The role of the Pediatric Cerebral Palsy/Spina Bifida (CPSB) RN is to focus on care coordination for patients and families across the continuum of care. The RN serves as the central point of contact for patients/families and the CPSB multidisciplinary team which includes providers from physical medicine and rehabilitation, orthopedics, urology, neurology, neurosurgery, social work, nutrition, PT and OT. The RN will see patients in clinic and complete an assessment, review the patient care plan and goals, provide patient education and review any outside medical records. The RN communicates and updates the care team on significant findings and/or family concerns/goals of care. The nurse arranges and plans for clinic appointments and assures the appropriate lab work, x-rays, procedures and consultations are scheduled and coordinated for follow up. The RN implements treatment plans, triages phone calls, and facilitates communication across providers, settings, and caregivers. The RN provides emotional support and educational needs of patients and families. They also provide needed resources for transitional care to home, school, and the primary care physician. RN serves as a liaison with other Mayo sub-specialty providers, as well as local health facilities and primary providers for maintaining continuity of care. It is essential that the nurse enjoys working with patients and families in complex medical and social situations and possess excellent communication and critical thinking skills.The registered nurse (RN) is accountable for the coordination of nursing care, including direct patient care, patient/family education and transitions of care. The RN supports professional nursing practice across practice settings and across the continuum of care to meet the needs of the patient and family. The RN will function within the Mayo Clinic Nursing Professional Practice Model, which includes accountability for planning, implementing, evaluating and communicating all phases of nursing care for assigned patients. The ANA Nursing: Scope and Standards of Practice provide a basis for the practice of the RN. The RN provides leadership through activities such as preceptor role, informal leadership roles, and quality improvement efforts. The RN delegates patient care according to skill level, experience, patient acuity, fiscal accountability, and adequacy of resources. The RN possesses excellent communication skills; is skillful in mentoring and teaching; and may participate on committees or projects.