Identifies expected outcomes and develops a plan that prescribes strategies which address health promotion and restoration, health maintenance, or health related problems or issues and alternatives to attain expected outcomes Involves patient, family and healthcare team members in formulating a culturally appropriate individualized plan of care and identifies expected outcomes based on nursing assessment and diagnosis. Implements the identified plan and coordinates care delivery Implements the plan of care in partnership with the patient, family and healthcare team members in a timely manner utilizing evidence-based interventions and treatments specific to the needs of the patient.