PennStudent 34 Posts Specializes in LTC. May 8, 2010 I think it really depends on the LTC. At my facility, the RN's are supervisors. So I as the LPN do the meds, treatments, charting, etc for my group of Residents. If I have a fall, the RN does her assessment to make sure there's no serious injury and then I do the incident report and turn it into her. If I have to send someone out I do all the paperwork but the RN usually calls the doc. Admissions are usually entered by the secretary, assessment done by me, and the RN double-checks everything. Issues that are called to docs go through the RN first. On eves and night there is one RN to supervise the whole facility so I try to solve as much as I can on my unit before calling the supervisor.