Provides comprehensive nursing care for assigned patients under the direction of a physician. Follows established nursing standards, procedures and practices, and gives patient care directions to nursing and other staff. Evaluates outcomes of direct patient care and consults with other specialists as required. Adjusts nursing care processes as indicated to ensure optimal patient care. Arranges for patients' ordered diagnostic and therapeutic services. Monitors and ensures accuracy of recording on patient medical records. Provides preventative health care services to long-term patients and arranges consultations and referrals. Performs physical exams, and may prescribe and recommend treatment and drugs.