Beebe HealthcareNewADVANCED PRACTICE CLINICIAN - COMMUNITY OUTREACH-POPULATION HEALTH NURSE PRACTITIONER Beebe HealthcareADVANCED PRACTICE CLINICIAN - COMMUNITY OUTREACH-POPULATION HEALTH NURSE PRACTITIONERDelaware, OHThe Community Outreach Population Health Nurse Practitioner (NP) will provide primary health care and behavioral health services as a member of a healthcare team comprised of Behavioral Health and Community Outreach RNs, Peers, Community Health Workers, and drivers. Provides primary care directly on a mobile health clinic, emphasizing accessibility, health promotion, illness prevention and continuity of care to patients presenting with both minor and complex health issues.
Interim HealthCarePRN RN Case Manager Interim HealthCarePRN RN Case ManagerColumbus, OHTo qualify as a Registered Nurse Case Manager (RNCM) with us, you will need: Licensure: Current unrestricted license to practice as a Registered Nurse (RN) in the state associated with this position . We take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace.
Mount Carmel Rehabilitation Hospital, an affiliate of Encompass HealthNewRegistered Nurse Mount Carmel Rehabilitation Hospital, an affiliate of Encompass HealthRegistered NurseGrandview Heights, OHOur achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing. Supervise care and treatments, lead patient assessments, tailor care plans, and address patient concerns to provide exceptional care.
Pinnacle Treatment CentersRN Pinnacle Treatment CentersRNColumbus, OHCounsel’s patients regarding personal hygiene, abnormal lab results, HIV/AIDS testing, and all medical matters including changes in treatment. · Document and summarize individual nursing care for each patient and communicate changes, progress, and/or immediate medical care needs to the provider for follow-up consultation.
SevitaNewLicensed Practical/Vocational Nurse-London SevitaLicensed Practical/Vocational Nurse-LondonLondon, OHAccurately documents nursing actions of all care given and communicates with family, case manager, and physicians as well as documents the progress and outcomes for established goals and informs physician, case manager, and families of changes in client's medical condition and needs. Ensures infection control policies are maintained at all times, reports possible communicable diseases or infections, and ensures the overall implementation and practice of infection control procedures are implemented.
Trilogy Health Services - TravelNewRN Travel Nurse (Registered Nurse) Trilogy Health Services - TravelRN Travel Nurse (Registered Nurse)Columbus, OH$45–$50GET IN TOUCH: Bryce (502) 771-8090 APPLY NOW: Since our founding in 1997, Trilogy has been dedicated to making long-term care better for our residents and more rewarding for our team members. Visit residents on assigned unit daily to observe and evaluate each resident's physical and emotional status and notify the charge nurse, the physician, and/or the Director of Nursing when there is a change in a resident's condition.
Wallick CommunitiesLPN FT 7pm-7am Wallick CommunitiesLPN FT 7pm-7amHilliard, OHA Unique Approach to Senior Living: Our associates power Wallick’s approach to senior living that goes beyond care to ensure our residents live their best lives through meaningful activities, delicious meals and round-the-clock support. At Wallick, we celebrate Diversity, Equity, Inclusion + Belonging (DEI+B) in our workplace and communities, creating an environment where associates feel welcome, respected, and empowered to bring their authentic selves to the great work they do every day.
Interim HealthCareNewRN Case Manager Interim HealthCareRN Case ManagerColumbus, OHTo qualify as a Registered Nurse Case Manager (RNCM) with us, you will need: Licensure: Current unrestricted license to practice as a Registered Nurse (RN) in the state associated with this position . We take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace.
Wallick CommunitiesFull-Time Licensed Practical Nurse Wallick CommunitiesFull-Time Licensed Practical NurseHilliard, OHA Unique Approach to Senior Living: Our associates power Wallick’s approach to senior living that goes beyond care to ensure our residents live their best lives through meaningful activities, delicious meals and round-the-clock support. At Wallick, we celebrate Diversity, Equity, Inclusion + Belonging (DEI+B) in our workplace and communities, creating an environment where associates feel welcome, respected, and empowered to bring their authentic selves to the great work they do every day.
