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CNS - Clinical Nurse Specialist - Dump Information

Vendor : Medical
Exam Code : CNS
Exam Name : Clinical Nurse Specialist
Questions and Answers : 20 Q & A
Updated On : October 18, 2018
PDF Download Mirror : [CNS Download Mirror]
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CNS Questions and Answers

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CNS Clinical Nurse Specialist

Study Guide Prepared by Killexams.com Medical Dumps Experts


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CNS exam Dumps Source : Clinical Nurse Specialist

Test Code : CNS
Test Name : Clinical Nurse Specialist
Vendor Name : Medical
Q&A : 20 Real Questions

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Medical Medical Clinical Nurse Specialist

The magnitude of medical contact | killexams.com Real Questions and Pass4sure dumps

part of patients’ challenge is not realizing how each healthcare professional, nurse and medical technician will treat them, while we’re in ache and already anxious, feeling vulnerable. And survivors of sexual abuse or assault can draw back at the lightest of contact.

“it'll be a two-method conversation about what you’re at ease with,” pointed out Susan Finlayson, a registered nurse and senior vice chairman of operations for Mercy clinical middle, a 178-mattress college-affiliated Catholic hospital, based by way of the Sisters of Mercy, in Baltimore.

Ms. Finlayson knows their native population well, one it truly is terrible and underserved, and trains group of workers contributors to treat them with dignity. “When nurses are available right here to work, we talk lots about our values — treating the mind, body and soul,” she pointed out. “sufferers arrive because anything very difficult is going on of their existence, so from day one we make certain that every new group we orient here is aware that and offers them patient-based care.”

whereas patients need and deserve gentle, considerate medicine, “health care is evolving, and gotten more businesslike,” she mentioned. “We’re compelled to do more and more and to supply superior cost at decrease charge. It’s handy to get caught in that to-do record. It’s easy for staff to get burned out.”

As patients additionally navigate the additional obstacles of who accepts their medical coverage, they can turn out to be being treated less than ideally. Can they expect continually type and compassionate care wherever they grow to be? “In concept, yes,” observed Ms. Finlayson. “In apply, no. There’s so a good deal edition in clinic subculture, administration and leadership.”

every affected person needs a powerful suggest to be sure to be touched and dealt with with kindness and competence, talked about Mickey Osterreicher, a Buffalo lawyer whose medical journey all started in 2011 with a prognosis of prostate cancer but later included the elimination of a malignant melanoma and its metastasis to his brain. A life-threatening drug reaction required much more interventions.

along the way, he lost forty pounds of muscle, making it greater elaborate for nurses to draw his blood — “the one thing I’d all the time taken without any consideration as being handy,” he observed. “but some individuals are in fact good at it and that i didn’t believe a aspect, and different times it in fact damage and left me bruised.”


Novant fitness Leverages Wolters Kluwer’s Lippincott options to establish Nursing Care requirements and Exceed quality Benchmarks | killexams.com Real Questions and Pass4sure dumps

PHILADELPHIA--(company WIRE)--Oct 2, 2018--Wolters Kluwer, health introduced today that Novant health is using the Lippincott ® solutions suite to advance its huge-ranging quality development initiatives concentrated on standardizing care throughout 15 acute care hospitals and scientific facilities in four U.S. states. with the aid of equipping nurses with without problems purchasable facts-primarily based choice help and medical schooling materials, Lippincott options performs an important position in assisting Novant fitness facilities preserve Magnet cognizance ®.

Novant health depends on Lippincott solutions to dwell forward of the hastily evolving healthcare ambiance through consistently driving advancements in fine and core metrics. In particular, the suite of solutions has helped Novant fitness overcome concerns that contributed to undesirable diversifications in care – a problem with 26,000 caregivers and 6,000 nurses in the organization treating sufferers.

“we now have many nursing-delicate indications that are very important to our consequences. When we've care model, we aren’t assembly our metrics. A single reference enables us to standardize what we do,” says Daria Kring, Director, medical training for Novant health. “Lippincott options ensures that our nurses are all the usage of the same platform and equipment and allows for us to be extra constant within the delivery of care. It’s our single supply of clinical truth, which results in enhanced excellent and a higher patient experience.”

