Working with the care team — who does what

You are the care team's eyes and ears — you see the client most. Changes you observe flow to your supervisor and the case manager; clinical questions go to the delegating nurse; the care plan is how it all connects.

1. 1Case manager: assesses the client and writes/updates the care plan — report changes in needs to them (through your agency when applicable).
2. 2Delegating nurse (RN): delegates nursing tasks and answers clinical questions about delegated care.
3. 3Your supervisor/agency: your first call for scope questions, scheduling, incidents, and anything unclear.
4. 4Family and the client: partners in care — but task changes still go through the care plan, not side agreements.
5. 5You: deliver the plan, observe, document, and report. What you notice first often drives the plan's next update.

Rule of thumb for 'who do I tell': health change → nurse/supervisor; needs or schedule change → supervisor/case manager; emergency → 911 first, then the chain.