Press Room

Ask Phee Phee Anything: CNS Legal Issues and Scope of Practice

In case you haven’t heard yet, my name is Phyllis Whitehead, and I am the newly elected NACNS President. Phee Phee was my nickname given to me by my young nieces who couldn’t say Phyllis, and now what my grandchildren call me. So came to be my “ask anything” column. I aim to answer your questions about all things NACNS and keep a transparent dialogue going during my presidency. 

CNSs have a very specific role in the hospital within their specialty. I received a few questions regarding the legal complications surrounding being a CNS, as well as policy and practice. Let’s talk about it.

Are there any current legal complications surrounding CNS?

As with any occupation, there are legal complications with being a CNS. Now more than ever, CNSs must be aware of what is going on in both their country and their state. For example, the RaDonda Vaught case in Tennessee is a prime example of the level of responsibility that clinical nurse specialists have in ensuring best practices, as the best level of care must be given to the patient. CNSs need to be aware of varying legislation from state to state in order to best serve their patients, as well as protecting themselves by following state guidelines. 

On a federal level, the overturning of Roe v. Wade is a substantial issue that impacts women’s’ health. For the CNS members who specialize in this kind of work, finding how they can now best advocate for their patients and practice is a newly evolving matter. With any of these legal scenarios, the primary focus should be ensuring advocacies for all, and to make sure that every patient is aware of what is going on during their care, and that the nurse is safe and protected as well. Anything in the legal world that effects hospitals, also effects clinical nurse specialists. 

What is NACNS doing to advocate for policy changes to allow full practice authority for CNSs? 

NACNS fiercely encourages remaining aware of what is happening state to state, and we are forming affiliates and creating tool kits to better equip our members with information about title protection and how to protect the CNSs full practice authority.

NACNS also is proudly and loudly excited about the volunteerism for committees and task forces, as CNSs are coming together and contributing to the conversation. Remaining aware of the current conversation is super important, and we cannot accurately represent the CNS community if we don’t hear from our members, so we encourage readers to reach out and become members of NACNS. 

What is Phyllis doing to advocate for this issue? 

I am on the Lace Steering Committee for licensing and education about the consensus model – which allows me to be at the table representing CNSs and NACNS. I am constantly advocating for the CNS role and practice. 

For example, NACNS has commissioned a Certification Task Force to explore innovation in addressing CNS specialty certifications such as mental and women’s health. July 14th is the first certification task force meeting, so it is a big date for us. I strongly believe in allowing CNSs to enter meaningful CNS roles in the hospital. 

What do we anticipate in the future for CNS scope of practice?

The future for the CNS scope of practice is promising, as we are working on hearing the CNS voice, getting the NPI numbers up, and showing that we are advanced practice nurses. The CNS affiliates are doing a great job and we want to advocate for them and keep gaining affiliate members to grow NACNS even more. I always say that there should be no CNS left behind, and that NACNS is the only organization specifically dedicated to advocating for CNSs. I will continue to answer your questions to the best of my ability to ensure complete transparency, and that no CNS is left behind. 

Thank you for reading, and until next time! If you are interested in asking Phee Phee a question about anything NACNS or CNS related, please visit our website home page and scroll down to the section to submit a question.  

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