Novant fitness deployed the total suite of Lippincott solutions, together with Lippincott® procedures, an internet-based collection of courses to greater than 1,seven hundred procedures, and Lippincott® marketing consultant, which consists of over 17,000 online, evidence-based mostly scientific monographs. Novant fitness also utilizes Lippincott professional development collection, an online clinical education and competency validation answer with greater than 370 on-line courses—most approved for continuing education (CE)—and a series of courses co-developed with Joint commission components. Lippincott Blended discovering presents Novant health nursing training groups an internet library of customizable lesson plans assisting instructor-led practising and a flipped classroom environment.

“Bringing consistency to nursing care positively impacts not best pleasant metrics, however additionally drives down prices linked to patient care, nurse onboarding and expert building via CE,” pointed out Cathy Wolfe, President and CEO, fitness learning, research and apply at Wolters Kluwer. “we're committed to assisting Novant fitness achieve its mission of offering a awesome affected person adventure the use of existing proof-based mostly most useful practices with depended on assistance resources to allow nurses and nurse educators to power standardization of approaches and approaches.”

“Our nurses have relied on Lippincott’s knowledgeable construction elements pretty much 21,000 times considering that March of 2017 to build potential and extra their schooling. If our nurses had to go and purchase those modules on their own, that’s a half a million dollars that we’ve saved our team individuals. Now, they've the guidance at their fingertips, after they desire it,” said Tracey Whitley, scientific practice specialist at Novant fitness.

in accordance with Whitley, these resources have develop into essential to preserving Magnet repute at Novant health facilities, a difference achieved by best 9 percent of U.S. healthcare companies and considered as the gold regular of nursing excellence by the American Nurses Credentialing middle.

Watch the video to find out about Novant health’s adventure to enhance its nursing approaches and standards. For greater tips, down load a case examine on Novant health’s use of Lippincott solutions right here.

About Wolters Kluwer

Wolters Kluwer N.V. (AEX: WKL) is a world provider of skilled assistance, utility options, and functions for physicians, nurses, accountants, attorneys, tax consultants, and finance, audit, compliance, and regulatory sectors.

The enterprise provides expert solutions - a mix of deep area potential with really good expertise and services - that assist professionals navigate trade, resolve complicated issues, and bring affect in their respective fields.

Headquartered in Alphen aan den Rijn, the Netherlands, Wolters Kluwer holds market-leading positions in 40 nations globally, represents shoppers across a hundred and eighty countries and employs 19,000 americans international. In 2017, it said annual revenues of €four.4 billion.

Wolters Kluwer gives depended on clinical know-how and evidence-primarily based solutions that interact clinicians, patients, researchers and college students with advanced medical determination aid, getting to know and analysis and clinical intelligence. For more assistance about our solutions, discuss with  http://healthclarity.wolterskluwer.com  and observe us on  LinkedIn  and Twitter  @WKHealth.

For extra information, consult with  www.wolterskluwer.com, observe us on  Twitter,  facebook,  LinkedIn, and  YouTube.

View supply edition on businesswire.com:https://www.businesswire.com/information/domestic/20181002005674/en/

CONTACT: Wolters Kluwer N.V.

Media Contacts:

Connie Hughes, +1 (646) 674-6348

Director, company Communications

fitness researching, analysis & observe

Connie.Hughes@wolterskluwer.com

or

Ellen Robinson, +1 (704) 962-5912

Public members of the family professional

health discovering, analysis & observe

Ellen.Robinson@wolterskluwer.com

keyword: u.s. EUROPE NORTH america NETHERLANDS PENNSYLVANIA

industry keyword: expertise statistics management application fitness HOSPITALS NURSING MANAGED CARE

source: Wolters Kluwer N.V.

Copyright business Wire 2018.

PUB: 10/02/2018 10:12 AM/DISC: 10/02/2018 10:12 AM

http://www.businesswire.com/news/domestic/20181002005674/en


Welcome to the medical Nurse chief Shark Tank | killexams.com Real Questions and Pass4sure dumps

The clinical nurse leader (CNL) position changed into developed in 2003 via the American affiliation of colleges of Nursing in accordance with a demand a more protected, valuable, patient-centered, well timed, productive, and equitable fitness care system (Institute of medicine, 2001). CNLs are expert as superior generalists and use evidence-based mostly observe, their clinical talents and systems focus, and lateral integration abilities to increase the first-class of health care start on the point of care (Harris, Roussel, & Thomas, 2018). As such, to be beneficial in delivering brilliant, safe, and price-aware care, a working knowledge of business principles and monetary literacy are necessities for future CNLs (American affiliation of colleges of Nursing, 2013).

