专业的临床阶梯计划致力于承认临床实践中卓越素质。标准基于美国护士协会（ANA）专业实践标准and the宾夕法尼亚州护理委员会.
通过自我评估，直接护理护士开发一个表现出他们的实践水平的投资组合。这包括由同行委员会评估的主观和客观数据。应用程序过程包括三个集成组件：应用程序组合，审计和面试。所有三个组件都是相互关联的，互相补充，呈现整个实践的图片。
资格标准
达到临床阶梯下一步的注册护士必须：
- Work at an FTE of .5 or greater
- 在员工护士工作代码中，直接参与患者护理
- Have successfully passed probation and completed orientation
- 至少有两年的护理体验
- 对于等级IV具有BSN或更高的程度
实践领域
专业临床阶梯的促销是基于以下领域的临床专业知识的示范：
- 域名1：关怀角色
- 域2：病人and family education
- 域3：临床实践
- 域名4：监测和确保医疗保健实践的质量
- 领域5：专业合作和咨询
- 域名6：Clinical knowledge development
Download our域名描述PDF。
水平描述
护士临床医生I.
The Nurse Clinician I is guided by policies, procedures and standards. The graduate nurse at this level is building a knowledge base through practice and is more comfortable in a task-oriented environment. Graduate nurses often describe a clinical situation from the viewpoint of what they need to do, rather than relating the context of the situation to how the patient responds. They continue to rely on the judgments of others. When complex clinical situations arise, they seek nurses with great authority. Experienced RNs entering the new employment situation have an existing foundation of knowledge and skills related to policies, procedures and standards of practice. They seek resources to affirm that their recent practice is compatible with the medical center's practice. They can demonstrate critical thinking and decision-making skills. They can clearly articulate and document patient needs and interventions. All RNs enter the system as Level I. With successful completion of probation and orientation they proceed to Level II.
护士临床医生I.I – Sound practitioner
The Nurse Clinician II is fully competent. This nurse assumes responsibility for her or his primary patients. Deliberate planning, analysis and goal setting are hallmarks at this level. This nurse recognizes relationships within patient data and bases judgments on careful consideration of this information. Nurses at this level demonstrate mastery of most technical skills, focus on organizational skills in their assigned clinical areas and are ready to learn the responsibilities of the charge nurse. They can remain at Level II indefinitely or apply for Level III or IV after six months.
护士临床医生III - 纯粹的从业者
Nurses at this level practice with an in-depth knowledge of nursing practice based upon previous experiences. A proficient nurse has progressed from a task-oriented approach to providing nursing care with a holistic view of the patient. This nurse perceives each situation as a whole, and is able to identify the salient elements. Critical thinking is apparent and judgments are oriented toward the best possible outcome for the patient. This nurse responds to most situations with speed, confidence and flexibility, and is able to handle unanticipated problems or emergencies. He or she forms effective relationships and demonstrates leadership skills within the multidisciplinary team.
护士临床医生I.V – Expert practitioner
Intuition and skill arise from a comprehensive knowledge base thoroughly grounded in experience. Nurses at this level have a flexible, innovative and confident self-directed approach to patient- and family-centered care. Rapidly changing and complex patient care situations challenge this nurse to reach his or her full potential. This nurse has a vision of what is possible and a keen sense of timing to make things happen. The Nurse Clinician IV is system savvy, understands the interdependence of disciplines and departments, and can finesse situations to maximize patient outcomes. This nurse functions with an ongoing healthy skepticism, questioning situations that are atypical. He or she uses ethical reasoning and has the ability to automatically filter irrelevant data. This nurse is a positive force in the advancement of professional practice and quality of patient care.