 

Are you an educationally prepared and certified CNS, but not have not sought Florida CNS licensure?  You are an untapped healthcare resource for Florida citizens.

 

Contact FNA for an invite to Yammer and join our CNS-SIG.  We want to hear from CNS’ – licensed, unlicensed – Florida citizens needs you.

References

Centers for Medicare and Medicaid Services (2007).Nurse practitioner and clinical nurse

specialist services. In CMS Manual System. http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/R75BP.pdf . Accessed June 8, 2014.

National Association of Clinical Nurse Specialists (2012) NACNS Position Statement on Prescriptive Privilege for the Clinical Nurse Specialist.

National Council of State Boards of Nursing. (2011). Title XVIII: APRN scope of nursing practice. Accessed June 22, 2012 at https://www.ncsbn.org/1455.htm

National Council for State Boards of Nursing (2008). Consensus model for APRN regulation: Licensure, accreditation, certification, and education. https://www.ncsbn.org/Consensus_Model_for_APRN_Regulation_July_2008.pdf .

[Terese Rizzi]

Dear Theresa,

Thank you so much for all your work.

Thank you Thank you,

Terese Rizzi

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[SueKilp]

Thank you all for your  persistent  hard work! I am a CNS in private practice (Arizona). Looking forward to relocating to Florida this year and becoming involved. 

Sue Kilp

Sent from my VerArizonazon Wireless 4G LTE smartphone

[Theresa Morrison]

Welcome to Florida.  We are a small but strong voice.   FNA is very supportive of the CNS. 

Please join FNA and join us on the CNS-SIG (special interest group) calls.  

Legislators want to hear why CNSs are hesitant to move to Florida.  What do you plan to do when you arrive?

Theresa Morrison PhD CNS-BC

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[Patricia Wiseman]

Thank you for all your hard work.  I am a Psych/MH CNS licensed in both Georgia and Florida.  I recently moved to SE Florida.  I have managed to keep my Georgia position long distance.  Would love to practice in Florida but would hate to give up prescriptive authority.

P. Lynn Wiseman

Sent from my iPad

[Theresa Morrison]

Lynn

Thank you letting us know ur here.  Please FOLLOW US ON THIS Google group and join our FNA-SIG. 

Theresa

Theresa Morrison PhD CNS-B C

239-572-1248

This email is being sent via Iphone so please forgive spelling n grammar.

 Thank you

You received this message because you are subscribed to a topic in the Google Groups "Florida CNS" group.
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[Sue Kilp]

I am a member of FNA and have a Florida CNS license. Being I have been in private practice for a while, I will need to see what positions are available to me.

 

Sue Kilp, MSN, PMHCNS-BC, AHN-BC

[Mahramus, Tara L.]

What area of specialty do you work in or would be interested in? I believe Orlando Health has a few CNS positions available.

Tara Mahramus, MSN, CNS, CCNS, CCRN
Orlando Health
________________________________________
From: flori...@googlegroups.com [flori...@googlegroups.com] on behalf of Sue Kilp [S...@anasazihealing.com]
Sent: Sunday, April 26, 2015 7:16 PM
To: flori...@googlegroups.com
Subject: RE: Where are the Florida Clinical Nurse Specialists?

I am a member of FNA and have a Florida CNS license. Being I have been in private practice for a while, I will need to see what positions are available to me.

Sue Kilp, MSN, PMHCNS-BC, AHN-BC

From: flori...@googlegroups.com [mailto:flori...@googlegroups.com] On Behalf Of Theresa Morrison
Sent: Sunday, April 26, 2015 11:39 AM
To: flori...@googlegroups.com
Subject: Re: Where are the Florida Clinical Nurse Specialists?

Welcome to Florida. We are a small but strong voice. FNA is very supportive of the CNS.
Please join FNA and join us on the CNS-SIG (special interest group) calls.

Legislators want to hear why CNSs are hesitant to move to Florida. What do you plan to do when you arrive?


Theresa Morrison PhD CNS-BC

On Sun, Apr 26, 2015 at 2:32 PM, SueKilp <s...@anasazihealing.com<mailto:s...@anasazihealing.com>> wrote:
Thank you all for your persistent hard work! I am a CNS in private practice (Arizona). Looking forward to relocating to Florida this year and becoming involved.


Sue Kilp



Sent from my VerArizonazon Wireless 4G LTE smartphone


-------- Original message --------
From: Terese Rizzi <tri...@comcast.net<mailto:tri...@comcast.net>>
Date: 04/26/2015 9:11 AM (GMT-07:00)
To: flori...@googlegroups.com<mailto:flori...@googlegroups.com>
Subject: Re: Where are the Florida Clinical Nurse Specialists?

