Formulate a plan of care in collaboration with the client, family, physician, nursingāÆstaffāÆand otherāÆmembersāÆof the health care team which incorporates health care maintenance, teaching, and follow-up care.āÆāÆ. Accurately collect, document, and communicate patient history, examination findings, clinical assessment, and plan of care in the electronic medical record and with the interdisciplinary care team.