Follows through the plan of care as developed to: provide appropriate instruction to patient/caregiver about health care, disease management and adjustment to illness; direct and supervise the care and services of LPN and HHA in the home setting; perform treatments; instruct patients/families in self care activities and home safety; and competently perform skills/tasks per plan of care. Performs skilled procedures to include injections, dressings, catheter insertion and care, colostomy and trachiotomy, central line IVcareand blood draws.