SevitaNewNursing _ Licensed Practical/Vocational Nurse, Mobile MI_2890 SevitaNursing _ Licensed Practical/Vocational Nurse, Mobile MI_2890Columbus, OHAccurately documents nursing actions of all care given and communicates with family, case manager, and physicians as well as documents the progress and outcomes for established goals and informs physician, case manager, and families of changes in client's medical condition and needs. Ensures infection control policies are maintained at all times, reports possible communicable diseases or infections, and ensures the overall implementation and practice of infection control procedures are implemented.
OhioHealthStaff RN 3A-3P, Emergency Department-Riverside Methodist Hospital OhioHealthStaff RN 3A-3P, Emergency Department-Riverside Methodist HospitalColumbus, OHImplementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%). Associate's Degree (Required)BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of NursingAdditional Job Description:
OhioHealthNewEndoscopy Staff RN w/call OhioHealthEndoscopy Staff RN w/callColumbus, OHImplementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%). Bachelor's Degree (Required)BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of NursingAdditional Job Description:
OhioHealthNewStaff RN - Neuro Epilepsy Monitoring Unit OhioHealthStaff RN - Neuro Epilepsy Monitoring UnitColumbus, OHImplementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%). Outcomes Identification/Planning - Based on nursing diagnoses and collaborative problems, documents planned nursing interventions to achieve outcomes appropriate to patient needs (30%).
OhioHealthStaff RN - Med Surg Trauma OhioHealthStaff RN - Med Surg TraumaColumbus, OHImplementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%). Outcomes Identification/Planning - Based on nursing diagnoses and collaborative problems, documents planned nursing interventions to achieve outcomes appropriate to patient needs (30%).
OhioHealthNewStaff RN - Surgical Oncology (Nights) Riverside Methodist OhioHealthStaff RN - Surgical Oncology (Nights) Riverside MethodistColumbus, OHPatient centered care through adoption of Collaborative Care Model, a team-based approach including Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Patient Support Assistants (PSAs) within a care team. Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%).
OhioHealthStaff RN 7A-7P Emergency Department-Grant Medical Center OhioHealthStaff RN 7A-7P Emergency Department-Grant Medical CenterColumbus, OHImplementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%). Associate's Degree (Required)BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of NursingAdditional Job Description:
OhioHealthNewStaff RN - Cardiovascular Unit (Nights) OhioHealthStaff RN - Cardiovascular Unit (Nights)Columbus, OHImplementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%). Outcomes Identification/Planning - Based on nursing diagnoses and collaborative problems, documents planned nursing interventions to achieve outcomes appropriate to patient needs (30%).
OhioHealthStaff RN - Cardiac Intermediate, Grant, Nights OhioHealthStaff RN - Cardiac Intermediate, Grant, NightsColumbus, OHImplementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%). Associate's Degree (Required)BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of NursingAdditional Job Description:
OhioHealthStaff RN - Cardiology Specialty Unit OhioHealthStaff RN - Cardiology Specialty UnitColumbus, OHImplementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%). Cardiac Specialty/ Cardiac Specialty Intermediate is specialized in taking care of a variety of cardiovascular diseases which includes: Peripheral Vascular: Angiogram, Thrombectomy.
OhioHealthNewStaff RN - Med Surg Ortho 1- Nights OhioHealthStaff RN - Med Surg Ortho 1- NightsColumbus, OHImplementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%). Associate's Degree (Required)BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of NursingAdditional Job Description:
OhioHealthStaff RN - Cardiac Intermediate, Grant OhioHealthStaff RN - Cardiac Intermediate, GrantColumbus, OHImplementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%). Outcomes Identification/Planning - Based on nursing diagnoses and collaborative problems, documents planned nursing interventions to achieve outcomes appropriate to patient needs (30%).
