Monitor residents for developments of acute changes of condition including, but not limited to, confusion, fever, difficulty breathing, increased pain, difficulty with urination, loss of appetite, constipation, diarrhea, vision or hearing loss, general malaise or decreased range of motion (ROM); conduct assessments and notify the provider as needed. Maintain documentation of all nursing care and services provided to the residents; use nurses’ notes, flow sheets and electronic medical records according to facility protocol.