Performs initial assessment appropriate to the patientâ€™s clinical presentation/diagnosis, care setting, age, development level, and cultural and religious orientation in a timely manner.
Performs completely and accurately including, but not limited to, physical (i.e. assessment for pain, skin breakdown, risk for falls), psychological (i.e. cognitive and communicative skills or development), social status and other patient needs.
Identifies and prioritizes the need for further assessment based on the patientâ€™s clinical presentation/diagnosis, care setting, desire for care and responses to any previous care.
Initiates discharge planning for each patient upon admission as appropriate.
Identifies interventions, for each nursing diagnosis, specific to identified patient needs
Revises and updates the Plan of Care as evidenced by documentation.
Identifies supplies, equipment, and additional personnel necessary to complete a given assignment.
Analyzes data collected, weighs alternatives, and acts appropriately.
Facilitates systems/processes in response to situations that have the potential to negatively impact patient/family outcomes.