A southeastern college of nursing software offers an innovative 32-credit score clinical nurse leadership option within the grasp's diploma health care techniques observe enviornment. A capstone path (300 clinical hours) is required within the closing semester, the place college students enforce and consider an evidence-primarily based pleasant growth (QI) task to enhance care start on the microsystem level. The CNL scholar uses knowledge to conduct a wants evaluation, identify an intervention in keeping with evidence and designs, and implements and evaluates a nurse-led QI intervention project. The intention of the undertaking is to lead to measurable development within the fitness care birth of capabilities and the health status of a targeted affected person or inhabitants. An crucial component of the QI challenge is the building of a marketing strategy for the implementation of their assignment, together with facts-based mostly purpose for the proposed venture, an in depth needs evaluation, estimated prices of the proposed venture, exact money stream, operational plan, funds justification, smash-even analysis, and projected cost rate reductions.

the use of headquartered studying conception to guide the direction design, we aspired to create an authentic context for active discovering and company skill construction (Lave & Wenger, 1991).

As such, we created an inventive and tremendously carrying out-class endeavor modeled after ABC's Emmy-award successful tv exhibit Shark Tank (Spirko, Fuchs, & Carter, 2009). within the television version, aspiring entrepreneurs make their enterprise presentation to a five-person panel (the sharks) of complicated, self-made, multimillionaire and billionaire tycoons of industry (e.g., know-how, retail, precise estate, advertising). In flip, the sharks inquire and grill contestants on their idea and product and exercise their alternative to make use of their own money to put money into a contestant's business or not.

the usage of the Shark Tank demonstrate as our model, we developed the CNL Shark Tank, where aspiring CNLs current their QI proposals to a panel of three senior nursing college (fitness care sharks), appearing as chief nursing officer, chief financial officer, and chief know-how and defense officers of foremost health care methods. similar to the Shark Tank tv application, the panel had no prior competencies of the QI projects and have been listening to the QI pitches for the primary time.

As our CNL direction is a blended learning structure, college students have a mixture of online and sophistication actions. To prepare for the in-grownup recreation, college students assessment a module on company of health care and use components of the module to develop a enterprise case for their identified assignment. during the classification session, college students carry a 3-minute pitch to the Shark Tank panel explaining their QI project, the projected costs of implementation and projected fiscal return on funding in the task, and why the health care sharks should adopt and invest in the venture. The dreams of the gaining knowledge of pastime were to advertise scholarship and innovation in nursing education by using offering CNL students with a chance to prepare, “sell,” and preserve their ideas and get hold of beneficial comments and mentoring, in a fun and novel medium.

akin to the television show, the sharks have been seated entrance and middle in a single row. After students pitched their QI thought and business plan, the health care sharks requested fast-hearth–trend questions about their fiscal statistics, sought clarification about the assignment and pupil's motive for implementation, and gave real-time beneficial feedback. The Shark Tank discussion board set the stage for lively engagement and verbal exchanges, collegiality, and experiential researching. The sharks now not most effective challenged the students but embraced their position as sharks and challenged one one other when it comes to why their respective institutions can be a far better healthy for the identified QI projects.

Examples of QI initiatives and enterprise proposals encompass:

  • Incorporating weekly family rounds via nurse managers to determine and tackle geriatric affected person and household wants.
  • enhancing nasogastric tube placement in pediatric population the use of a care bundle.
  • offering staff conferences attainable online for RN and staff to increase care consistency.
  • imposing a nurse's aide boot-camp to enhance care consistency and reliability in fighting falls.
  • Streamlining and standardizing discharge process training for clinical interns to prevent readmissions.
  • The CNL Shark Tank was neatly acquired with the aid of students and college. college embraced their roles as sharks and contentiously fought over QI projects, weaving a active spirit of competitive enjoyable into the lecture room researching. helpful comments and counsel have been considerable, sparking many significant conversations in addressing each fiscal feasibility and sustainability. subsequent yr, we will ask extra college to participate to provide a more robust and distinct Shark Tank panel, including illustration from the patient perspective and microsystem level.

    college students admitted to being worried initially, but once they begun answering questions about their QI challenge, they grew to become confident of their expertise and cause for the venture and commented that this journey changed into enjoyable and also allowed them to observe the birth of a pitch to administration. students had been receptive to school remarks and, when debriefed, advised we proceed with the Shark Tank pastime. college students commented it became a good probability to damage down the task into its fundamental features and focal point on the fiscal bottom strains.

