North Carolina Administrative Code
Title 10A - HEALTH AND HUMAN SERVICES
Chapter 06 - AGING - PROGRAMS OPERATIONS
Subchapter A - AGING: IN HOME AIDE SERVICES FOR OLDER ADULTS
Section .0300 - SERVICE PROVISION
Section 06A .0305 - IN-HOME AIDE TASKS AND REQUIRED COMPETENCIES

(a) Tasks to be performed and required competencies for In-Home Aides performing Level I - Home Management are as follows:

Tasks Required Competencies

Home Management

· Pay bills as directed by client Communication Skills

· Provide transportation for

· Methods of communication medical appointments and shopping

· Maintaining control

· Clean and care for clothing:

· Observing, documenting and ironing, simple mending, reporting laundering

· Confidentiality

· Do basic housekeeping tasks: sweeping, vacuuming, dusting, Mental Health and Illness mopping, dishes

· Characteristics of good

· Make minor repairs to house and mental health furnishings

· Personality differences

· Make un-occupied bed

· Recognize and report changes in Family Dynamics health and environment

· Cultural and Ethnic Life-

· Identify medications for client styles

· Provide companionship and

· Role of families in emotional support meeting individual needs

· Prepare simple meals

· Shop for food from verbal or Home Management Skills written instruction

· Maintaining a clean and

· Observe and report symptoms of safe environment abuse, neglect, and illness to

· Basic housekeeping proper professional

· Shopping

· Clothing care and repair

· Paying bills Food and Nutrition

· Role of nutrition in promoting good health

· Balanced meal preparation and food handling and storage Disabled Adults

· Life long aging process

· Disabled persons as individuals

· Specific needs of older persons Understanding Basic Human Needs

· Physical and psychological needs

· Needs hierarchy

· Client and Patient Rights Medications

· Retrieve and identify medications for client

· Do's and don'ts of medication Responding to Emergencies

· Fire

· Personal injury and sickness

· Observe and report systems of abuse, neglect, exploitation, illness, or unsafe environment to proper professionals

· Other dangers Personal Hygiene (worker)

· Expectations regarding cleanliness, odors, smoking Safety Measures

· Household safety tips

· Body mechanics for aides

· Transporting of client Inappropriate Tasks

· Personal care

· Deviation from care plan

· Other inappropriate tasks

(b) Tasks to be performed and required competencies for In-Home Aides providing Level II - Home Management and Personal Care are as follows:

Tasks Required Competencies

Home Management

Communication Skills

· Assist in following budget

· Roles of the service prepared by case manager delivery team

· Assist to find and use

· Plan of care community resources

· Report writing

· Perform reading and writing tasks Mental Health and Illness

· Demonstrate and model simple

· Effects of stress altering and mending techniques

· Defense mechanisms

· Demonstrate and model

· Dementia housekeeping

· Assist in organizing household Family Dynamics routines

· Family life cycle

· Assist in making or purchasing

· Issues at each stage of life clothing or other household items

· Effects of disruption

· Plan menus using food guide

· Assist with developing a market Home Management Skills order and shopping

· Housekeeping techniques

· Demonstrate and model food and routines handling, preparation and storage

· Demonstrating and modeling homemaking tasks

Personal Care

· Working within a budget

· Clothing and household

· Assist ambulatory client with supply purchasing mobility and toileting

· Knowledge and use of

· Provide care for normal, community resources unbroken skin

· Assist with personal hygiene, Food and Nutrition (mouth care, hair and scalp

· Planning menus from a food grooming, fingernails and guide bathing; shower, tub, bed, basin)

· Developing a market order Cut and trim hair

· Principles of food

· Shave client (electric and preparation safety razor)

· Following a prescribed

· Provide basic first aid diet

· Apply ace bandages, TED's, binders (demonstrated competency Ill and Disabled Adults verified by R.N.)

· Diseases of the elderly

· Make occupied bed

· Coping with chronic

· Assist limited function patient illness with dressing

· Observe, record and report Special Care Skills self-administered medications

· Assist with feeding

· Apply and remove prosthetic clients with special devices for stable clients conditions (excluding (demonstrated competency verified swallowing difficulties) by R.N.)

· Application of ace

· Assist with feeding clients with bandage, TED's, binders special conditions (no swallowing

· Assist and encourage difficulties) physical activity and

· Assist and encourage physical prescribed exercise activity and prescribed exercise

· Assist ambulatory client

· Assist client with self- with mobility and toileting monitoring of temperature, pulse,

· Assist limited function blood pressure and weight client with dressing (demonstrated competency verified

· Making occupied bed by R.N.)