Dear Theresa,

Thank you so much for all your work.

Thank you Thank you,
Terese Rizzi

On Apr 26, 2015, at 11:31 AM, Theresa Morrison PhD CNS-BC <sycamo...@gmail.com<mailto:sycamo...@gmail.com>> wrote:


article submitted to Florida Nurse

Where are the Florida Clinical Nurse Specialists?

Theresa Morrison, PhD, CNS, CNS-BC and Patricia Geddie, PhD, CNS, AOCNS,

Nationally, Clinical Nurse Specialists (CNSs) comprised 16% of all Advance Practice Registered Nurses (APRNs). There are 59,242 licensed CNSs in the U.S. A recent NACNS survey found that 67% of CNSs work in hospitals; 7% work in nursing education; and 7% work in ambulatory care. Seventy-one percent of CNSs work with adult/gerontology population, 10% psychiatric/mental health, and 9% pediatric. CNSs are board certified in eleven recognized APRN roles, such as: Psychiatric & Mental Health, Critical Care, Advanced Oncology, and Pediatrics.

Currently, CNSs have prescriptive privileges in 35 states. CNSs are recognized for Part B participation in Medicare, Title 18 and may independently bill for these services. CNSs are eligible for Medicare’s Primary Care Incentive Program in the Patient Protection and Affordable Care Act.

In 2007, Florida legislation approved CNS title protection and separate licensure.
Florida licensing requirements for CNSs and ARNPs are the same – master’s degree in an approved advance practice nurse program and provide proof of current certification from a nationally recognized certifying body. The core educational curriculum for CNSs and Nurse Practitioners (NPs) include: physical assessment, pathophysiology, and pharmacology. However, the current Florida Statute does not permit expansion of the CNS scope of practice to that of the NP including prescriptive authority.

Clinical Nurse Specialists (CNSs) in Florida are a “rare breed” of Advanced Practice Registered Nurses (APRN). In 2010-2011 there were only 76 Florida licensed CNSs (Florida State Health website). Historically, Florida CNSs (except those who function in mental health) have not sought a Florida license due to the restriction for prescriptive authority. In addition, CNSs licensed outside of Florida are reluctant to relocate to Florida.

The FNA CNS-Special Interest Group (SIG) is resubmitting a reference proposal, originally presented to the FNA Board January 2014. The proposal will recommend a revision to the current Florida Statute FS 464.003 to include the CNS in “Advanced or specialized nursing practice” definition and align with the Consensus Model for APRN Regulation (National Council for State Board of Nursing). Florida CNS’ scope of practice should be aligned with the current prescriptive authority of NPs.

Are you an educationally prepared and certified CNS, but not have not sought Florida CNS licensure? You are an untapped healthcare resource for Florida citizens.

Contact FNA for an invite to Yammer and join our CNS-SIG. We want to hear from CNS’ – licensed, unlicensed – Florida citizens needs you.

References
Centers for Medicare and Medicaid Services (2007).Nurse practitioner and clinical nurse
specialist services. In CMS Manual System. http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/R75BP.pdf . Accessed June 8, 2014.
National Association of Clinical Nurse Specialists (2012) NACNS Position Statement on Prescriptive Privilege for the Clinical Nurse Specialist.
National Council of State Boards of Nursing. (2011). Title XVIII: APRN scope of nursing practice. Accessed June 22, 2012 at https://www.ncsbn.org/1455.htm
National Council for State Boards of Nursing (2008). Consensus model for APRN regulation: Licensure, accreditation, certification, and education. https://www.ncsbn.org/Consensus_Model_for_APRN_Regulation_July_2008.pdf .

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[Tuppeny, Misti]

We have a few positions available at Florida Hospital in Orlando as well.:)

________________________________________
From: flori...@googlegroups.com <flori...@googlegroups.com> on behalf of Mahramus, Tara L. <Tara.M...@orlandohealth.com>
Sent: Sunday, April 26, 2015 8:24 PM

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[Sue Kilp]

I am currently certified in Child/Adolescent Psych/Mental Health, advanced practice holistic nursing and clinical hypnotherapy. My areas of interest are teaching, research (stress response & gene expression), anxiety, pain management, loss & grief, rape, domestic violence and complementary & integrative modalities. My passion for the past 20+ years has been using clinical hypnotherapy to assist individuals not responding to conventional treatment/medication. Albeit, I am open to other considerations.

