Professional Growth & Development

Munroe's Clinical Ladders promotional process based on Pat Benner's Notice to Expert theory, exemplifies the environment of professional growth and development at Munroe Regional Medical Center.

The Clinical Ladders matrix outlines the experience, education, critical thinking skills and didactic expectations of nurses seeking promotion within Patient Care Services. A team of nurses from various clinical areas, Human Resources, Organizational Development, and Perioperative Services collaborated in revisions of these criteria to allow for BNS, MSN and specialty certification to be considered in meeting some aspects of the criteria. This affords all nurses at Munroe opportunities for growth and development and provides a framework for consistent promotions across specialty services.


Clinical Ladders

Clinical 1 - Novice:

Registered nurse responsible and accountable for safe clinical practice with less than one year experience.

Clinical II - Competent:

Registered nurse responsible and accountable for safe clinical practice, knowledgeable of customers and regulatory expectations in the clinical area.

Clinical III - Proficient:

Registered nurse responsible and accountable for advanced clinical practice and serves as a professional role model.

Clinical IV - Expert:

A registered nurse responsible and accountable for advanced clinical practice; who in their clinical area serves as a professional role model and staff educator.