    Most extraordinary changed into when the college students delivered their closing displays of their QI projects on the conclusion of the direction. students mentioned that that they had won self belief of their presentation talents, in keeping with the old Shark Tank undertaking, which turned into evidenced through their incorporation of the feedback obtained from the Shark Tank exercise in to their final presentation.

    collaborating within the Shark Tank panel bred considerable self belief within the college students' presentation abilities, which translated to enormously beneficial and finished ultimate displays.

    On completion of the course, students were capable of design, put into effect, and consider a medical difficulty on a microsystems stage, whereas gaining insight of the monetary implications; elementary advantage obligatory to translate to knowledgeable follow to transform the fitness care system from within.

    like any pop culture sensations, the popularity of the Shark Tank application will probably wane. youngsters, developing genuine contexts where lively studying and pupil and school engagement can flourish is timeless.

    Maureen J. Baker, PhD, RN, CNLmjbaker@e-mail.unc.edu

    Meg Zomorodi, PhD, RN, CNLcollege of North Carolina

    References
  • American association of schools of Nursing. (2013). knowledge and curricular expectations for clinical nurse leader training and follow. Retrieved at http://www.aacnnursing.org/information-suggestions/place-Statements-White-Papers/CNL
  • Harris, J.L., Roussel, L. & Thomas, P.L. (2018). Initiating and sustaining the scientific nurse chief function: a pragmatic e-book (3rd ed.). Burlington, MA: Jones & Bartlett researching.
  • Institute of drugs. (2001). Crossing the nice chasm: a new health system for the 21st century. Washington, DC: country wide Academies Press.
  • Lave, J. & Wenger, E. (1991). founded researching: reliable peripheral participation. Cambridge, united kingdom: Cambridge university Press. doi:10.1017/CBO9780511815355 [CrossRef]
  • Spirko, C., Fuchs, k. & Carter, A. (2009). Shark tank [Television series]. In M. Burnett (Producer). manhattan, new york: Sony photos.

  • CNS Clinical Nurse Specialist

    Study Guide Prepared by Killexams.com Medical Dumps Experts


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    CNS exam Dumps Source : Clinical Nurse Specialist

    Test Code : CNS
    Test Name : Clinical Nurse Specialist
    Vendor Name : Medical
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    Specialist nurse shortage ‘failing’ incurable breast cancer patients | killexams.com real questions and Pass4sure dumps

    A shortage of specialist nurses is leaving patients with incurable breast cancer feeling “abandoned” without critical care, according to a charity.Breast Cancer Care said thousands of patients continued to be denied crucial care three years after the government promised access to a designated nurse for all cancer patients.

    “A specialist nurse is the single most important aspect of their care”Samia al Qadhi

    The charity issued its warning today on the back of a Freedom of Information request to NHS providers across England, Scotland and Wales.The resulting figures reveal that 72% of NHS trusts and health boards do not provide a dedicated nurse for people living with incurable breast cancer.There has been only a 7% increase in the trusts and boards providing nursing support in the two years since the charity’s last research, which it said indicated a “worrying lack of NHS investment in care to help people live well for longer”.It noted that cancer patient experience surveys indicated that people with a clinical nurse specialist were more likely to be told about side effects and given the opportunity to discuss their needs and concerns.As a result, Breast Cancer Care said it was calling for urgent funding to be made available to recruit and train nurses to fill the significant gaps.It said it wanted everyone diagnosed with the incurable disease to have a “secondary support package” at the point of diagnosis.This would ensure they could access a dedicated nurse to co-ordinate care and a referral to tailored support services, to give them the vital, specialist support they need to live well.Charity chief executive Samia al Qadhi said: “Our staggering findings reveal just how much NHS nursing care for people with incurable breast cancer has stagnated.After this life-changing and life-limiting diagnosis patients continue to be abandoned without the ongoing, specialist support they need to manage complex treatment and debilitating side effects, like chronic pain and fatigue.“People living with incurable breast cancer tell us that access to a specialist nurse is the single most important aspect of their care and without it they feel isolated, forgotten and invisible,” she said. “So today’s failings must not be swept under the carpet.“We are calling on all UK governments to create a ‘secondary support package’ for incurable secondary breast cancer to ensure that everyone has access to the specialist support they need, when they need it.

