The nurse career structure
The following table outlines the types of duties which may be performed at different levels of nursing classifications.
- Grades 1 - 6
- Grades 7 - 12
Nurse Grade 7 - Clinical Nurse Consultant, Nurse Unit Manager, Nurse Educator, Nurse Researcher, Public Health Nurse, Nurse Practitioner Candidate
A Registered Nurse may be appointed to an advanced practice position as identified below. Specific leadership roles and responsibilities of each of these advanced practice positions may include, but are not limited to the following:
- integrates key objectives from the Strategic Plan (facility/division, clinical service) into service delivery for a clinical unit /departments;
- overall coordinates, formulates and directs policies relating to the provision of nursing care or speciality services which includes integration of patient care across the continuum of care (inpatient and ambulatory care);
- operationalises the strategies (across a facility/division/clinical service) for a work based culture that promotes and supports education, learning, research and workforce development;
- implements education and applies research initiatives at the unit/division/clinical services/facility level;
- integrates the strategic direction and priorities for quality improvement into a clinical service that establishes a quality framework which confirms/supports the direction a nursing service will take; and
- manages change at a local level.
Clinical Nurse Consultant is a Registered Nurse who is accountable at an advanced practice level for the coordination of clinical practice delivered in a clinical specialty
A Nurse Unit Manager is a Registered Nurse who is accountable at an advanced practice level for the coordination of clinical practice and the provision of human and material resources in a specific patient/client area.
Nurse Manager is a Registered Nurse who is accountable at an advanced practice level for the provision of human and material resources either supporting a division or a specific patient/client area or systems or service.
Nurse Educator is a Registered Nurse who is accountable at an advanced practice level for the design, implementation and assessment of nursing education programs, managing educational resources and provides nursing expertise relating to educational issues within a nursing service/division/facility/Health Service District.
Nurse Researcher is a Registered Nurse who is accountable at an advanced practice level for the development, coordination, implementation and evaluation of nursing research projects/programs to ensure clinical practice within the designated area is evidence based.
Public Health Nurse is a Registered Nurse appointed to that position who is accountable at an advanced practice level for surveillance, prevention and control of communicable disease at a population level across multiple Health Service Districts.
Pay Point Level
Nurse Grade 7 – 1 to 3 (Pay point levels relate to years of experience)
Nurse Grade 7 - Nurse Practitioner Candidate
A Nurse Practitioner Candidate is a registered nurse employed in a designated position established by the District and is enrolled in an accredited university program leading to endorsement as a nurse practitioner.
Pay Point Level
Nurse Grade 7 - 1 to 3
Nurse Grade 8 - Nurse Practitioner
A Nurse Practitioner is a Registered Nurse appointed to that position and who has been endorsed to practise as a Nurse Practitioner by the Queensland Nursing Council.
A Nurse Practitioner is educated to function autonomously and collaboratively in an advanced and expanded (or extended) clinical role. The role includes assessment and management of clients using nursing knowledge and skills and may include, but is not limited to:
- the direct referral of clients to other health care professionals;
- prescribing medications; and
- ordering diagnostic investigations.
Pay Point Level
Nurse Grade 8 - 1 to 2 (Pay point levels relate to years of experience)
Nurse Grade 9 - Assistant Director of Nursing, Nursing Director
An Assistant Director of Nursing or Nursing Director is a Registered Nurse who demonstrates clinical and management expertise. The Assistant Director of Nursing or Nursing Director is responsible for the overall planning, coordination, formulation and direction of policies relating to the provision of clinical care, development of partnership models and strategies to support undergraduate and post-graduate education and research in the workplace. In addition, the Assistant Director of Nursing or Nursing Director is responsible for the provision of human and material resources for a clinical division, an assigned number of clinical units, District wide and/or Area Health Service.
Pay Point Level
Nurse Grade 9 Bands 1 to 3 - Band dependant on the size and complexity of facility
Nurse Grade 10 - Director of Nursing
A Director of Nursing is a Registered Nurse who demonstrates expertise in clinical practice and management. The Director of Nursing is responsible for the activities of the nursing service in a facility and contributes to the development of facility policy.
The Director of Nursing is accountable for nursing practice within a facility, leadership of the nursing service, effective coordination of resources and the development of health strategies (in collaboration with others)
Pay Point Level
Nurse Grade 10 Bands 1to 3 – Band dependant on the size and complexity of facility
Nurse Grade 11 - District Director of Nursing
A District Director of Nursing is a Registered Nurse who is a collaborative partner on the District Health Service Executive in the planning of health services and the associated budgetary accountabilities. This position has a District wide responsibility to strategically develop the nursing workforce/service to optimise patient and staff outcomes.
Pay Point Level
Nurse Grade 11 Bands 1 to 4 - Band dependant on the size and complexity of facility
Nurse Grade 12 - Executive Director of Nursing
An Executive Director of Nursing is a Registered Nurse who is an equal and collaborative partner on the District Health Service Executive in the planning of health services and the associated budgetary accountabilities. This position may also have an Area Heath Service responsibility to strategically develop the nursing workforce/service to optimise patient and staff outcomes.
Pay Point Level
Nurse Grade 12

