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Clinical Ladder
Clinician 4
The title of Clinician 4 is viewed as a prestigious accolade at Carondelet Health. Nurses that earn the Clinician 4 recognition through the Clinical Ladder program at Carondelet Health have met each of the eligibility requirements. These requirements are difficult to obtain and include:
- At least six years of RN experience
- Three years of RN experience in area of specialty
- 25 contact hours
- 40 points, with one point minimum in each of the four major Magnet® categories (Transformational Leadership, Structural Empowerment, Exemplary Professional Practice and New Knowledge, Improvements and Innovations or PI Projects)
- Has been a Clinician 3 for at least one year
- Certification in area of specialty
- BSN required
The points awarded are weighted depending on the level of function from the participant of the recommended activities outlined in the Clinical Ladder guidelines for each of the Magnet domains. A record of a accomplishments are collected and stored in the nurse’s portfolio. The document contains:
- Certifications of contact hours
- Certification letters or cards
- Confirmation e-mails
- Thank you cards
- Exemplars
Once a nurse feels they have met the eligible criteria to advance on the clinical ladder, they will deliver the portfolio to a member on the Professional Development Council to determine if they can advance. The members of the Professional Development Council meet once a month to assess each portfolio and determine advancement up the clinical ladder. Meeting the requirements of the Clinician 4 title shows remarkable commitment to the nursing profession and dedication to the population served at Carondelet Health.
The nurses that have met this amazing accomplishment are:

At St. Joseph Medical Center - Mary Kay Bloom, Mary Williams, Donna Flint, Deborah Stewart

At St. Mary's Medical Center - Jennifer McClaran, Suzy DePaoli, Diane Warren,
(not pictured) Annie Hertzel, Kathleen Mann