Community supervision

at primary health centre units

and supervision of students
• In the Community Settings include: : 
• In the Community Settings include: Record review
includes inspection and examination of: Tour diary
and schedule of individual workers. Work diary of
the individual workers. Performance reports of the
individual workers Counterfoils of mother and
child cards. Eligible couple and child registers.
Copies of monthly reports. Other records available
in specific settings.
•
Activities of supervision in the community health setting: : 
• Activities of supervision in the community health setting:
Home Visiting: Home visiting along with the staff is one of
the best ways in supervision. The purpose of visit is to help
and guide the staff; the frequency of visit will depend on the
need of the individual, or the request from individual or the
amount of time available for visiting.
• During home visiting the supervisor is expected
to make observations on:--
• The approach to the family, The action taken by
the nurse to meet the problem, Standing orders
are observed adequately The response of the
health teaching did previously, The plan made
with the family about further course of action,
The nursing technique followed, and Whether
all aspects of the health problem dealt or not.
• Clinic visiting: : 
• Clinic visiting: Supervisor is also expected to
visit the clinic, where she/he has to make
observations on:-- Clinic set-up Sterilization of
equipments, Nursing procedures being carried
out, Clinic records, Health teaching being
carried out and Supply, storage and
maintenance of drugs and supplies.
•
Record review : 
• Record review the routine record review may
be done when common errors are committed
by the staff repeatedly, which help in guidance
and counseling for increasing efficiency and
improvement of their performance
• . The record scrutiny may includes the type of
cases and service being rendered. The medical
and nursing services, the contact of the
services, routine demonstration teaching
procedures, family needs to the consideration
of socio-economic factors, co-operation with
other agencies.
• Supervision of Nursing Procedures : 
• Supervision of Nursing Procedures Incidental
teaching Conferences
• Techniques of Supervision : 
• Techniques of Supervision Varies from
individual to individual The technique used for
supervising graduate staff nurses differ from
those used for supervising graduate staff
nurses differ from those used for student
nurses. Similarly techniques for senior
students vary from those used for young
students.
• Techniques for Supervision of Graduate Staff
Nurse: : 
• Techniques for Supervision of Graduate Staff
Nurse: participation of the staff nurse Group
conferences with staff nurses Individual
conferences Anecdotal records
 Supervision of students : 

• Initial conferences
• Control of early experiences
• Assistance with bedside care
• Reassurance
• Assess the competence level of students
• An Autocratic or critical supervisor—can not tolerate any
deviation from norms, lack of quality in work, lack of discipline.
• A benevolent supervisor—protective of her subordinate, keeps
telling them what they should do and what they should not
• A democratic supervisor—lets us agree on what we are to do.
Such supervisor provides guidance only when requested by
the subordinates.
• Styles of Supervision : 
• Styles of Supervision Task Centered—
• the task more than the performer whom she/he
supervise.
• Employee centered supervisor—people
oriented, they believe concern for the staff, their
needs and welfare.