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Clinical Ladder for Ambulatory Nurses

  • 1.  Clinical Ladder for Ambulatory Nurses

    Posted 06-14-2024 10:26

    Our medical group Ambulatory RN's would like to start a Clinical Ladder. We are associated with a hospital system but are currently not part of the Clinical Ladder which is mostly developed for hospital nurses. Does anyone have an Ambulatory RN Clinical Ladder they have developed that they can share?  Thank you.



    ------------------------------
    Holly Davis RN
    Frederick Health Medical Group
    New Windsor MD
    (301)639-5702
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  • 2.  RE: Clinical Ladder for Ambulatory Nurses

    Posted 06-15-2024 10:19
    Holly,

    I did a webinar for the Leadership SIG several years ago on how we leveraged our shared governance to develop a clinical ladder program for our Ambulatory nurses based on our professional practice model and the Magnet components.

    I’d be happy to share if you’re interested or I believe it may have been recorded and the presentation available on the AAACN website.

    Thanks,
    Sarah

    Sarah Kundrat MSN, RN, NEA-BC
    ACNO & Executive Director, Ambulatory Nursing
    UChicago Medicine

    Sent from my iPhone




  • 3.  RE: Clinical Ladder for Ambulatory Nurses

    Posted 06-24-2024 11:44

    I would love to see what you developed. If you know where to locate it on the AAACN website, please let me know. Or you could send it directly to my work email at HDavis@Frederick.health. Thank you so much.



    ------------------------------
    Holly Davis RN
    Frederick Health Medical Group
    New Windsor MD
    (301)639-5702
    ------------------------------

    Original Message


  • 4.  RE: Clinical Ladder for Ambulatory Nurses

    Posted 06-24-2024 13:01

    Sarah, if you can share I would also like to see it! Thank you!

     




    Original Message


  • 5.  RE: Clinical Ladder for Ambulatory Nurses

    Posted 06-25-2024 08:40

    Good morning,

     

    I've attached a copy of the webinar presentation I gave several years ago, along with a few resources from the program. Happy to answer any questions!

     

    Sarah

     

    Sarah L. Kundrat MSN, RN, NEA-BC

    Associate Chief Nursing Officer

    Executive Director, System Ambulatory Nursing

    UChicago Medicine

    5841 S. Maryland Avenue | Mitchell TN202-C | Chicago, IL | 60637

    Office: 773.702.3917 | Pager: 773.228.4844 (9329) | cell: 815.354.0221

    sarah.kundrat@uchospitals.edu

     

    AT THE FOREFRONT®
    http://www.uchospitals.edu
    http://www.uchicagokidshospital.org
    http://www.facebook.com/UChicagoMed

    Logo + Magnet

     

    I respect boundaries around personal time. I sometimes email outside traditional business hours. Please do not feel obligated to respond outside your own time at work.

     

     




    Original Message


  • 6.  RE: Clinical Ladder for Ambulatory Nurses

    Posted 06-26-2024 09:48
    Thank you so much Sarah.



    Kim J. Scott, MSN, MBA, RN
    Speaker, Coach, Author
    USF & Holy Names University Alumna
    (510)612-4367


    Original Message


  • 7.  RE: Clinical Ladder for Ambulatory Nurses

    Posted 06-26-2024 10:45
    Thank you. 
    Tanya Moore-Murray, MPH, MSN, RNC-OB



    Original Message


  • 8.  RE: Clinical Ladder for Ambulatory Nurses

    Posted 07-08-2024 14:41
      |   view attached

    HI Holly, 

    I work for UCSD and happy to share our standards for reclassification. I can share I went through this process within the organization. Hope this helps ambulatory nurses at Frederick Health Medical Group. 



    ------------------------------
    Magda Angel Cifuentes RN
    UCSD
    San Diego CA
    (619)384-5981
    ------------------------------

    Original Message


  • 9.  RE: Clinical Ladder for Ambulatory Nurses

    Posted 06-20-2024 12:30


    Good afternoon,


    Our clinic is in the hospital system. However, we also have outside clinics that are a part of our system.