Sue Kilp MSN, PMHCNS-BC, AHN-BC

[Avrille Davis]

Good morning,

My name is Avrille Davis I currently work in New York but my home is in Florida. I am currently licensed as a CNS in both states. I would love to return to Florida full time but am in need of a position there. My specialty is wound care and the operating room. I work for a group of vascular surgeons in their office. Let me know what I need to do to help. I recently join the FNA to get things started. I would love to be back in Florida by the end of the year if something works out. At some point my goal is to go into private practice

Avrille MSN, CNS-BC, CWCN-AP, CNOR, CFCN

________________________________________
From: flori...@googlegroups.com <flori...@googlegroups.com> on behalf of Sue Kilp <S...@anasazihealing.com>

Sent: Monday, April 27, 2015 2:58 PM

[SueKilp]

Hi Avrille,

I am currently in Arizona and hoping to relocate to Florida by August. While it's been a challenge finding a job as a CNS in Psych and Mental Health in Florida , it seems I have ran into several openings for wound care specialist  in the Tampa and Orlando area. Have you checked  into indeed.com? While many of the RN listings are for 2 and 4 yr degreed nurses there are several CNS openings posted weekly.

Best of luck in the pursuit of  new endeavors 

Sue Kilp 

Sent from my Verizon Wireless 4G LTE smartphone

[Avrille Davis]

Hello Sue, 

Thank you so much, no I will check indeed.com.  Yes, it seems that these jobs are plentiful in other parts of Florida.   

Thank you

Avrille

---

From: flori...@googlegroups.com <flori...@googlegroups.com> on behalf of SueKilp <s...@anasazihealing.com>
Sent: Saturday, May 16, 2015 12:28 PM

[Geddie, Patty I.]

Sue and Arville,

I have been in Orlando, FL for 20 years. CNS title protection and separate licensure in Florida happened in 2007, however the CNS was not included in Florida Statute for the advanced practice definition. Therefore, no advance scope of practice for CNSs in Florida.......yet. 

When you are looking for a CNS position in Florida, check the job description and role expectations. Not all hospitals define CNS according to the NACNS definition. There may be administrators and human resource people who interpret the CNS role as a "Nurse Educator" instead of an advance practice nurse. I am fortunate to work at a hospital system that recognizes and defines the CNS role and expectations.

There are also several VA facilities in Florida that employs CNSs. 

Patty Geddie, PhD, CNS, AOCNS

Sent from my iPhone

[SueKilp]

Thanks Patty!

Sent from my Verizon Wireless 4G LTE smartphone

-------- Original message --------
From: "Geddie, Patty I." <Patrici...@orlandohealth.com>
Date: 05/16/2015 10:35 AM (GMT-07:00)
To: "<flori...@googlegroups.com>" <flori...@googlegroups.com>
Subject: Re: Where are the Florida Clinical Nurse Specialists?

Sue and Arville,

I have been in Orlando, FL for 20 years. CNS title protection and separate licensure in Florida happened in 2007, however the CNS was not included in Florida Statute for the advanced practice definition. Therefore, no advance scope of practice for CNSs in Florida.......yet.

When you are looking for a CNS position in Florida, check the job description and role expectations. Not all hospitals define CNS according to the NACNS definition. There may be administrators and human resource people who interpret the CNS role as a "Nurse Educator" instead of an advance practice nurse. I am fortunate to work at a hospital system that recognizes and defines the CNS role and expectations.

There are also several VA facilities in Florida that employs CNSs.

Patty Geddie, PhD, CNS, AOCNS

Sent from my iPhone

On May 16, 2015, at 12:43 PM, "Avrille Davis" <ayd...@eagle.fgcu.edu<mailto:ayd...@eagle.fgcu.edu>> wrote:


Hello Sue,

Thank you so much, no I will check indeed.com<http://indeed.com>.  Yes, it seems that these jobs are plentiful in other parts of Florida.


Thank you


Avrille

________________________________
From: flori...@googlegroups.com<mailto:flori...@googlegroups.com> <flori...@googlegroups.com<mailto:flori...@googlegroups.com>> on behalf of SueKilp <s...@anasazihealing.com<mailto:s...@anasazihealing.com>>

Sent: Saturday, May 16, 2015 12:28 PM

To: flori...@googlegroups.com<mailto:flori...@googlegroups.com>
Subject: Re: Where are the Florida Clinical Nurse Specialists?

