Communication techniques and well developed communication skills become an important requirement at this level. The work requires considerable physical exertion. The work environment involves hazards, risks or discomforts typical of working with or around machinery with exposed moving parts, irritant chemicals, heavy equipment or abusive or hostile clientele and patients. Exposure to disagreeable weather conditions and extreme levels of temperature, ventilation, lighting and sound are normal. Protective clothing or gear and specific safety standards or procedures may be required.
Serious injury is possible.
Involves functional leadership responsibility. This level may also involve limited administrative responsibility such as participating in the evaluation of work performance. Differs from the Registered Nurse III class which provides for full supervisory nursing work, serves as a utilization review specialist. Interacts with patients, clients or residents in a therapeutic manner, providing guidance, direction and support to appropriate behavior, activities and life processes. Provides functional supervision to Registered Nurse I's, non-professional and paraprofessional staff.