TransportJockey
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Many hospital licensed professionals have clinical ladders that are not necessarily related to being in upper management.
It is a way of giving RNs (RRTs, PTs, OTs etc) a chance to advance in steps to achieve a better pay grade, accepting more responsibility or more promotional opportunities. The steps can be achieved through obtaining more education in the form of a degree and/or more certs. It also can be obtained by cross-training for different units or doing special procedures. As well, one might have to achieve a certain amount of steps on the ladder to qualify for certain units or to do special procedures. Examples would be an ECMO or Specialty Transport. Rarely will these teams accept people who only meet the minimum standards and just exist day to day in their position. The same might go for those doing charge or lead positions and in roles as preceptors. Many RNs also continue to work on the same unit which may even be med-surg but through their educational accomplishments and completing job goals, they may enjoy a higher pay grade as well as bringing more to the care they provide to their patients than those who just exist at minimum.
Ok I understand what you're getting at. Sorry. I'll have to ask the GF about that cause I've not really paid too much attention to it to be honest. She'd be a good one to ask since she's a BSN on neuro IMC