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The RN is responsible and accountable for the overall health status of the residents, including: assessment, evaluating changes in resident's condition and reporting changes to the physician and family, plan of care, and the RN's role in the discharge process. The RN may delegate selected nursing activities to other health care workers, but retains accountability and responsibility for the overall nursing care. Supervising staff along with the continuous evaluation of resident care needs and implementation of plan of care by direct care or supervision of the LPN, CNA or Ward Secretary.