FAQ | Clinical Nurse Specialist (CNS)

No, a CNS would be considered out of scope by providing clearance or good faith exams for aesthetics or IV infusions to clear the patient for these procedures. These exams are intended to be the assessment of the prescribing provider of record.  A CNS is not permitted to order or prescribe cosmetic/aesthetic procedures/injections as a CNS. CNSs do not have prescriptive authority in NC, and such acts are not part of the CRNA scope of practice. 21 NCAC 36. 0228 Clinical Nurse Specialist Practice. 

However, a CNS could administer the injections as an RN injector and, therefore, would have to work within the scope of their RN license only.

This would mean they would need to be working as an RN with standing orders and orders under the authority of an NP, PA, or physician. Position Statement on practicing as an RN while holding an advanced practice certification. 

No, CNSs do not have prescriptive authority in NC, and, therefore, cannot be issued a DEA license.

You are expected to introduce yourself, so the patient understands your role and title within their healthcare team. There are no APRN rules restrict the use of an academic title; for example, if a CNS has earned their DNP or PhD, they can state, “Hello, I am Dr. Smith, a clinical nurse specialist.” North Carolina Badge Law  G.S. 90-640