Private duty lpn, rn supervisor??

[Frenchie10]

Hey everyone!

I'm trying to fill out the enrollment application to be a Medicaid provider on ohiohcp.org. I finished it up until page 15 of 17 it's asking me for a rn nursung supervisor. I am only an lpn I have had my license since August. It will not let me finish the application until I write a rn name and license down. Do I find my own rn and can it be any rn? I know of two that said they might but do they need to do anything? I only got 3 days to finish the app and I don't know what to do!

[BuckyBadgerRN, ASN, RN]

With an AGENCY, yes. But when the case is only covered by Medicaid, things are very different.

When an agency is involved, the supervisor isn't physically there all the time and may never work the case. However, the supervisor is always available for clinical questions. The RN supervisor must do an assessment for the 485 since the LPN can't do the initial assessment. The RN can read the LPN notes to keep up with what is going on, on the case. The RN doesn't sign off for the LPN. But the RN may do skills check off to check for competency. If something goes wrong on the case and the LPN calls the RN, you can bet the LPN will document that and if something goes to court you will have to answer for what you instructed the LPN to do. But keep in mind, the LPN is also licensed and will have to answer for their actions too.

[SDALPN]

With an AGENCY, yes. But when the case is only covered by Medicaid, things are very different.

Either way, the LPN must be supervised because no LPN in any state can work independently. If the LPN could work independently, there would be no real need to separate the 2 types of nurses.

[BuckyBadgerRN, ASN, RN]

Right, hence the need for each LPN to list an RN supervisor on their paperwork to be a provider for Medicaid. But there is not an RN in the home supervising their every move

Either way, the LPN must be supervised because no LPN in any state can work independently. If the LPN could work independently, there would be no real need to separate the 2 types of nurses.