Hello, I appealed for my nurse 3 and got it back still denied. I've had similar experiences with some people getting their nurse 3 with less experience and time in. I've also noted that those that have been in our education have received theirs even after leaving education because of the dept being in such a turmoil. I have a meeting with some boards members to discuss my appeal and denial. At our hospital, the proficiency is such a secret and the managers have no idea how to get it either. I wouldn't mind a sample of an approved proficiency or someone reading mine to guide me.