Performs assessments appropriate to functional status, diagnosis, care setting, age, development level, and cultural and religious orientation in a timely manner.

Identifies and prioritizes the need for further assessment based on the patient’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.

Evaluates and documents the patient’s response to the Plan of Care and to interventions.

 

Revises and updates the Plan of Care as evidenced by documentation.