- Complete initial assessments and documents as required.- Initiate and update treatment plan and documentation as required.- Implement patient care.- Identify potential patient care problems, abrupt changes or impending instability in the patient’s condition, and exercise leadership to intervene appropriately and prevent adverse patient outcomes.- Identify health education needs of the patient/family that will be addressed before discharge.- Organize patient care activities and interventions according to patient priorities and preferences, needs of the unit, and time constraints.- Implement patient care based on established care plans, Hospital policies and procedures, and unit standards of care, incorporating the patient’s age-specific and cultural needs, as appropriate.- Participate in the Performance Improvement program on an ongoing basis.- Carry out leadership function in patient care, staff operations, and department organization.- Participate in projects, tasks and continuing education opportunities to improve professional skills and unit/department systems.

• Completes initial assessment of patient and family to determine home care needs. • Provides a complete physical assessment and history of current and previous illness(es). • Regularly re-evaluates patient nursing needs.• Initiates the plan of care and makes necessary revisions as patient status and needs change. • Uses health assessment data to determine nursing diagnoses. • Develops a care plan, which establishes goals based on the nursing diagnoses and incorporates therapeutic, preventative, and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician.• Counsels the patient and family in meeting nursing and related needs. • Provides health care instructions to the patient as appropriate per assessment and plan of care. • Identifies discharge planning needs as part of the care plan development and implements prior to discharge of the patient. • Acts as Case Manager when assigned by the Clinical Supervisor and assumes responsibilities to coordinate care for assigned caseload. • Communicates with community health related persons to coordinate the care plan.

• Provided accurate assessment of the patient, while utilizing evidence-based practice to ensure patient safety and positive patient outcomes.• Managed pharmaceutics doses and ventilator support of the critically ill patient.• Assessed physical and emotional needs of patients and implemented treatment.• Worked collaboratively with an interdisciplinary team of physicians, respiratory therapists, andother registered nurses to provide excellent patient care.