| •· Assesses/analyses patient care needs and establishes mutual goals with the patient and/or caregiver for a comprehensive plan of care including discharge planning. •· Identifies rehab appropriate diagnosis/patient care problems and interventions making additions/changes to ensure the patient's problems are comprehensively addressed. •· Coordinates the plan of care to include other disciplines as needed and act as a case manager (in absence of nursing) to ensure integration of care is provided. •· Demonstrates teaching skills and continued competence in performing therapeutic interventions for all levels of complexity in patient care. •· Uses critical thinking skills to assess patient's condition and determine appropriate interventions. •· Instructs patients/caregivers of the safety measures appropriate to care and environment and implements standard precautions for all patients. •· Participates in case conferences as appropriate. •· Recognizes changes in a patient's status and reports appropriately. •· Completes documentation within time frames for compliance with all regulatory and agency standards. •· Follows the established policies and procedures for documenting in patient care records, including the use of minimum record standards. •· Recognizes charting deficiencies and variances in implementing of policies and procedures and follow-up appropriately. •· Documents additions/changes to the plan of care to ensure that patients' problems are comprehensively addressed. |