Advanced Practice Nursing Levels

Clinical

Level 5 Nurse Practitioner

The Nurse Practitioner (NP) works in a collaborative relationship with a physician provider to oversee the care delivered to a patient population. The NP is responsible for direct patient care, documentation of care delivered, adherence to hospital and nursing policies, procedures and practice standards, education of patients and staff, assurance of service excellence, completion of state and hospital-required reviews of practice, and participation in performance improvement and other activities as required.

Level 6 Senior Nurse Practitioner

The Senior Nurse Practitioner (NP) works in a collaborative relationship with a physician provider to oversee the care delivered to a patient population or program of services. The Senior NP is responsible for direct patient care, documentation of care delivered, adherence to hospital and nursing policies, procedures and practice standards, education of patients and staff, assurance of service excellence, completion of state and hospital-required reviews of practice, and participation in performance improvement and other activities as required. Additional responsibilities are negotiated according to area of expertise and hospital need.

Level 5 Clinical Nurse Specialist

The Clinical Nurse Specialist (CNS) provides expert clinical services that are focused on the assurance of excellence in practice, the adherence to hospital and nursing policies, procedures and practice standards, and the development of staff and team relationships within a program or unit. The CNS may have accountability for expert management and consultation for a given patient population. CNS responsibilities may include direct patient care, documentation of care delivered, education of patients and staff, assurance of service excellence, and participation in performance improvement and other activities as required.

Level 6 Senior Clinical Nurse Specialist

The Senior Clinical Nurse Specialist (CNS) provides expert clinical services that are focused on the assurance of excellence in practice, the adherence to hospital and nursing policies, procedures and practice standards, and the development of staff and team relationships within a program or unit. The Senior CNS may have accountability for expert management and consultation for a given patient population. Senior CNS responsibilities may include direct patient care, documentation of care delivered, education of patients and staff, assurance of service excellence, and participation in performance improvement and other activities as required. Additional responsibilities are negotiated according to area of expertise and hospital need.

Management

Level 5 Nurse Manager

The Nurse Manager maintains 24-hour-a-day accountability for all patients and nursing activities on assigned unit. The Nurse Manager oversees and directs unit activities, including standards development, implementation and management, human resource management, assessment and monitoring of resource needs and utilization, staff professional development, unit-based research and performance improvement, new program development and implementation, and communication within nursing practice and across disciplines and departments. The Nurse Manager represents the unit and service on committees at all levels within the institution.

Level 6 Senior Nurse Manager

The Senior Nurse Manager is responsible for management oversight of more than one area and serves as a resource for nurse managers and others in the Department of Nursing. The Senior Nurse Manager participates in service or departmental level program planning and assessment and allocation of resources. The Senior Nurse Manager also oversees and directs unit or department-level activities, including standards development, implementation and monitoring, human resource management, assessment and monitoring of resource needs and utilization, staff professional development, unit-based research and performance improvement, new program development, and communication within nursing practice and across disciplines and departments. The Senior Nurse Manager represents the unit and service on committees at all levels within the institution.

Meliora Award

Child Psychiatry Team honored with the URMC Meliora (Ever Better) Award for innovations in their approach to children. Team 1-9200 adopted a new philosophy—Kids Do Well if They Can—and transformed its approach patients and families. The change has delivered increase patient, family and staff satisfaction!