Clinical Ladder

Specialties Management

Published

Specializes in Hospice and Palliative Care, Family NP.

We are exploring the possibility of beginning a clinical ladder program at our facility. Do any of you have experience with this and if so, can you give me some direction? Pros and Cons would be also appreciated. If you have this inplemented, what positive changes have you seen, are there any drawbacks to it?

Thanks

Cindy

Cindy: We have a clinical ladder here. There are three steps At each step there are a number a projects, certifications, community service, professional org membership, etc etc. Nurses who want more money but are at the top of the scale find this is the only way to increase their pay. Advantages: more money for the nurse, more help on committees and projects for you. Disadvantage: Does increase payroll budget. My opinion is that any time a clinical ladder is offered that's a sign that the hospital does care about the nurses...and it allows the nurses who care about their hospital to be rewarded.:D

Specializes in Hospice and Palliative Care, Family NP.

Thank you so much for your help. We are currently in the planning stages of our program. It is our goal to have it implemented within the next year. If anyone has any further information or knows of any on the internet, please email me and let me know. Thanks,

Cindy

I have had experience with two different ladders. One ladder had criteria that had to be met each year to achieve a level 1-4 and the nurses received lump sum bonuses annually. Points were accrued for a variety of activities including education, committee involvement, Process Improvement activities, precepting, etc. The nurse had to requalify annually. The other ladder had criteria that had to be met, but once met you maintained that level indefinately. The compensation was rolled into the nurses base salary. I think that the first ladder was far superior in that the nurse had to requalify annually.

I have had experience with two different ladders. One ladder had criteria that had to be met each year to achieve a level 1-4 and the nurses received lump sum bonuses annually. Points were accrued for a variety of activities including education, committee involvement, Process Improvement activities, precepting, etc. The nurse had to requalify annually. The other ladder had criteria that had to be met, but once met you maintained that level indefinately. The compensation was rolled into the nurses base salary. I think that the first ladder was far superior in that the nurse had to requalify annually.

Hi,

I just recently sent a clinical ladder proposal to our R/R team. I would be happy to email the content. It is written in Word. (My main computer is in the shop and I can not post on the webpage without installing alot of software on my loaner)

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