Hi Avrille,

I am currently in Arizona and hoping to relocate to Florida by August. While it's been a challenge finding a job as a CNS in Psych and Mental Health in Florida , it seems I have ran into several openings for wound care specialist  in the Tampa and Orlando area. Have you checked  into indeed.com<http://indeed.com>? While many of the RN listings are for 2 and 4 yr degreed nurses there are several CNS openings posted weekly.

Best of luck in the pursuit of  new endeavors

Sue Kilp



Sent from my Verizon Wireless 4G LTE smartphone


-------- Original message --------
From: Avrille Davis <ayd...@eagle.fgcu.edu<mailto:ayd...@eagle.fgcu.edu>>
Date: 05/16/2015 8:54 AM (GMT-07:00)
To: flori...@googlegroups.com<mailto:flori...@googlegroups.com>
Subject: Re: Where are the Florida Clinical Nurse Specialists?

Good morning,

My name is Avrille Davis I currently work in New York but my home is in Florida.  I am currently licensed as a CNS in both states.  I would love to return to Florida full time but am in need of a position there.  My specialty is wound care and the operating room.  I work for a group of vascular surgeons in their office.  Let me know what I need to do to help.  I recently join the FNA to get things started.  I would love to be back in Florida by the end of the year if something works out.   At some point my goal is to go into private practice

Avrille MSN, CNS-BC, CWCN-AP, CNOR, CFCN

________________________________________

From: flori...@googlegroups.com<mailto:flori...@googlegroups.com> <flori...@googlegroups.com<mailto:flori...@googlegroups.com>> on behalf of Sue Kilp <S...@anasazihealing.com<mailto:S...@anasazihealing.com>>

Sent: Monday, April 27, 2015 2:58 PM

To: flori...@googlegroups.com<mailto:flori...@googlegroups.com>

Subject: RE: Where are the Florida Clinical Nurse Specialists?

I am currently certified in Child/Adolescent Psych/Mental Health, advanced practice holistic nursing and clinical hypnotherapy.  My areas of interest are teaching, research (stress response & gene expression),  anxiety,  pain management, loss & grief, rape, domestic violence and complementary & integrative modalities. My passion for the past 20+ years has been  using clinical hypnotherapy to assist individuals not responding to conventional treatment/medication. Albeit, I am open to other considerations.

Sue Kilp MSN, PMHCNS-BC, AHN-BC

-----Original Message-----
From: flori...@googlegroups.com<mailto:flori...@googlegroups.com> [mailto:flori...@googlegroups.com] On Behalf Of Tuppeny, Misti
Sent: Monday, April 27, 2015 4:30 AM
To: flori...@googlegroups.com<mailto:flori...@googlegroups.com>
Subject: Re: Where are the Florida Clinical Nurse Specialists?

We have a few positions available at Florida Hospital in Orlando as well.:)

________________________________________

From: flori...@googlegroups.com<mailto:flori...@googlegroups.com> <flori...@googlegroups.com<mailto:flori...@googlegroups.com>> on behalf of Mahramus, Tara L. <Tara.M...@orlandohealth.com<mailto:Tara.M...@orlandohealth.com>>

Sent: Sunday, April 26, 2015 8:24 PM

To: flori...@googlegroups.com<mailto:flori...@googlegroups.com>

Subject: RE: Where are the Florida Clinical Nurse Specialists?

What area of specialty do you work in or would be interested in? I believe Orlando Health has a few CNS positions available.

Tara Mahramus, MSN, CNS, CCNS, CCRN
Orlando Health
________________________________________

From: flori...@googlegroups.com<mailto:flori...@googlegroups.com> [flori...@googlegroups.com<mailto:flori...@googlegroups.com>] on behalf of Sue Kilp [S...@anasazihealing.com<mailto:S...@anasazihealing.com>]

Sent: Sunday, April 26, 2015 7:16 PM

To: flori...@googlegroups.com<mailto:flori...@googlegroups.com>

Subject: RE: Where are the Florida Clinical Nurse Specialists?

I am a member of FNA and have a Florida CNS license. Being I have been in private practice for a while, I will need to see what positions are available to me.

Sue Kilp, MSN, PMHCNS-BC, AHN-BC

From: flori...@googlegroups.com<mailto:flori...@googlegroups.com> [mailto:flori...@googlegroups.com] On Behalf Of Theresa Morrison
Sent: Sunday, April 26, 2015 11:39 AM
To: flori...@googlegroups.com<mailto:flori...@googlegroups.com>
Subject: Re: Where are the Florida Clinical Nurse Specialists?

Welcome to Florida.  We are a small but strong voice.   FNA is very supportive of the CNS.
Please join FNA and join us on the CNS-SIG (special interest group) calls.

