Operating Room Nurse

 Uses evidence-based assessment techniques and instruments in collecting data and validates the diagnosis or issue with the patient, family and healthcare team members as appropriate.

 Prioritizes the data and information collected based on patient's immediate condition or anticipated needs and identifies potential risks or barriers to the patient's health or safety.

 Documents the data and information collected in compliance with established guidelines and reflective of the needs of the patient.

• Planning and Outcomes Identification: Identifies expected outcomes and develops a plan that address health promotion, health restoration and health maintenance to attain expected outcomes.
  
  

 Involves patient, family and healthcare team members in formulating a culturally appropriate individualized plan of care.

 Applies evidence-based nursing practices in developing the individualized plan of care to attain expected outcomes and continuity of care.

 Modifies the individualized plan of care according to the ongoing assessment and reevaluation of the patient's response, status, and outcome indicators.