RN Career Advancement Levels - Nursing at Strong Memorial Hospital (2024)

Level 1 Novice Nurse

The Level I Registered Nurse, under the direction of the Nurse Manager, is accountable for provision of direct care to assigned patients. The Level I Registered Nurse contributes to unit activities and supports enhancement of the care delivery system at the unit level. The Level I Registered Nurse supports peers in the delivery of patient care services.

Level 2 Proficient Nurse

The Level II Registered Nurse, under the direction of the Nurse Manager, is accountable for provision of competent patient care based on established standards. The Level II Registered Nurse assumes an expanded role, which may include charge nurse, preceptor, and committee member responsibilities.

Level 3 Expert Nurse

The Level III Registered Nurse is accountable for the provision of expert patient care including service to patients with complex needs. The level III nurse has increased responsibilities that may include staff orientation, patient care coordination, or other unit/service activities. The level III nurse participates in formal and informal educational activities that support evidenced based care and outcomes.

Senior Level 3 Mentor Nurse

The Senior Level III Mentor Nurse is accountable for the provision of expert patient care, including service to patients with complex needs. The Senior Level III serves as a unit staff mentor and has increased responsibilities that may include staff orientation, patient care coordination and or other unit/service/nursing practice activities. The Senior Level III nurse identifies learning needs of others and patient safety issues, and develops an appropriate plan of action based on best practices.

Level 4 Assistant Nurse Manager/Clinical Resource Nurse

The Assistant Nurse Manager/Clinical Resource Nurse is accountable for supporting standards of care and providing consultation and expertise in the delivery of patient care. The Assistant Nurse Manager/Clinical Resource Nurse is involved in activities at the service, nursing practice and institutional level, and contributes to goal achievement through personal action and the facilitation of others. He/she participates in community and professional organizations, demonstrating commitment to the promotion of nursing’s visibility and future. The Assistant Nurse Manager/Clinical Resource Nurse provides expert patient care, serves as a resource, consults as requested, and communicates effectively within the unit and service. He/she also participates in the management of human resources, the development and evaluation of recruitment and retention strategies, and the monitoring of patient outcomes. The focus of the Assistant Nurse Manager/Clinical Resource Nurse’s responsibilities reflects the expectations for appointment at unit, program, or service level.

All positions require a Diploma, Associate or Bachelor’s degree from an accredited Nursing Program and an active New York State RN license in good standing.

RN Career Advancement Levels - Nursing at Strong Memorial Hospital (2024)

FAQs

How many levels are there in RN? ›

There are five levels of nursing: Certified Nursing Assistant (CNA), Licensed Practical Nurse (LPN), Registered Nurse (RN), Advanced Practice Registered Nurse (APRN), and Doctor of Nursing Practice (DNP). Each level has different requirements, educational qualifications, and salary rates.

What is the advancement of a RN? ›

RNs who have completed graduate programs either at the master's degree or doctorate level qualify at the top of nursing clinical practice. These are the advanced practice registered nurses (APRNs). There are four direct patient care roles that an APRN can assume, with a wide variety of specialties beyond that.

What are the levels of nursing from lowest to highest? ›

Levels of Nursing Explained
  1. Certified Nursing Assistant. ...
  2. Licensed Practical Nurse. ...
  3. Registered Nurse. ...
  4. Advanced Practice Registered Nurse. ...
  5. Master of Science in Nursing. ...
  6. Doctor of Nursing Practice. ...
  7. Nurse Managers and Executives.
Feb 12, 2021

What is level 3 rn? ›

The Level III Registered Nurse is accountable for the provision of expert patient care including service to patients with complex needs. The level III nurse has increased responsibilities that may include staff orientation, patient care coordination, or other unit/service activities.

What are the 5 levels of nurses? ›

5 Main levels of nursing practice
  • Nursing assistant (CNA) Nursing assistants also go by the title of nursing aides or CNAs (Certified Nursing Assistants). ...
  • Licensed practical nurse (LPN) ...
  • Registered nurse (RN) ...
  • Advanced practice registered nurses (APRNs) ...
  • Nursing leadership careers.
May 17, 2023

What is the highest level RN? ›

What is the highest level of nursing? The highest level of nursing education is the doctoral level. Positions that require doctoral nursing degrees include certain types of advanced practice registered nurses (APRNs), as well as leadership positions such as chief nursing officer or director of nursing.

Can you move up as a RN? ›

Increase Your Nursing Knowledge and Skill Set

Nurses have many options to explore to expand their knowledge and skills. These include obtaining an advanced degree, such as a Master of Science in Nursing (MSN), a Doctor of Nursing Practice (DNP), or a Doctor of Philosophy (PhD).

How do you move up as a nurse? ›

A master's degree also opens you up to specialty roles, for example, clinical nurse leader, nurse midwife, nurse administrator or nurse informaticist. A doctorate degree in nursing creates opportunities in education and research, and it allows you to grow in your area of specialization.

What rank is after RN? ›

Frequently Asked Questions about the Nursing Hierarchy

The different levels of nurses are certified nursing assistants (CNA), licensed practical nurses (LPN), registered nurses (RN), charge nurses (RN), advanced practice registered nurses (APRN), nursing directors or administrators, and chief nursing officers (CNO).

What is the hardest level in nursing? ›

Pharmacology. It shouldn't come as a surprise that many nursing students rank pharmacology as the most challenging course in their program. In all honesty, just the name of the course suggests that it will be difficult, and it is.

What is the chain of command in nursing hospitals? ›

The nursing chain of command is a structured hierarchy that outlines the authority, communication channels, and responsibilities within a healthcare organization's nursing staff. Medical facilities require a clear structure for efficient decision-making and quality patient care.

What is the chain of command in a hospital setting? ›

A chain of command is a formal, structured communication technique used to resolve patient safety issues. Through this process, care team members can escalate a concern through leadership levels until a resolution is reached.

What is level 4 nurse? ›

More Definitions of Registered Nurse Level 4'

Registered Nurse Level 4' means a Registered Nurse in their fourth year of service, who meets the requirements of a Registered Nurse Level 3, and has completed 960 hours with a minimum of twelve (12) months clinical experience at the Registered Nurse Level 3.

What is a RN2 nurse? ›

The Registered Nurse 2 provides direct or indirect professional nursing care to patients having physical and/or mental disorders. DISTINGUISHING FEATURES. This is the second of a two level series.

What is a nurse 4? ›

GENERAL DESCRIPTION. Performs advanced (senior-level) nursing work. Work involves planning, developing, coordinating, and evaluating nursing activities and providing for the care and treatment of patients.

What is the difference between RN1 and RN2? ›

RN1: Under supervision, provides professional nursing care in accordance with nurse protocols, policies and/or procedures. RN2: Under general supervision, provides professional nursing care in accordance with nurse protocols, policies and/or procedures.

Is a BSN higher than an RN? ›

Any registered nurse with or without a BSN has passed the National Council Licensure Examination (NCLEX) exam and obtained nursing licensure. The distinguishing difference between a BSN nurse and an RN is that BSNs hold a bachelor's degree in nursing while RNs have an associate degree.

What does RN level mean? ›

Registered Nurses (RNs)

These can be attained through a college-university program or a 4-year university degree program. An RN's education and training are significantly longer and more comprehensive than that of an RPN or LPN.

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