Legislators want to hear why CNSs are hesitant to move to Florida.  What do you plan to do when you arrive?


Theresa Morrison PhD CNS-BC

On Sun, Apr 26, 2015 at 2:32 PM, Sue Kilp <s...@anasazihealing.com<mailto:s...@anasazihealing.com><mailto:s...@anasazihealing.com>> wrote:
Thank you all for your  persistent  hard work! I am a CNS in private practice (Arizona). Looking forward to relocating to Florida this year and becoming involved.


Sue Kilp



Sent from my VerArizonazon Wireless 4G LTE smartphone


-------- Original message --------
From: Terese Rizzi <tri...@comcast.net<mailto:tri...@comcast.net><mailto:tri...@comcast.net>>
Date: 04/26/2015 9:11 AM (GMT-07:00)
To: flori...@googlegroups.com<mailto:flori...@googlegroups.com><mailto:flori...@googlegroups.com>
Subject: Re: Where are the Florida Clinical Nurse Specialists?

Dear Theresa,

Thank you so much for all your work.

Thank you Thank you,
Terese Rizzi

On Apr 26, 2015, at 11:31 AM, Theresa Morrison PhD CNS-BC <sycamo...@gmail.com<mailto:sycamo...@gmail.com><mailto:sycamo...@gmail.com>> wrote:


article submitted to Florida Nurse

Where are the Florida Clinical Nurse Specialists?

Theresa Morrison, PhD, CNS, CNS-BC and Patricia Geddie, PhD, CNS, AOCNS,

Nationally, Clinical Nurse Specialists (CNSs) comprised 16% of all Advance Practice Registered Nurses (APRNs).  There are 59,242 licensed CNSs in the U.S.  A recent NACNS survey found that 67% of CNSs work in hospitals; 7% work in nursing education; and 7% work in ambulatory care.  Seventy-one percent of CNSs work with adult/gerontology population, 10% psychiatric/mental health, and 9% pediatric.   CNSs are board certified in eleven recognized APRN roles, such as: Psychiatric & Mental Health, Critical Care, Advanced Oncology, and Pediatrics.

Currently, CNSs have prescriptive privileges in 35 states.  CNSs are recognized for Part B participation in Medicare, Title 18 and may independently bill for these services. CNSs are eligible for Medicare’s Primary Care Incentive Program in the Patient Protection and Affordable Care Act.

In 2007, Florida legislation approved CNS title protection and separate licensure.
Florida licensing requirements for CNSs and ARNPs are the same – master’s degree in an approved advance practice nurse program and provide proof of current certification from a nationally recognized certifying body.  The core educational curriculum for CNSs and Nurse Practitioners (NPs) include: physical assessment, pathophysiology, and pharmacology. However, the current Florida Statute does not permit expansion of the CNS scope of practice to that of the NP including prescriptive authority.

Clinical Nurse Specialists (CNSs) in Florida are a “rare breed” of Advanced Practice Registered Nurses (APRN).  In 2010-2011 there were only 76 Florida licensed CNSs (Florida State Health website). Historically, Florida CNSs (except those who function in mental health) have not sought a Florida license due to the restriction for prescriptive authority. In addition, CNSs licensed outside of Florida are reluctant to relocate to Florida.

The FNA CNS-Special Interest Group (SIG) is resubmitting a reference proposal, originally presented to the FNA Board January 2014. The proposal will recommend a revision to the current Florida Statute FS 464.003 to include the CNS in  “Advanced or specialized nursing practice” definition and align with the Consensus Model for APRN Regulation (National Council for State Board of Nursing).  Florida CNS’ scope of practice should be aligned with the current prescriptive authority of NPs.

Are you an educationally prepared and certified CNS, but not have not sought Florida CNS licensure?  You are an untapped healthcare resource for Florida citizens.

Contact FNA for an invite to Yammer and join our CNS-SIG.  We want to hear from CNS’ – licensed, unlicensed – Florida citizens needs you.

References
Centers for Medicare and Medicaid Services (2007).Nurse practitioner and clinical nurse specialist services. In CMS Manual System. http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/R75BP.pdf . Accessed June 8, 2014.
National Association of Clinical Nurse Specialists (2012) NACNS Position Statement on Prescriptive Privilege for the Clinical Nurse Specialist.
National Council of State Boards of Nursing. (2011). Title XVIII: APRN scope of nursing practice. Accessed June 22, 2012 at https://www.ncsbn.org/1455.htm National Council for State Boards of Nursing (2008). Consensus model for APRN regulation: Licensure, accreditation, certification, and education. https://www.ncsbn.org/Consensus_Model_for_APRN_Regulation_July_2008.pdf .