    Lack of nurse support for incurable breast cancerSamia al Qadhi

    She added: “Funding to recruit and train the urgently needed clinical nurse specialists must be made available, starting with a commitment in the NHS England Long Term Plan published next month.”Breast Cancer Care said its figures also revealed other failings in the care of people with incurable breast cancer across the UK:For example, 40% of trusts and boards were unable to state, when asked, how many secondary breast cancer patients are currently under their care.In addition, 70% of hospital organisations across the UK do not assess people’s emotional and physical needs at diagnosis and as treatment changes.Meanwhile, 80% of hospital organisations do not give all patients a summary at the end of each treatment, including about how they have responded to the treatment.

    Original Article can be found by clicking here


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    No result found, try new keyword!“Bringing consistency to nursing care positively impacts not only quality metrics, but also drives down costs associated with patient care, nurse onboarding and ... want it,” said Tracey Whitley, Clin...

    A day in the life of a breast care nurse... | killexams.com real questions and Pass4sure dumps

    THIS article endeavours to give an insight in to the daily happenings in the life of a Clinical Nurse Specialist in Breast Care at Cork University Hospital.

    A little bit of history first...

    The first mammogram performed in Cork was around 1982 at the South Infirmary Hospital and the breast service as we know it today evolved in Cork back in 1992.

    The first breast clinic was established at South Infirmary Victoria under the clinical guidance of Mr John Kelly and Mr Denis Richardson. A number of years later, two further clinics were established at the CUH and Bon’s Secours Hospital.

    In the early ’90s it was recognised from research that breast cancer as a disease should be managed by a multidisciplinary team in order to ensure improved outcomes.

    The emotional and psychological impact of a breast cancer diagnosis was huge to these ladies then, as it is nowadays.

    Unfortunately, back then the women had very little support. When the first breast care nurse specialist was appointed in Cork she was only the third in the country, after appointments in Galway and Dublin.

    The biggest change/improvement in breast cancer care was the introduction of the multidisciplinary approach and the support of an identified breast care nurse specialist.

    Roll on the years and following formation of the National Cancer Control Programme (NCCP) and the establishment of the National Breast Screening programme Breast Check, Cork now has a service based at CUH which assesses women with both benign and malignant outcomes.

    Time has to be given to our benign patients also as they concerned until given a normal result.

    We see about 6,000 new patient referrals, 9,000 return patients and perform 1500 biopsies per annum (2016).

    We treat around 700 breast cancer patients per year at the Breast Check Unit and CUH.

    All in a day’s work...

    To move on and try to encompass the daily life a Breast Care Nurse specialist…

    All good days at work start with a coffee and we are no different at CUH. Our day starts early at 7.30am so that coffee is very important.

    Our day can be very varied in what we do, attending clinics, diagnosis consultations, arranging further tests and scans, post-op treatment plan consultations, wound care and ward visits.

    We spend a large amount of our time dealing with phone queries, patients have our mobile numbers and we are a direct link for them post assessment or treatment for a breast problem.

    We can often sort out issues without the need to return to the hospital.

    Patients find the phone contact invaluable.

    We deal with calls from GPs and public health nurses and family members on a daily basis also.

    The Journey of a Breast

    Patient

    Women are referred to our breast service with a variety of breast problems Generally our day begins with a three to four hour triple assessment clinic which is consultant led, where a woman with a breast problem has:

    Clinical assessment

    Radiological assessment with mammogram +/- ultrasound

    Pathology assessment with biopsy

    As quite a number of the women are extremely anxious regarding the investigations and then the outcome, the Breast Care Nurse specialist will spend time explaining the process and how long they can expect to be waiting for results.

    For women referred with breast pain, education regarding treatment with evening primrose oil is part of our brief.

    General education regarding breast awareness is another area we discuss with ladies at the clinic.

    Every Thursday morning the multi disciplinary group meet at 8am and discuss all women following biopsy, women for discussion post surgery to arrange their treatment plan, complicated cases, women with family history, or breast cancer genetic carriers.

