434.924.0211
Medical Center

Skip to content. | Skip to navigation

Personal tools

Home > Professional Nursing Staff Organization > Clinical Career Ladder > Overview of the Clinical Career Ladder

Overview of the Clinical Career Ladder

Clinical Roles

The following summarizes behaviors associated with each clinical level;
for a detailed description, click here.

Clinician I

  • Entry-level professional nurse, focused primarily on developing knowledge and skills.
  • Provides safe patient care at a basic level and shows growth in ability to care for increasingly complex patients.
  • Requires consultation with more experienced clinicians and benefits from feedback.

Clinician II

  • Capable clinician, focused on expanding knowledge and skills.
  • Consistently provides effective direct care as part of the interdisciplinary team, to a variety of complex patients.
  • Seeks as well as provides feedback for improved clinical practice.
  • Assumes a beginning leadership role, but seeks mentoring in this process.

Clinician III

  • An experienced and highly skilled clinician who is recognized for knowledge and skills by their peers.
  • Utilizes an interdisciplinary approach to patient care service delivery across the continuum of care.
  • Has an emerging leadership style and functions consistently and autonomously in this role.
  • Is learning to negotiate the health care system to maximize the delivery of quality care and to minimize cost of patient care services.
  • A BSN is required for any clinician hired into or applying for advancment to the Clinician III level on or after 04/01/2015.

Clinician IV

  • BSN-prepared clinician with well-developed clinical expertise within a defined specialty, recognized by peers as a leader within the institution.
  • Works predominantly with patients, families and nursing staff. Has aggregate responsibility at the regional level for nursing care, incorporating current literature and research.
  • Identifies the strengths within the service area and takes the opportunity to develop and or mentor others to promote professional growth and improve patient outcomes.
  • Has demonstrated expertise in chosen scholarly activities focused towards the advancement or promotion of the profession.
  • Certification is required by 4/1/2013.

Advanced Practice Roles

Advanced Practice Nursing is based on educational preparation (graduate degree in nursing), practice preparation (speciality certification) and core competencies.  The nurse must be practicing in a specifically defined APN Role, such as Nurse Practitioner or Clinical Nurse Specialist.

The following summarizes behaviors associated with each advanced practice level;
for a detailed description, click here.

Advanced Practice Nurse I (APN I)

  • Masters-prepared, nationally-certified clinician who manages the care of a defined patient population as a dominant aspect of the role.
  • Recognized as an interdisciplinary leader within the service area.
  • Consistently demonstrates core competencies of advanced practice in a defined specialty:
    - Expert direct clinical practice
    - Consultation
    - Research skills
    - Clinical and professional leadership
    - Collaboration
    - Ethical decision-making
    - Expert coaching and guidance

Advanced Practice Nurse II (APN II)

  • Masters-prepared, nationally-certified clinician who manages the care of a defined patient population as a dominant aspect of the role.
  • Recognized as an interdisciplinary leader within the service area and institution.
  • Critically analyzes the health care delivery system and clinical outcomes to maximize the delivery of quality, cost-effective patient care services.

Advanced Practice Nurse III (APN III)

  • Masters-prepared, nationally-certified expert clinician and consultant who designs, implements, and evaluates creative approaches to patient care and patient care systems, thereby contributing to the body of nursing knowledge through research and scholarly works.
  • An interdisciplinary leader recognized within and beyond the institution.
  • Demonstrates expertise through scholarly work in a defined specialty.
  • Establishes a culture for quality patient care through coaching, guidance and mentorship of others.
Thanks for Visiting!

Welcome to the Professional Nursing Staff Organization! All Registered Nurses employed by the UVA Health System's Medical Center, School of Nursing and School of Medicine are members of our Professional Nursing Staff Organization (PNSO). Please provide us feedback!

Be a UVA Nurse!

recruitment-ad.gif