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[Kling, Cindy L.]

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[Nancy Cabelus]

Hello,

I am a CNS with a DNP and hold board certification in forensic nursing. I am licensed in FL and CT; Currently employed as nursing faculty in CT; Looking to get some form of practice up and running soon. 

I'd love to return to FL to practice sometime but the challenge for me is finding the right fit for my skill set. With the APRN requirement, FL has been very limiting for me....unless I went back to school for an APRN program. 

Nancy Cabelus, DNP, MSN, RN, AFN-BC, FAAFS

[Penoyer, Daleen]

I'm glad to see some CNSs coming to Florida!
We have 4 positions open for CNSs at the moment within our system.
One Medical (general, possibly diabetes), Surgical unit postop
Neonatal in a women's hospital where 14K babies born every year, and one in a community hospital setting in critical care.
We may also need wound management team members as well.
We have a robust team of great CNSs at our organization that has a lot of support
If interested, you can contact me directly or go on our website: orlandohealth.com.
Daleen Penoyer
Daleen....@orlandohealth.com

________________________________________
From: flori...@googlegroups.com [flori...@googlegroups.com] on behalf of Nancy Cabelus [nancyc...@gmail.com]
Sent: Sunday, May 17, 2015 9:33 AM

To: flori...@googlegroups.com
Subject: Re: Where are the Florida Clinical Nurse Specialists?

Hello,
I am a CNS with a DNP and hold board certification in forensic nursing. I am licensed in FL and CT; Currently employed as nursing faculty in CT; Looking to get some form of practice up and running soon.
I'd love to return to FL to practice sometime but the challenge for me is finding the right fit for my skill set. With the APRN requirement, FL has been very limiting for me....unless I went back to school for an APRN program.
Nancy Cabelus, DNP, MSN, RN, AFN-BC, FAAFS

On Sat, May 16, 2015 at 11:54 AM, Avrille Davis <ayd...@eagle.fgcu.edu<mailto:ayd...@eagle.fgcu.edu>> wrote:
Good morning,

My name is Avrille Davis I currently work in New York but my home is in Florida. I am currently licensed as a CNS in both states. I would love to return to Florida full time but am in need of a position there. My specialty is wound care and the operating room. I work for a group of vascular surgeons in their office. Let me know what I need to do to help. I recently join the FNA to get things started. I would love to be back in Florida by the end of the year if something works out. At some point my goal is to go into private practice

Avrille MSN, CNS-BC, CWCN-AP, CNOR, CFCN

________________________________________

From: flori...@googlegroups.com<mailto:flori...@googlegroups.com> <flori...@googlegroups.com<mailto:flori...@googlegroups.com>> on behalf of Sue Kilp <S...@anasazihealing.com<mailto:S...@anasazihealing.com>>

Sent: Monday, April 27, 2015 2:58 PM

To: flori...@googlegroups.com<mailto:flori...@googlegroups.com>

Subject: RE: Where are the Florida Clinical Nurse Specialists?

I am currently certified in Child/Adolescent Psych/Mental Health, advanced practice holistic nursing and clinical hypnotherapy. My areas of interest are teaching, research (stress response & gene expression), anxiety, pain management, loss & grief, rape, domestic violence and complementary & integrative modalities. My passion for the past 20+ years has been using clinical hypnotherapy to assist individuals not responding to conventional treatment/medication. Albeit, I am open to other considerations.

Sue Kilp MSN, PMHCNS-BC, AHN-BC

-----Original Message-----
From: flori...@googlegroups.com<mailto:flori...@googlegroups.com> [mailto:flori...@googlegroups.com<mailto:flori...@googlegroups.com>] On Behalf Of Tuppeny, Misti
Sent: Monday, April 27, 2015 4:30 AM
To: flori...@googlegroups.com<mailto:flori...@googlegroups.com>
Subject: Re: Where are the Florida Clinical Nurse Specialists?

We have a few positions available at Florida Hospital in Orlando as well.:)

________________________________________

From: flori...@googlegroups.com<mailto:flori...@googlegroups.com> <flori...@googlegroups.com<mailto:flori...@googlegroups.com>> on behalf of Mahramus, Tara L. <Tara.M...@orlandohealth.com<mailto:Tara.M...@orlandohealth.com>>

Sent: Sunday, April 26, 2015 8:24 PM

To: flori...@googlegroups.com<mailto:flori...@googlegroups.com>

Subject: RE: Where are the Florida Clinical Nurse Specialists?

