This fast-paced unit provides Registered Nurses with exceptional opportunities to develop advanced clinical skills while caring for patients with respiratory and renal disease, cardiac conditions requiring telemetry, and complex medical needs involving blood transfusions, dialysis, multiple drips, drains, catheters, tracheostomies, chest tubes, and feeding tubes. 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.