    The MDT group consists of: MDT coordinator, Breast Surgeons, Radiographers, Radiologists, Pathologists, Breast Care Nurse Specialists, Medical Oncologists, Oncology Liaison Nurse Specialists, Radiation Oncologists, Medical teams working with each discipline and Clinical trial teams.

    Breast Cancer Diagnosis

    At the end of clinic or outside of clinic hours is generally when we will set aside time to give patients a diagnosis of breast cancer.

    There is nothing as valuable as delivering this diagnosis in a sensitive, calm manner and to allow as much time as possible for this.

    Following discussion at the MDT meeting, an individual treatment plan for each woman is arranged.

    All diagnoses are given by the woman’s breast surgical oncologist in the presence of a breast care nurse specialist.

    Patients are encouraged to have a family member or significant other with them.

    This diagnosis of breast cancer is an extremely difficult time for the patient and her family.

    We explain the results, discuss the treatment plan, and arrange further appointments and tests as appropriate. All this is done in a clear manner and we are mindful of explaining it in non-medical language.

    Most important is to give emotional support and again to allow as much time as the woman needs.

    A diagnosis can take anything from an hour to three hours.

    Treatment

    Treatment for Breast Cancer is not one model fits all. It is tailored to the woman’s cancer type/physical issues and; indeed patient preference. The plan is presented to her by her consultant and tweaked appropriately without deviating from curative intent.

    Treatments can include a number of the following and in a variety of order: Surgery, Chemotherapy, Herceptin therapy, Radiotherapy, Hormonal therapy, +/- reconstructive surgery.

    This is where the woman begins her breast cancer journey and her breast care nurse specialist will accompany her during this time, will support her and act as her advocate.

    The diagnosis can stimulate many reactions, from shock, sadness, disbelief, to anger, and patients often describe it as a ‘roller coaster of events’.

    It is extremely difficult to assimilate all the information given at the time of diagnosis and women often cannot hear any other word, only the word CANCER.

    The breast care nurse specialist will meet the patient at a later time to reiterate the information given to her by her consultant and discuss the treatment plan for her.

    This is too a good time to identify her needs at an emotional / psychological level and to also get to know the woman, her family needs / supports.

    Our day then continues where we visit our patients who are in hospital for surgery either as a day case or as an inpatient. We give them post operative advice prior to discharge.

    Our inpatients will require a number of the following depending on surgery type: wound care, drain care, pain management, fitting of prosthesis and bra, emotional / psychological support, referral to Arc House/ Daffodil Centre or Psycho-oncology service as needed.

    Once a patient is discharged we are their link to the consultant/hospital and are in daily contact with them. We arrange their follow up for results and treatment plans going forward.

    Every woman’s breast cancer journey can take a different route and may hit many crises, big and small. We try to make this journey as easy as possible for our patients and to help in any way possible.

    Apart from looking after our breast cancer patients, the breast care nurse specialist consults with benign breast patients on a regular basis. These ladies too need to get results in a timely way and can often be quite anxious.

    Breast care nurses liaise with breast cancer patients regarding the following: Immediate / delayed reconstruction, Radiotherapy, Hormonal therapy, side effects of treatment, ongoing psychological support and referral to other disciplines when necessary, advice with financial matters and referral to appropriate bodies for help, discussion with women with a family history or breast cancer genetic carriers, nipple tattooing post reconstruction, staff education, public education sessions for example Breast Awareness, Hormonal Therapies.

    Above is a synopsis of the work of the Breast Care Nurse specialist at CUH.

    I hope I have given an insight to our role.

    We work as part of a team and have an excellent working relationship within that team and disciplines.

    The Breast Service would not work for our patients without that relationship functioning as it does.

    The Breast Patient and especially our Breast Cancer Patients are the centre of our working life.

    Our advice to them is there is no right or wrong way to get through this, to stay as positive as possible and never be afraid to ask questions regarding their management. Over time we become close to our patients and look forward to our follow up with them.

    We feel we have done a reasonable job when they re establish normal living and even forget their appointments!

    It is a lovely career for any nurse wishing to specialise and we highly recommend it.

    In order to cope with our job we do as much as we can for our ladies during our working day.

    We have great fellow breast CNS colleagues whom we bounce worries, difficulties and stressful cases off — this is invaluable.

    Above all we enjoy our Breast Care Nursing Career and hope we make a difference.



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    Medical CNS Exam (Clinical Nurse Specialist ) Detailed Information



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