TX HHS Form 2404. Documentation of Licensed Vocational Nurse Required Supervision

The TX HHS Form 2404, Documentation of Licensed Vocational Nurse Required Supervision, is a crucial document that ensures the proper supervision of licensed vocational nurses (LVNs) in Texas. This form helps solve the problem of ensuring LVNs practice under the guidance of a qualified healthcare professional, as mandated by Section 301.353 of the Texas Occupations Code.

The form requires LVNs to provide documentation of their required supervision, specifying who is supervising them - either a licensed physician, registered nurse (RN), or physician's assistant (PA). The document includes fields for the LVN's printed name, contract number, and contact information, as well as space for the supervisor's signature and date.

This form is typically used in situations where an LVN needs to demonstrate compliance with the Texas Occupations Code requirement. Key features of the form include the required information about the LVN and their supervisor, as well as the signatures and dates from both parties. By using this form, LVNs can ensure they are meeting the necessary supervision requirements and maintain regulatory compliance.

• This form is used to document the required supervision of licensed vocational nurses (LVNs) in Texas.
• The supervisor must be a licensed physician, registered nurse (RN), or physician's assistant (PA).
• The form requires the LVN's printed name, contract number, and contact information, as well as the supervisor's signature and date.