clinical ladders

  1. I have been party to a couple of these and I am wondering if they are worth it in general. It seems to me that they aren't a 2 way street like they should be. It should be that if you achieve certain goals and acquire set skills and all this can be documented then you can get the raise or whatever. I've seen ladders that require much beyond the scope of nursing on the unit. Research, teaching outside the hospital, all of which is good and i'm not knocking it but it seems to discount that we work hard every day taking care of patients and their families that there is no time for this at work so then what? Take it home? LIke I don't work hard enough already. This system discounts how well people do their jobs and penalizes them if they don't do "homework". How many have this kind of system in place and how do they work?
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  2. 3 Comments

  3. by   Erbn Girl
    Our hospital has now instituted a practice that is somewhat similar. We are a Catholic hospital and if you did not volunteer as a nurse for any community activities, it is held against you in your evaluation. I do other type of volunteer work in my community but not in the capacity of a nurse. I am not up for evaluation yet, but others on my unit who have had a recent evaluation are fuming. I'll reply as soon as I learn more....
  4. by   J Hannah
    I have been in management many years. I have worked at facilities that have career ladders. They are designed to provide incentive for the employee to improve and continue to grow. However, the intent of many employers is the ole carrot dangling just far enoungh out there that it is used to justify why you are not permitted to advance, rather than to increase your job satisfaction. If it looks like a duck, sounds like a duck, walks like a duck....it is a duck. Don't look for the mystery or hidden meaning because there is none. It's just what it looks like...less than fair. Unfortunate but true, it is a good tool used for the wrong reason.
  5. by   J Hannah
    I read my reply and even though it is true, it is terribly negative. Here is a couple of suggestion on what you can do to satisfy such a system: (could be fun too)
    1. Volunteer at a church camp as the camp nurse for a week. (Doesn't matter if it also defrays the cost of your child attending camp or if you are there the same week as your kids.)
    2. Check with your local health department or a long term care facilities and volunteer to give flu shots. (only happens once a year)
    3. Every community usually has a summer festival or county fair, volunteer to work a a B/P booth or set up a booth for your hospital for community P.R. (this really tickels managements ego)
    Hope I have redeemed myself from sounding so negative on the first reply. Use your immaginations!!

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