13 Apr 2017

Full-Time Clinical Nurse Specialist


Job Description

Clinical Nurse Specialist

Job Summary:
The CNS works with an interprofessional team to provide and enhance advanced care for the TIA/Stroke patient population across the continuum of care including but not limited to the care provided within the Emergency Department, Integrated Stroke/Rehabilitation Inpatient Unit and the Stroke Prevention Clinic.

A part of the Ontario Stroke System, The Royal Victoria Regional Health Centre (RVH) is a designated Enhanced District Stroke Centre for the Central East Stroke Network (CESN). RVH is accountable for providing leadership, development, implementation and integration of stroke care throughout the region across all points in the spectrum of stroke care. For example, RVH and the CNS will help hospitals in the region identify gaps, localize and implement stroke protocols.

RVH provides an organized, coordinated and evaluated delivery system that provides for the needs of stroke patients in the emergency departments, acute care, rehabilitation, ambulatory care and the community.

The CNS will perform to full scope of advanced nursing practice (clinical, administrative, education and research) blended with initial and future expanded function(s) in support of program and regional developments and evaluation.

Clinical Practice Role

Uses the nursing process and relevant theory at an advanced level to manage, direct and provide comprehensive patient care for a select population and to assist interprofessional staff to plan, implement and evaluate delivery of patient care through case consultation.

Care Collaboration Role

Performs independent and interdependent expert advanced nursing assessment and clinical management interventions as per hospital policy and College of Nurses of Ontario standards. Thus, the Advanced Practice Nurse’s clinical practice may include the following:
completing comprehensive histories and physical & mental status assessments;

  • support to stroke prevention and stroke rehabilitation care and education modules;
  • coordinating follow up/service linkage(s) as appropriate;
  • regular collaboration with the interprofessional team through conferences, team meetings, rounds and clinics;
  • facilitates and coordinates interprofessional teamwork through effective communication and interpersonal skills;
  • liaises with nursing personnel and other disciplines to ensure patients receive needed and appropriate treatment in a timely, effective and safe manner.  This may involve to a consultative role to other internal programs and on behalf of the region; adapting practice to meet the changing environment demands;
  • serving as an expert clinical resource and nursing consultant to patients, families, nursing colleagues and interprofessional team members for enhancement of patient care and practice; and
  • participating in the development, implementation and evaluation of relevant policies, procedures, guidelines and standards of care that support the departmental and hospital philosophy.

Regional Responsibilities (CESN)

  • Support capacity building approaches to promote best practices, standards, and guidelines for the delivery of stroke care across the continuum of care in the region.
  • Support and promote research and knowledge transfer activities, at the district, regional and provincial levels.
  • Exhibits the core values of Royal Victoria Regional Health Centre: Work Together, Respect All, Think Big, Own it, Care.

  • Bachelor of science in Nursing required
  • Masters of science in Nursing required
  • Current registered member in good standing with the College of Nurses of Ontario required
  • Current certification in Basic Cardiac Life Support (BCLS) required
  • Current certification in Advance Cardiac Life Support (ACLS) preferred
  • Canadian Nurses Association certification preferred
  • Current certification in Coronary Care Care1 Certification preferred


  • Minimum of five years current RN clinical practice experience with demonstrated clinical excellence in area of expertise;
  • Experience in leadership role with the ability to work effectively within an interdisciplinary team;
  • Demonstrated knowledge of planning, developing and implementing educational initiatives for health care providers and community members;
  • Demonstrates the ability to perform relevant stroke best practices, knowledge integration and skills for the management of complex stroke cases in a variety of care settings.

The Clinical Nurse Specialist (CNS) demonstrates advanced knowledge, skill and judgment in providing care to patients that is consistent with the College of Nurses of Ontario.
CNS must be able to demonstrate the ability:

  • to support the delivery of quality care to diverse patient populations, and facilitate the development of comprehensive care plans in conjunction with the interprofessional team to enhance patient safety, outcomes, access to care, and experience;
  • to blend clinical expertise with education, knowledge translation, leadership and research skills to serve as a consultant and resource to nurses, nursing leadership, interprofessional teams and external partners in the process of decision-making, developing clinical guidelines and protocols, promoting the use of evidence, and facilitating system change
  • to carry out relevant clinical practice skills.
  • to provide analytical and conceptual skills;
  • for independent action, initiative, problem solving, organization and prioritization;
  • to apply teaching/learning principals and demonstrate skills in staff/patient education;
  • to engage with research teams as co-investigators in the development of abstracts, presentations and/or publications writing;
  • be an active member in professional nursing and other professional organizations;
  • to review and evaluate program development based on current healthcare trends; and
  • to understand and show knowledge of computer database, data analysis, and presentation packages.
  • Unless otherwise stated, minimum educational requirement of Grade 12 or equivalent
  • Demonstrates RVH Core Values and behaviours consistent with the RVH Code of Conduct
  • Must demonstrate proven workplace excellence through commitment to strong job performance and attendance

Please be reminded that as a Regional Health Centre, in order to provide the necessary patient care, our operations run 24/7. Therefore, depending on the program for which you are applying, it may be an expectation that you are available to work week days and weekends, as well as all shifts – days, evenings, and nights.


  • Must adhere to the duties of workers, as stipulated in Section 28 of the Occupational Health and Safety Act
  • Must adhere to all RVH administrative and applicable departmental occupational health and safety policies, procedures and protocol
  • Must be able to perform all bona fide essential duties in the position description, which may include lifting and moving patients, pushing, pulling, bending, stooping, etc
  • Must complete a pre-employment health assessment, including review of the Job Demands Analysis for the position, as a condition of employment
  • Must strive to continuously provide a safe and supportive environment for patients, staff, physicians, and volunteers


Clinical Nurse Specialist

Job Categories: Featured. Job Types: Full-Time. Salary: 60,000 - 80,000.

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