Uses the nursing process to assess the needs of the patient, plan, and implement interventions and evaluate the effectiveness of the plan of care. Involves the patient and family in planning and implementing care.

Develops and maintains a therapeutic relationship throughout the healthcare continuum.

Mobilizes appropriate resources in response to situations that have the potential to negatively impact patient and family outcomes.

Analyzes challenging situations and intervenes as appropriate to optimize patient outcomes. Implements strategies to reduce patient risk and increase patient safety.

Assesses patient and family readiness to learn, and individualizes the approach as necessary. Works collaboratively to develop strategies to meet the learning needs of the patient and family.

Initiates referrals and discharge planning, actively coordinates the plan utilizing the interdisciplinary approach.