Health care organizations and clinical nurse specialists (CNSs) must be flexible and be able to adapt quickly in rapidly changing clinical environments. When CNSs are in short supply, because of an unfilled open position or increased responsibilities, innovative approaches to practice need to be considered. According to the 2016 CNS Census, 58% of CNSs who work in hospitals are responsible for entire health care systems.1  This percentage is up from 44% in 2014.2  Although being in more than one facility at a time is not possible, a CNS still can have an impact remotely. A remote role is an effective and innovative way for a CNS to impact all 3 CNS spheres of influence (patients, nurses, and the health care organization)3  and all 7 CNS core competencies (see Table).4 

As organizations strive to meet the requirements for Magnet nursing recognition, they must have and retain...

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