Diabetes-Medical Clinical Nurse Specialist/Advanced Practice Specialist

% 

of time

Essential Function (Yes/No)

Key Responsibilities

(To be completed by Supervisor)

50

Yes

Direct Patient Care

• Applies advanced clinical expertise and specialty knowledge to conduct comprehensive health assessments in care settings including psychosocial, functional, physical, and environmental factors.

• Uses advanced theoretical and empirical knowledge of physiology, pathophysiology, pharmacology and health assessment within the diabetes and medical patient population to contribute to the plan of care.

• Conducts complex patient assessments, synthesizes assessment findings using advanced knowledge, clinical expertise, critical thinking, and clinical judgment to formulate differential diagnoses; formulates an evidence-based nursing plan of care; and evaluates patient response to care interventions.

• Collaborates with the interdisciplinary team to contribute the advanced nursing perspective to the plan of care and advocate for the patient’s preferences. 

• Documents clinical care and consultations in the medical record to ensure clear communication of assessment, diagnosis, recommended plan of care, and evaluations to the clinical team.

• Initiates and/or coordinates care conferences or programs for individual patients or populations including transitions for complex and vulnerable patients with diabetes and medical patient population needs.

• Evaluates the impact of nursing care and the plan of care elements on fiscal and human resources.

• Assesses learning needs, designs and evaluates innovative educational programs for patients, families, and groups. 

• Identifies, collects, and analyzes data that serve as a basis for program design and outcome measurement for improvements in the care of the diabetes and medical patient population. 

• Establishes methods to evaluate nursing care and methods for feasible and meaningful documentation of nursing care. 

30

Nursing/Nursing Practice

• Exerts influence with nursing staff through role modeling, consultation, and education to improve patient care and outcomes.

• Provides expert specialty consultation to nurses related to complex patient care needs.

• Assesses nursing practice, workflows, and the environment for improvement opportunities and to ensure evidence-based practice is incorporated into practice and procedures.

• Leads clinical practice and quality improvement initiatives for a unit, division/department, or a program. 

• Collects and analyzes data regarding patient care processes and outcomes, trends

• Employs conflict management and negotiation skills to promote a healthy work environment.

• Facilitates opportunities for nurses and other staff to acquire knowledge and skills that foster professional development. 

• Creates and revises nursing policies, procedures, standards of care incorporating evidence-based practice to impact optimal patient/family outcomes. 

• Collaborates with and coaches nurses to develop practice environments that support shared decision-making/shared governance

• Provides mentorship to nurses in the use of evidence-based practice principles and methods for practice change and evaluation.

• Provides clinical consultation to nurses, providers, and interprofessional team colleagues regarding nursing care of the diabetes and medical patient population.

• Collaborates with Nurse Professional Development team and others on content and operational design of orientation, clinical competencies, and other educational program development. 

• Provides mentorship for new skill acquisition, leadership, and supports professional development of the nursing staff.

• Collaborates with the interprofessional team and nurse leaders to ensure implementation of evidence-based patient care, optimal communication methods, and continuous quality improvement.

• Designs, implements, and evaluates innovative educational programs for patients/families and nursing staff.

• Provides formal and informal education for nurses and other health care professionals and health professional students.

• Evaluates the impact of nursing practice and care models on fiscal and human resources.

15

Organization/System Leadership

• Leads health system teams to advance the clinical practice of nurses and improve patient outcomes.

• Leads value analysis of new or alternate supplies and devices including safety and feasibility evaluations/trials with key stakeholders.

• Leads the design, implementation, and evaluation of innovative models or programs of clinical care or care delivery models across units/departments/campuses.

• Partners with the Center for Nursing Excellence and Innovation teams and operational nursing leaders to meet department and health system strategic goals to advance nursing practice at UCSF.

• Serves as clinical expert consultant or content manager for patient safety, risk management, regulatory affairs, and patient relations needs.

• Partners with medical center departments or teams across the health system to improve care delivery and patient outcomes

5

Professional Practice

• Advocates for nurses to practice to the full extent of their role in the delivery of health care across the health system.

• Engages in formal processes to seek feedback on practice from CNS/APS peers and other colleagues.

• Facilitates opportunities for students to acquire knowledge and skills that foster professional development. 

• Participates in professional organizations and contributes to advancing professional nursing practice through scholarly activities (presentations, publications, innovations)

• Increases the visibility of UCSF Health Nursing at local, regional, national and international levels through professional involvement/engagement.

• Responsible for the written document for Magnet submission regarding clinical practice exemplars within content area. 

• Performs other duties as assigned.

100%