What area of specialty do you work in or would be interested in? I believe Orlando Health has a few CNS positions available.

Tara Mahramus, MSN, CNS, CCNS, CCRN
Orlando Health
________________________________________

From: flori...@googlegroups.com<mailto:flori...@googlegroups.com> [flori...@googlegroups.com<mailto:flori...@googlegroups.com>] on behalf of Sue Kilp [S...@anasazihealing.com<mailto:S...@anasazihealing.com>]

Sent: Sunday, April 26, 2015 7:16 PM

To: flori...@googlegroups.com<mailto:flori...@googlegroups.com>

Subject: RE: Where are the Florida Clinical Nurse Specialists?

I am a member of FNA and have a Florida CNS license. Being I have been in private practice for a while, I will need to see what positions are available to me.

Sue Kilp, MSN, PMHCNS-BC, AHN-BC

From: flori...@googlegroups.com<mailto:flori...@googlegroups.com> [mailto:flori...@googlegroups.com<mailto:flori...@googlegroups.com>] On Behalf Of Theresa Morrison
Sent: Sunday, April 26, 2015 11:39 AM
To: flori...@googlegroups.com<mailto:flori...@googlegroups.com>
Subject: Re: Where are the Florida Clinical Nurse Specialists?

Welcome to Florida. We are a small but strong voice. FNA is very supportive of the CNS.
Please join FNA and join us on the CNS-SIG (special interest group) calls.

Legislators want to hear why CNSs are hesitant to move to Florida. What do you plan to do when you arrive?


Theresa Morrison PhD CNS-BC

On Sun, Apr 26, 2015 at 2:32 PM, Sue Kilp <s...@anasazihealing.com<mailto:s...@anasazihealing.com><mailto:s...@anasazihealing.com<mailto:s...@anasazihealing.com>>> wrote:
Thank you all for your persistent hard work! I am a CNS in private practice (Arizona). Looking forward to relocating to Florida this year and becoming involved.


Sue Kilp



Sent from my VerArizonazon Wireless 4G LTE smartphone


-------- Original message --------
From: Terese Rizzi <tri...@comcast.net<mailto:tri...@comcast.net><mailto:tri...@comcast.net<mailto:tri...@comcast.net>>>
Date: 04/26/2015 9:11 AM (GMT-07:00)
To: flori...@googlegroups.com<mailto:flori...@googlegroups.com><mailto:flori...@googlegroups.com<mailto:flori...@googlegroups.com>>
Subject: Re: Where are the Florida Clinical Nurse Specialists?

Dear Theresa,

Thank you so much for all your work.

Thank you Thank you,
Terese Rizzi

On Apr 26, 2015, at 11:31 AM, Theresa Morrison PhD CNS-BC <sycamo...@gmail.com<mailto:sycamo...@gmail.com><mailto:sycamo...@gmail.com<mailto:sycamo...@gmail.com>>> wrote:


article submitted to Florida Nurse

Where are the Florida Clinical Nurse Specialists?

Theresa Morrison, PhD, CNS, CNS-BC and Patricia Geddie, PhD, CNS, AOCNS,

Nationally, Clinical Nurse Specialists (CNSs) comprised 16% of all Advance Practice Registered Nurses (APRNs). There are 59,242 licensed CNSs in the U.S. A recent NACNS survey found that 67% of CNSs work in hospitals; 7% work in nursing education; and 7% work in ambulatory care. Seventy-one percent of CNSs work with adult/gerontology population, 10% psychiatric/mental health, and 9% pediatric. CNSs are board certified in eleven recognized APRN roles, such as: Psychiatric & Mental Health, Critical Care, Advanced Oncology, and Pediatrics.

Currently, CNSs have prescriptive privileges in 35 states. CNSs are recognized for Part B participation in Medicare, Title 18 and may independently bill for these services. CNSs are eligible for Medicare’s Primary Care Incentive Program in the Patient Protection and Affordable Care Act.

In 2007, Florida legislation approved CNS title protection and separate licensure.
Florida licensing requirements for CNSs and ARNPs are the same – master’s degree in an approved advance practice nurse program and provide proof of current certification from a nationally recognized certifying body. The core educational curriculum for CNSs and Nurse Practitioners (NPs) include: physical assessment, pathophysiology, and pharmacology. However, the current Florida Statute does not permit expansion of the CNS scope of practice to that of the NP including prescriptive authority.

