21 NCAC 17 .0303             SUPERVISION

For purposes of G.S. 90-368(2), "direct supervision" means the supervising practitioner:

(1)           together with the supervisee, shall identify and document: competency goals for the supervised practice experience described in G.S. 90-357.5; the supervisee's scope of practice; the assignment of clinical tasks as appropriate to the supervisee's level of competence; the supervisee's relationship and access to the supervisor; and an evaluation process for the supervisee's performance.

(2)           is physically onsite and available for physical intervention where the student or trainee is providing nutrition care that requires physically touching the patient and is either physically onsite and available for physical intervention or continuously available by means of two-way real-time audiovisual technology that allows for the direct, contemporaneous interaction by sight and sound between the qualified supervisor and the supervisee where the student or trainee is providing medical nutrition therapy not requiring touching of the patient;

(3)           shall be available to render assistance during the provision of nutrition care when requested by the patient or client, or shall have arranged for another qualified practitioner lawfully able render nutrition care services, to be available in the absence of the supervising practitioner;

(4)           regularly, commensurate with the care provided, observes the nutrition care services of the student or trainee supervised, and evaluates, authorizes, and approves all medical nutrition therapy provided by the student or trainee supervised;

(5)           maintains primary responsibility for and control over all nutrition care services performed by the student or trainee, including countersigning all clinical encounter notes; and

(6)           ensures the student or trainee is designated throughout the supervised practice experience by a title that indicates the individual's status as a student or trainee.


History Note:        Authority G.S. 90-356(2); 90-357.5; 90-368(2);

Eff. March 1, 1996;

Amended Eff. December 1, 2011; July 18, 2002;

Readopted Eff. December 1, 2019;

Amended Eff. March 15, 2023.