Clinical Nurse Specialists

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Clinical Nurse Specialist Actualizing the
vision November 21, 2008 Noelie Lavergne,
Program Director Woman Child
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Woman Child - SBGH

• Tertiary centre for high and low risk births
• Combined intensive/intermediate NICU
• Gynecology and gyne-oncology
• Antepartum and Postpartum/Newborn
• Outpatient Fetal Assessment Unit
• Outpatient Womens Health and Pediatrics

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History of CNS in WC

• Director, Edith Parker had a vision (1985)
• Exposure to research and evidence based practice
  through AWHONN
• Evidence based practice started in women and
  infants care with Murray Enkin

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Challenges Successes

• Role clarity
• Management
• Physicians
• nursing staff

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Challenges Successes

• CNS has unique set of skills
• CNS is a change agent
• Changes practice based on research
• Conducts research
• Publishes

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Multimodal Clinical PathwayPost-operative Care
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SBGH OUTCOMES
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Inpatient Satisfaction A3IFCC October 2006
When the pain was at its worst, would you
describe it as severe, moderate or mild? (N22)
Were you ever in pain during your hospital stay?
(N22)
Did the hospital staff do everything they could
to help you with your pain? (N21)
Was your pain well-controlled? (N22)
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Inpatient Satisfaction A3IFCC October 2006
Did the pain from the caesarean section reduce
your ability to care for yourself, i.e., have a
shower, get to the bathroom? (N23)
Did the pain from the caesarean section reduce
your ability to care for your baby, i.e.,
change, bathe, feed? (N23)
Did you feel that hospital staff prepared you
for controlling your caesarean section pain once
you got home? (N20)
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Ongoing Supports

• Support evolving role
• Support self directed activities
• Decrease silos by working on concepts that cross
  clinical areas
• Collaboration share strengths
• Focus on results that are linked to patients