    We are all included in the same clinical ladder program.

    Feel free to reach out with any questions.


    Regards,
    Tanya Moore-Murray MPH, MSN, RNC-OB, C-EFM
    Asst. Director of Nursing
    Ambulatory Care
    Jacobi Medical Center
    (718) 918-5447-Office
    (646) 526-2152-Cell



    Visit www.nychealthandhospitals.org

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  • 10.  RE: Clinical Ladder for Ambulatory Nurses

    Posted 06-21-2024 08:17

    Hello,

     

    Our team is also part of a hospital health system. They excluded our team as we are exempt. Any ideas or anything you can share that I could take back to the team would be greatly appreciated!

     

    Ashley Rosa, MSN, BSN, RN

    Manager Ambulatory Care Management

    Bronson Healthcare Group

    Michigan

     



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  • 11.  RE: Clinical Ladder for Ambulatory Nurses

    Posted 06-21-2024 09:06

    What was the reasoning behind the exemption? Does your hospital have Magnet designation?



    ------------------------------
    Lauren Leimbach BSN RN CWCA
    Centrastate Med Ctr
    Morganville NJ
    (732)610-4583
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    Original Message


  • 12.  RE: Clinical Ladder for Ambulatory Nurses

    Posted 06-21-2024 09:23

    Yes we do. It was because our team is exempt and that was the only real reason. They said we can determine a ladder within our own department... honestly this is all new to me as this is the first time Ambulatory is included in Magnet and being pulled into other things. Other Ambulatory teams such as nurse triage is hourly so they are eligible for the ladder program.

     

    Ashley Rosa, MSN, BSN, RN

    Manager Ambulatory Care Management

    Bronson Healthcare Group

     



    This message may contain confidential information protected by law through attorney-client privilege or professional peer review/quality evaluation privilege. It is intended only for the individual or entity named above. It is prohibited for anyone else to disclose copy, distribute, or use the contents of this message. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. You may also contact the Bronson Healthcare Group Privacy Officer at privacyofficer@bronsonhg.org



    Original Message


  • 13.  RE: Clinical Ladder for Ambulatory Nurses

    Posted 06-21-2024 09:22

    We are part of a hospital system as well but our Ambulatory Clinics are included in the clinical ladder called the Professional Portfolio Project.   I moved from the hospital to our Ambulatory Clinic and have completed it with both entities.  There are many process improvement opportunities in the ambulatory clinic and I found  choosing a project in the clinic is far easier and more fulfilling than it ever was in the hospital.  It is a shame they have excluded Ambulatory Care.  It really is a team effort to keep our communities healthy!



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    Diane Grimm, BSN, RN, AMB-BC, PGMT-BC
    Clinic RN, Trauma/General Surgery
    Ascension Medical Group
    Kyle, Texas
    512-504-0877
    ------------------------------



  • 14.  RE: Clinical Ladder for Ambulatory Nurses

    Posted 06-24-2024 08:54

    Our hospital system also includes both the hospital and other outpatient/ambulatory clinics and departments in one clinical ladder program. It focuses on things that are done in all areas of the health system - topics such improvement projects, precepting, team building/recognition, involvement in shared governance and community involvement. We also don't provide additional pay for things like BSN or certification, so the program rolls these in as well by allowing nurses with these qualifications to move higher on the ladder. You can reach out by email if you want more information.

    Carrie Karcz 



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    Carrie Karcz, BSN, RN, AMB-BC
    Ambulatory Care Nurse Educator
    Bellin Health
    Green Bay, WI
    carrie.karcz@bellin.org
    ------------------------------



  • 15.  RE: Clinical Ladder for Ambulatory Nurses

    Posted 06-24-2024 12:30

    We are part of a Magnet hospital system and our nurses in ambulatory advance on the same ladder that the inpatient nurses do. We had to make some recommended changes to the ladder to ensure equity with requirements and has worked well. 



    ------------------------------
    Patricia Hughes DNP RN NE-BC
    Chief Nursing Officer, Ambulatory
    UK HealthCare
    Lexington KY
    (859)323-4413
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