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Clinical nurse specialist vs advanced practice registered nurse

The differences between clinical nurse specialists and advanced practice registered nurses can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 2-4 years to become a clinical nurse specialist, becoming an advanced practice registered nurse takes usually requires 1-2 years. Additionally, an advanced practice registered nurse has an average salary of $92,479, which is higher than the $77,086 average annual salary of a clinical nurse specialist.

The top three skills for a clinical nurse specialist include patients, BLS and clinical practice. The most important skills for an advanced practice registered nurse are patients, APRN, and diagnosis.

Clinical nurse specialist vs advanced practice registered nurse overview

Clinical Nurse SpecialistAdvanced Practice Registered Nurse
Yearly salary$77,086$92,479
Hourly rate$37.06$44.46
Growth rate6%6%
Number of jobs268,303474,324
Job satisfaction--
Most common degreeBachelor's Degree, 45%Master's Degree, 49%
Average age4444
Years of experience42

What does a clinical nurse specialist do?

Clinical nurse specialists (CNS) serve as experts in practicing nursing based on evidence in one or more specialty areas. These nurses use their advanced knowledge and experience in assessing, diagnosing, and treating patients. CNS is known to be called nurse educators for being assigned to conduct lectures in educational institutions due to their extensive effort to improve their craft. Additionally, their experience and expertise in a certain medical specialty qualify them to do case research.

What does an advanced practice registered nurse do?

Advanced practice registered nurses (APRNs) are professional healthcare providers who have post-master's certificates to provide primary and preventive care to patients in community-based settings. These registered nurses must evaluate and identify the patient's need for care while ordering diagnostic tests and prescribing them with medications. They can perform minor medical procedures and provide counseling to patients together with their families. Advanced practice registered nurses must also manage registered nurses and medical assistants and consult with doctors and specialists about the condition of their patients.

Clinical nurse specialist vs advanced practice registered nurse salary

Clinical nurse specialists and advanced practice registered nurses have different pay scales, as shown below.

Clinical Nurse SpecialistAdvanced Practice Registered Nurse
Average salary$77,086$92,479
Salary rangeBetween $54,000 And $109,000Between $63,000 And $135,000
Highest paying CitySan Francisco, CAHartford, CT
Highest paying stateCaliforniaAlaska
Best paying companyMayo ClinicMercy Corps
Best paying industryGovernmentHealth Care

Differences between clinical nurse specialist and advanced practice registered nurse education

There are a few differences between a clinical nurse specialist and an advanced practice registered nurse in terms of educational background:

Clinical Nurse SpecialistAdvanced Practice Registered Nurse
Most common degreeBachelor's Degree, 45%Master's Degree, 49%
Most common majorNursingNursing
Most common collegeDuke UniversityDuke University

Clinical nurse specialist vs advanced practice registered nurse demographics

Here are the differences between clinical nurse specialists' and advanced practice registered nurses' demographics:

Clinical Nurse SpecialistAdvanced Practice Registered Nurse
Average age4444
Gender ratioMale, 9.9% Female, 90.1%Male, 11.0% Female, 89.0%
Race ratioBlack or African American, 11.5% Unknown, 4.3% Hispanic or Latino, 8.9% Asian, 8.9% White, 66.0% American Indian and Alaska Native, 0.4%Black or African American, 8.9% Unknown, 4.4% Hispanic or Latino, 10.3% Asian, 9.1% White, 66.9% American Indian and Alaska Native, 0.4%
LGBT Percentage9%9%

Differences between clinical nurse specialist and advanced practice registered nurse duties and responsibilities

Clinical nurse specialist example responsibilities.

  • Manage chronic conditions (CHF, COPD, DM, ESRD) in a medically complex patient population.
  • Supervise and manage hypertension clinic.
  • Manage continuity of care for complex general internal patients with limit resources-diabetes, hypertension, psychiatric, and homeless.
  • Consult and follow patients in the ICU, emergency room, on the floor, and in clinic.
  • Coordinate care of vascular patients from preoperative throughout hospital stay, assess home care needs and rehabilitation placement.
  • Interview staff, recommend hiring, provide direct supervision, initiate disciplinary actions, and ensure quality care for veteran patients.
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Advanced practice registered nurse example responsibilities.

  • Employ as an APRN to manage wind care for adults and geriatrics in a rehabilitation and nursing home setting.
  • Manage chronic comorbid conditions such as; congestive heart failure, COPD, hypothyroidism, atrial fibrillation and hypertension.
  • Manage acute and chronic conditions such as ESRD, COPD, heart failure, spinal cord injury, and diabetes.
  • Demonstrate clinical competency and compassion in providing care, using technology, administering medications, performing procedures and managing emergencies.
  • Provide comprehensive assessment, diagnosis, planning, intervention, education and evaluation of patients in an acute/critical care hospital setting.
  • Train volunteer nurses, physicians, and staff in the transition to the EMR.
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Clinical nurse specialist vs advanced practice registered nurse skills

Common clinical nurse specialist skills
  • Patients, 21%
  • BLS, 8%
  • Clinical Practice, 7%
  • CNS, 6%
  • Professional Development, 4%
  • Patient Outcomes, 4%
Common advanced practice registered nurse skills
  • Patients, 22%
  • APRN, 16%
  • Diagnosis, 8%
  • Acute Care, 4%
  • Advanced Life Support, 3%
  • Diagnostic Studies, 3%

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