This is the safe, effective, and appropriate disposition of health-related problems and includes: assessing the severity of symptoms, communicating urgent patient needs to the LIP, referral to appropriate setting or level of care, documenting interventions and an individualized plan of care using an EMR, education of patients and families on their disease process and interventions to promote health and well-being, preliminary interpretation of data, providing home health advice and follow-up, ability to make triage decisions quickly and calmly in emergency situations, and assuring continuity of care. These roles based in ambulatory clinics, and Staff Nurses work includes on-site work schedules, interacting with patients in-person and on-line, frequent collaborative work with providers including MD's, PA's, NP's to ensure the best and most appropriate care is delivered.