To those who have a clinical ladder they've climbed where they work, are you happy with it? Does it have a demotion clause? Are they changing the terms to maintain the level each year to encourage nurses to drop down to RN II to cut the budget. That's what's been going on ever since we've had it. And if you climb the ladder and someone doesn't like you they will demote you for all sorts of reason of not maintaining the ever changing criteria to keep that onetime 4% raise! Each year they make the ladder harder for RN III-IV to maintain always with the option of going back down to RN II voluntarily with the cut in pay of course!