Section 172-99-007 - STANDARDS FOR SUPERVISIONRegistered nurses, licensed practical nurses, and licensed practitioners all provide some degree of supervision in the provision and management of nursing care.
007.01REGISTERED NURSES. Registered nurses can provide supervision to the following: (A) Licensed practical nurses;(B) Care teams which may include other licensed health care professionals; and007.02DIRECT VERSUS INDIRECT SUPERVISION. The method and degree of supervision may vary based upon consumer condition, the interventions to be applied, and the qualification and competency of the person providing the interventions. 007.02(A)DIRECT SUPERVISION. Appropriate circumstances for direct supervision are when consumer conditions and responses to interventions are not stable or predictable, and when the consumer is not competent to make informed decisions or provide necessary information thereby requiring frequent assessment by a registered nurse or licensed practitioner.(i) Licensed practical nurses must provide direction to unlicensed persons only through direct supervision.007.02(B)INDIRECT SUPERVISION. If protocols are used to provide direction to a licensed practical nurse, indirect supervision by a registered nurse or licensed practitioner is required. This must include: (i) Periodic inspection and evaluation, the frequency of which must be determined by a registered nurse or licensed practitioner; and (ii) Availability of a registered nurse or licensed practitioner, or appropriate substitute, to a licensed practical nurse by telecommunication for consultation and collaboration.172 Neb. Admin. Code, ch. 99, § 007
Amended effective 10/5/2020