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- Assesses, utilizing age specific data, the patients physical, psychosocial, and spiritual status in a comprehensive manner.
- Performs initial assessment and completes required documentation within organizational standards.
- Performs and documents ongoing assessments including observation, physical examination, laboratory/test results, and patient response to procedural intervention.
- Participates in the identification and clarification of patient needs, as evidenced by participation in multidisciplinary care planning, to achieve optimal patient outcomes.
- Reviews and revises plan of care according to change in patients status.
- Assists other staff in the delivery of patient care, as appropriate.
- Incorporates patient teaching/discharge planning to promote optimal patient outcomes.
- Coordinates and documents appropriate discharge planning and referrals to ensure continuity of care after discharge.