OhioHealthStaff RN - Medical Surgical/Intermediate Oncology OhioHealthStaff RN - Medical Surgical/Intermediate OncologyColumbus, OHImplementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%). Outcomes Identification/Planning - Based on nursing diagnoses and collaborative problems, documents planned nursing interventions to achieve outcomes appropriate to patient needs (30%).
OhioHealthPACU Staff RN, Casual OhioHealthPACU Staff RN, CasualColumbus, OHImplementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%). Diploma: Nursing (Required)BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of NursingAdditional Job Description:
OhioHealthNewStaff RN - Medical Surgical Ortho OhioHealthStaff RN - Medical Surgical OrthoColumbus, OHImplementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%). Outcomes Identification/Planning - Based on nursing diagnoses and collaborative problems, documents planned nursing interventions to achieve outcomes appropriate to patient needs (30%).
OhioHealthNewStaff RN - Surgical Short Stay Unit 1 OhioHealthStaff RN - Surgical Short Stay Unit 1Columbus, OHImplementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%). Outcomes Identification/Planning - Based on nursing diagnoses and collaborative problems, documents planned nursing interventions to achieve outcomes appropriate to patient needs (30%).
OhioHealthNewStaff RN - Med Surg/Oncology/Palliative/Hospice- Nights OhioHealthStaff RN - Med Surg/Oncology/Palliative/Hospice- NightsColumbus, OHImplementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%). Associate's Degree (Required)BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of NursingAdditional Job Description:
OhioHealthStaff RN - Observation Unit 1 OhioHealthStaff RN - Observation Unit 1Columbus, OHImplementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%). Medical Observation Unit: This position provides general nursing care to patients and families along the health illness continuum in diverse health care settings while collaborating with the health care team.
OhioHealthStaff RN - Cardiac Intermediate, Grant, Part time, Nights OhioHealthStaff RN - Cardiac Intermediate, Grant, Part time, NightsColumbus, OHImplementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%). Outcomes Identification/Planning - Based on nursing diagnoses and collaborative problems, documents planned nursing interventions to achieve outcomes appropriate to patient needs (30%).
OhioHealthNewStaff RN -Medical Unit 2 (Nights) OhioHealthStaff RN -Medical Unit 2 (Nights)Columbus, OHImplementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%). Outcomes Identification/Planning - Based on nursing diagnoses and collaborative problems, documents planned nursing interventions to achieve outcomes appropriate to patient needs (30%).
OhioHealthStaff RN, Part-time, 7P-7A, Emergency Department-Pickerington Methodist Hospital OhioHealthStaff RN, Part-time, 7P-7A, Emergency Department-Pickerington Methodist HospitalPickerington, OHImplementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%). Associate's Degree (Required)BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of NursingAdditional Job Description:
OhioHealthStaff RN - Med Surg Oncology, Part-time OhioHealthStaff RN - Med Surg Oncology, Part-timeColumbus, OHThe RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive personnel (UAPs) using the criteria written in the Ohio Nurse Practice Act. Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%).
OhioHealthStaff RN - Medical Unit 1 OhioHealthStaff RN - Medical Unit 1Columbus, OHThe RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive personnel (UAPs) using the criteria written in the Ohio Nurse Practice Act. Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%).
OhioHealthStaff RN, Neuro Interventional Radiology OhioHealthStaff RN, Neuro Interventional RadiologyColumbus, OHThe RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive personnel (UAPs) using the criteria written in the Ohio Nurse Practice Act. Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%).
OhioHealthStaff RN - Multispecialty Hybrid Unit (Nights) OhioHealthStaff RN - Multispecialty Hybrid Unit (Nights)Columbus, OHThe RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive personnel (UAPs) using the criteria written in the Ohio Nurse Practice Act. Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%).
