This unit offers Registered Nurses the opportunity to develop and refine advanced clinical skills in areas such as cardiac care with telemetry monitoring, diabetes management, renal disease and dialysis, pulmonary conditions, and the management of patients with multiple drips, drains, and catheters. RN Level IV: Minimum 1 year experience in the specialty hired into; BS in Nursing required; expanded leadership role (charge, preceptor, mentor); completion of Clinical Ladder requirements within 12 months, including 5 activities per pillar, 15 CEUs, and 20 flex items.