Clinical Career Ladder
The Clinical Career Ladder (CCL) was initiated at UVA Health System in 1988 and is based on Benner’s From Novice to Expert.  The PNSO CCL behaviors integrate the ANA 2015 Nursing: Scope and Standards of Practice, Third Edition and the ANA Code of Ethics for Nurses with Interpretive Statements (ANA, 2015), and the UVA Nursing Professional Practice Model.
The Ladder was developed to promote individual growth as a professional nurse according to personal goals and stage of demonstrated nursing practice. Each level of the ladder is associated with behaviors that represent increasing expertise, responsibility, and authority. Those wishing to advance on the Clinical Career Ladder must demonstrate to a panel of their peers that they consistently perform next-level role behaviors through a portfolio and interview process.