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Question
Can a medical assistant or non-nurse supervise a licensed practical nurse or can a licensed practical nurse supervise a registered nurse?
Answer

Most health care facilities or employers include an organizational structure that defines a person's manager or supervisor. A non-nurse may be a “supervisor” of a licensed practical nurse. A licensed practical nurse may be a “supervisor” of a registered nurse in an organizational structure related to human resource and administrative functions. This is different than the definition of “supervision” of a nursing activity. The nursing rules define “supervision” as, “The provision of guidance and evaluation for the accomplishment of a nursing task or activity with the initial direction of the task or activity; periodic inspection of the actual act of accomplishing the task or activity; and the authority to require corrective action.” A registered nurse practices independently and does not require supervision or evaluation of nursing care. Only a registered nurse or advanced registered nurse practitioner may supervise and evaluate the practice of nursing provided by a licensed practical nurse. It is beyond the scope of a licensed practical nurse to independently perform training, performance appraisals, or competency validation related to nursing practice of the registered nurse or advanced registered nurse practitioner. A licensed practical nurse may assist in providing training, performing appraisals, or competency validation related to nursing practice within the scope of the licensed practical nurse and under the direction of the registered nurse or advanced registered nurse practitioner.

FAQ Category
General Scope of Practice