Job requires the ability to add, subtract, multiply and divide with all units of measure including decimal fractions, compute ratio, rate and percent, draw bar graphs, perform basic arithmetic operations involving American monetary units. Job involves carrying of documents, medical records, books, occasionally small equipment and medical procedures based on clinical specialties of the APRN, i.e. endoscopic care, intravenous and medication delivery systems, specialty authorizations, wound ostomy and fistula management.