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SUPERVISORY VISIT RECORD Patient MR Record Aide(s)/LPN(s) being supervised Date of Supervision PERFORMANCE 1. AideLPNPTA follows and implements the care plan? YesNo2. AideLPNPTA maintains/implements
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How to fill out supervisory visit record
How to fill out supervisory visit record
01
Start by obtaining a blank supervisory visit record form.
02
Fill in the name of the supervisor conducting the visit and the date of the visit.
03
Enter the name of the employee(s) being supervised.
04
Document the start time and end time of the visit.
05
Record the topics discussed during the visit.
06
Note any observations or recommendations made during the visit.
07
Sign and date the supervisory visit record form.
08
Keep a copy for your records and provide a copy to the employee(s) being supervised.
Who needs supervisory visit record?
01
Supervisory visit records are needed by supervisors, managers, or employers who conduct regular visits to supervise and evaluate their employees' performance.
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What is supervisory visit record?
A supervisory visit record is a document that keeps track of visits conducted by a supervisor to assess and evaluate the performance of their subordinates.
Who is required to file supervisory visit record?
Supervisors are required to file supervisory visit records for their subordinates.
How to fill out supervisory visit record?
To fill out a supervisory visit record, the supervisor needs to document the date of the visit, the purpose of the visit, observations made, feedback given, and any action items assigned.
What is the purpose of supervisory visit record?
The purpose of a supervisory visit record is to track the progress and performance of employees, provide feedback for improvement, and ensure accountability.
What information must be reported on supervisory visit record?
The information that must be reported on a supervisory visit record includes the date of the visit, the purpose of the visit, observations made, feedback given, and any action items assigned.
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