An LPN/LVN has transferred to a nursing unit and arrives for the first day. The RN checks with the LPN/LVN often throughout the shift to provide support and determine if assistance is needed. The RN is providing which level of supervision?
a. There is no supervision, because at times the LPN/LVN is not with the RN.
b. Periodic inspection is being used. Because the LPN/LVN is licensed, the RN is relieved of the need to evaluate care.
c. Continual supervision is being provided until the RN determines competency.
d. Initial supervision is being provided because this is the LPN/LVN's first day on the unit.
ANS: C
Correct: This level of supervision is required when the working relationship is new, the task is complex, or the delegatee is inexperienced or has not demonstrated an acceptable level of competence.
Incorrect:
a. Supervision is always a required component of delegation.
b. The RN does not know about the training and competencies of the LPN/LVN and has not yet developed a working relationship with this staff member.
d. Initial supervision consists of oversight of a delegated task once a shift; however, this approach should be used when the RN knows the competencies of the LPN/LVN.
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