OhioHealthStaff RN - Medical/Surgical/Traum-Surgical Unit 3 OhioHealthStaff RN - Medical/Surgical/Traum-Surgical Unit 3Columbus, OHImplementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%). Associate's Degree (Required)BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of NursingAdditional Job Description:
OhioHealthStaff RN, 7P-7A Emergency Department-Lewis Center OhioHealthStaff RN, 7P-7A Emergency Department-Lewis CenterDelaware, OHThe RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive personnel (UAPs) using the criteria written in the Ohio Nurse Practice Act. Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%).
OhioHealthStaff RN - Med Surg Oncology, Part-time, Days OhioHealthStaff RN - Med Surg Oncology, Part-time, DaysColumbus, OHThe RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive personnel (UAPs) using the criteria written in the Ohio Nurse Practice Act. Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%).
OhioHealthExperienced OR Staff RN w/call OhioHealthExperienced OR Staff RN w/callColumbus, OHThe RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive personnel (UAPs) using the criteria written in the Ohio Nurse Practice Act. Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%).
OhioHealthStaff RN - Medical Surgical, nights, Doctors OhioHealthStaff RN - Medical Surgical, nights, DoctorsColumbus, OHThe RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive personnel (UAPs) using the criteria written in the Ohio Nurse Practice Act. Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%).
OhioHealthStaff RN - Med Surg Trauma, Nights OhioHealthStaff RN - Med Surg Trauma, NightsColumbus, OHThe RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive personnel (UAPs) using the criteria written in the Ohio Nurse Practice Act. Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%).
OhioHealthStaff RN 7P-7A, Freestanding Emergency Department-Hilliard OhioHealthStaff RN 7P-7A, Freestanding Emergency Department-HilliardHilliard, OHThe RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive personnel (UAPs) using the criteria written in the Ohio Nurse Practice Act. Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%).
OhioHealthNewStaff RN - Medical Unit 6 (Nights) OhioHealthStaff RN - Medical Unit 6 (Nights)Columbus, OHThe RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive personnel (UAPs) using the criteria written in the Ohio Nurse Practice Act. Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%).
OhioHealthStaff RN - Labor and Delivery (24hr/wk, night) OhioHealthStaff RN - Labor and Delivery (24hr/wk, night)Dublin, OHThe RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive personnel (UAPs) using the criteria written in the Ohio Nurse Practice Act. Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%).
OhioHealthStaff RN - Med Surg, nights, Doctors Hospital OhioHealthStaff RN - Med Surg, nights, Doctors HospitalColumbus, OHThe RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive personnel (UAPs) using the criteria written in the Ohio Nurse Practice Act. Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%).
OhioHealthStaff RN - Open Heart Recovery, Grant Critical Care, nights OhioHealthStaff RN - Open Heart Recovery, Grant Critical Care, nightsColumbus, OHThe RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive personnel (UAPs) using the criteria written in the Ohio Nurse Practice Act. Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%).
OhioHealthStaff RN - Med Surg Oncology, Part-time, Nights OhioHealthStaff RN - Med Surg Oncology, Part-time, NightsColumbus, OHThe RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive personnel (UAPs) using the criteria written in the Ohio Nurse Practice Act. Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%).
OhioHealthStaff RN - Observation, Nights OhioHealthStaff RN - Observation, NightsDublin, OHThe RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive personnel (UAPs) using the criteria written in the Ohio Nurse Practice Act. Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%).
OhioHealthStaff RN - Med Surg, days, Grant Medical Center OhioHealthStaff RN - Med Surg, days, Grant Medical CenterColumbus, OHThe RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive personnel (UAPs) using the criteria written in the Ohio Nurse Practice Act. Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%).
OhioHealthStaff RN, 11A-11P, Freestanding Emergency Department-Hilliard OhioHealthStaff RN, 11A-11P, Freestanding Emergency Department-HilliardHilliard, OHThe RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive personnel (UAPs) using the criteria written in the Ohio Nurse Practice Act. Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%).
OhioHealthStaff RN - Med Surg, Part-time, Nights OhioHealthStaff RN - Med Surg, Part-time, NightsColumbus, OHThe RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive personnel (UAPs) using the criteria written in the Ohio Nurse Practice Act. Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%).