LPN Supervision Competency Tool

LPN Supervision Competency Tool
A one-visit field supervision and competency validation tool for the home care Licensed Practical Nurse, used by the RN supervisor during a joint or observed visit. Yes/No/N/A checklist sections cover pre-visit preparation (record review, patient confirmation call, supplies and education materials), visit activities (monitoring patient and family needs, discipline-specific assessment, care toward agreed-upon goals, individualized interventions, reporting outcomes to the RN case manager, safe and effective practice, age-appropriate care, ID badge and dress code), infection control (asepsis, hand hygiene, bag technique, equipment care, disposal of soiled materials), health teaching, guidance, and counseling, collaboration and communication with the care team, treatments and interventions, and case management surveillance. Includes employee name, visit date, patient record and primary diagnosis fields, a reason-for-supervision selector (orientation, 30-day post-orientation, quarterly, annual, performance improvement), supervisor and employee comment blocks with signature and date lines, and the standard disclaimer. A branded, editable Word form ready to customize with your agency name.