Develops a care plan in collaboration with the patient's physician, the patient, and their family, or the primary caregivers upon admission. Periodically reviews the patient care plan and recertifies the patient care plan as appropriate.
Coordinate the patient's care plan through interdisciplinary communication and case conferences, as appropriate. Advise other disciplines of discharges in a timely manner.
Provide ongoing assessment of the patient's clinical, functional, and emotional status to identify problems and / or progress toward desired goals. Communicate significant changes to the patient's physician and colleagues.
Document evaluations, treatment goals, and objectives.
Teach the patient and caregiver self-care techniques as appropriate. Provide medication, diet, and other instructions as ordered by the physician and utilizes opportunities for health counseling with patients and caregivers.
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Registered Nurse • Columbia, SC, United States
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