Clinical Nurse Specialists (CNSs) in Florida are a “rare breed” of Advanced Practice Registered Nurses (APRN). In 2010-2011 there were only 76 Florida licensed CNSs (Florida State Health website). Historically, Florida CNSs (except those who function in mental health) have not sought a Florida license due to the restriction for prescriptive authority. In addition, CNSs licensed outside of Florida are reluctant to relocate to Florida.

The FNA CNS-Special Interest Group (SIG) is resubmitting a reference proposal, originally presented to the FNA Board January 2014. The proposal will recommend a revision to the current Florida Statute FS 464.003 to include the CNS in “Advanced or specialized nursing practice” definition and align with the Consensus Model for APRN Regulation (National Council for State Board of Nursing). Florida CNS’ scope of practice should be aligned with the current prescriptive authority of NPs.

Are you an educationally prepared and certified CNS, but not have not sought Florida CNS licensure? You are an untapped healthcare resource for Florida citizens.

Contact FNA for an invite to Yammer and join our CNS-SIG. We want to hear from CNS’ – licensed, unlicensed – Florida citizens needs you.

References
Centers for Medicare and Medicaid Services (2007).Nurse practitioner and clinical nurse specialist services. In CMS Manual System. http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/R75BP.pdf . Accessed June 8, 2014.
National Association of Clinical Nurse Specialists (2012) NACNS Position Statement on Prescriptive Privilege for the Clinical Nurse Specialist.
National Council of State Boards of Nursing. (2011). Title XVIII: APRN scope of nursing practice. Accessed June 22, 2012 at https://www.ncsbn.org/1455.htm National Council for State Boards of Nursing (2008). Consensus model for APRN regulation: Licensure, accreditation, certification, and education. https://www.ncsbn.org/Consensus_Model_for_APRN_Regulation_July_2008.pdf .

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[Avrille Davis]

I understand exactly what you mean.   My current position in NY is classified as CNS however my role is still not clearly defined and I function similar to a staff RN with little more independence.  Title protection for CNS in NYS was implemented last year and I became certified and registered last September.  I would love to work for a system that do recognize the CNS as  such and follows NACNS guidelines.

Avrille

---

From: flori...@googlegroups.com <flori...@googlegroups.com> on behalf of Geddie, Patty I. <Patrici...@orlandohealth.com>
Sent: Saturday, May 16, 2015 1:35 PM

[Theresa Morrison PhD CNS-BC]

Thank you all for joining the CNS conversation. We will use ur stories in talking with legislators. Please join FNA and get in on our special interest group monthly tele-conferences.

If a few of you would like to write a few detailed sentences about ur experiences (or give me permission to quote what u have already written) I will write another article for Florida Nurse.

[Karen Reynolds]

I am not receiving the dates for the teleconference calls for some reason - do they get sent out as outlook invites? With the call in information?
Hopefully they are not going to my spam.

Karen Reynolds, DNP, CNS-BC, FGNLA
Geriatric Nursing Leadership Academy Fellow
Advanced Practice Nurse – Geriatrics
Education, Professional Development & Research Department
Sarasota Memorial Health Care System
Sarasota, FL
941-917-4124
karen-r...@smh.com

A Clinical Nurse Specialist (CNS) is a Master's or Doctoral prepared Advanced Practice
Registered Nurse whose function is to improve outcomes in patient care.
The CNS is an expert in clinical practice, patient education, research and
consultation to influencing the three spheres of practice: patient care,
nursing and systems.

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Confidentiality Notice: the information contained in this email and any attachments may be legally privileged and confidential. If you are not an intended recipient, you are hereby notified that any dissemination, distribution, or copying of this e-mail is strictly prohibited. If you have received this e-mail in error, please notify the sender and permanently delete the e-mail and any attachments immediately. You should not retain, copy or use this e-mail or any attachments for any purpose, nor disclose all or any part of the contents to any other person.

[Theresa]

Karen.

Funny u should ask. I was having the same problem finding evite. The subject was Florida Nurses Association not FNA so when I searched they did not come up. I had Vickie change to subject to FNA CNS SIG

Of course this all assumes u joined the SIG on FNA website. 😋


Theresa Morrison PhD CNS-BC
Clinical Nurse Specialist
239-572-1248

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[Penoyer, Daleen]

We are actively seeking CNSs for several positions at Orlando Health.

Medical CNS with a focus on diabetes, and one in critical care.

Please contact me directly if you have an interest.

Thanks!

Daleen

 

Daleen Aragon Penoyer, PhD, RN, CCRP, FCCM

Director, Center for Nursing Research

Orlando Health

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daleen....@orlandohealth.com

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