What is the main difference between direct and indirect supervision in nurse delegation?

The main difference between direct and indirect supervision in nurse delegation is that direct supervision involves the nurse being present. This means that the delegating nurse is physically on-site to oversee the implementation of tasks by the unlicensed personnel. This level of supervision allows for immediate guidance, support, and evaluation of the task being performed, ensuring that it meets the required standards of safety and quality.

In contrast, indirect supervision does not necessitate the nurse’s presence on-site. Instead, it may involve the nurse providing support remotely, such as through phone or written communication, allowing the delegated tasks to be performed independently within established guidelines. Understanding this distinction is vital for ensuring compliance with Washington State's regulations regarding nurse delegation, as it determines the level of oversight and the responsibilities of both the delegating nurse and the unlicensed individuals receiving the delegation.