· Assist with application and removal of prosthetic devices Personal Hygiene (client)

· Assist with bathing (bed, tub, shower, basin)

· Assist with mouth care

· Assist with hair and scalp grooming (cut and trim hair)

· Assist with fingernail care (clean and file)

· Shaving clients (electric and safety razor)

· Normal skin care Medications

· Reminding and reinforcing self-administered medications

· Observe, report, record self-administered medications Abuse and Neglect

· Recognizing and reporting criteria (age specific) Infection Control

· Preventing the spread of diseases

· Hand washing techniques Basic First Aid

· Principles of cardio- pulmonary Resuscitation

· Taking temperature, pulse, height and weight

· Taking blood pressure Inappropriate Tasks

(c) Tasks to be performed and required competencies for In-Home Aides providing Level III - Home Management and Level III - Personal Care are as follows:

Tasks Required Competencies

Home Management

Communication Skills

· Demonstrate securing and caring

· Promoting client for household furnishing independence

· Teach basic sewing and use of

· Strategies for guiding, sewing machine supporting, and encouraging

· Demonstrate how to plan for a

· Medical terminology move, locate housing, and organize

· Documentation moving activities

· Teach and reinforce house- Mental Health and Illness keeping methods, home safety,

· Substance abuse energy conservation, and

· Mental retardation sanitation skills

· Types of mental disorders

· Teach and reinforce personal hygiene and self care, reinforce Principles of Adult Education sound health care practices, and

· How Adults Learn personal safety techniques

· "Let's Do" teaching

· Take and accompany to medical appointments; reinforce special Food and Nutrition diet routines; monitor treatment · Comparison Shopping plans

· Principles of therapeutic

· Teach and reinforce household (specialized) diets budgeting and planning skills;

· Purchasing, planning and teach proper use of credit preparing therapeutic

· Demonstrate and reinforce (specialized) diets comparison shopping and good

· Observing dietary consumer practices with food, treatment plans clothing and furnishings

· Teach and reinforce management Infection Control of time and resources, including

· Isolation techniques work simplification techniques

· Universal precautions

· Teach and reinforce appropriate

· Application in the home food handling and cooking skills

· Monitor and reinforce family Death and Dying progress on protective service plan goals

Personal Care Track

Personal Care

Personal Hygiene

· Bed bath (Tasks subject to nurse

· Shampoo in bed supervision requirements of the

· Shave client with skin Nursing Practice Act.) disorders

· Assist with feeding clients

· Trim toenails (no diabetes or with special conditions peripheral vascular disease)

· Give bed bath

· Perineal and catheter care

· Make occupied bed

· Assist with mobility, gait Treatment Techniques training using assistive devices

· Assist with feeding

· Assist with range of clients with special motion exercises conditions

· Assist limited function patient

· Force and restrict fluids with dressing

· Care of non-infected skin

· Take and record temperature, ulcers pulse, blood pressure, height and

· Clean dressing changes weight, respirations (non-sterile)

· Observe, record and report

· Vaginal douches self-administered medications

· Apply prescribed heat and

· Apply and remove prosthetic cold devices for stable client

· Assist client in

· Apply ace bandages, TED's, understanding medical orders binders and routines, encourage

· Assist with scalp care compliance

· Trim toenails for clients

· Intake and output without diabetes or peripheral

· Take respirations vascular disease

· Empty and record drainage of Elimination and Treatment catheter bag

· Empty and record drainage of

· Shave clients with skin catheter bag disorders

· Bowel and bladder retraining

· Administer enemas

· Collect and test urine or

· Insert rectal tubes and flatus fecal specimens bags

· Insert rectal tube and

· Bowel and bladder retraining flatus bag

· Collect and test urine or fecal

· Apply condom catheters specimens

· Administer enemas

· Perineal care

· Use of bedpans and urinals

· Apply condom catheters

· Chair and stretcher transfer Other Training Techniques

· Turn and position

· Apply and remove EKG

· Safety measures (side rails, monitor leads mitts, restraints)

· Post mortem care

· Change non-sterile dressings

· Gastric suction

· Force and restrict fluids (maintenance)

· Apply prescribed heat and cold

· Turn, cough and deep breath

· Care for non-infected decubitus

· Restorative services ulcers

· Assist clients in understanding Body Mechanics medical orders and routines,

· Transfer techniques encourage compliance

· Use of lifts

· Assist with purchase and

· Assistive devices preparation of diet food specified

· Assist with prescribed by professional physical and occupational

· Vaginal douches after therapy instruction

· Assist with prescribed physical Safety Measures and occupational therapy

· Side rails, mitts

· Plan menus for special diets restriants

· Monitor dietary treatment plan, provide feedback to professional Basic First Aid

· Cardiopulmonary Tasks With Special Training Resuscitation (Requires Nurse Aide II registration with the NC Board Home Management Track of Nursing)

· Administer gastrostomy tube Home Management Skills feedings

· Teaching housekeeping skills

· Perform in and out bladder

· Planning and organizing catheterizations moving activities

· Change sterile dressings

· Energy conservation

· Basic mending and sewing and use of sewing machine

· Home safety skills Financial Management

· Setting family goals

· Developing a family budget

· Making good budgeting and spending choices

· Use of credit

· Consumer protection practices Resource Management

· Securing and caring for household furnishings

· Teaching management of time and resources

· Locating housing

· Work simplification techniques Self Care

· Personal hygiene and health care practices

· Personal safety techniques

· Following treatment plans Family Dynamics

· Understanding dysfunction in families

· Impact of substance abuse

· Reinforce new skills and patterns

in poorly functioning families

(d) Tasks to be performed and required competencies for In-Home Aides providing Level IV - Home Management are as follows:

Tasks Required Competencies

Home Management

Family Dynamics

· Provide supervision and role

· Characteristics and modeling of appropriate care and interventions for multi supervision when family is problem families available but unable to perform

· Impact of loss, separation caretaker duties due to physical

· Family violence or emotional illness (under close

· Confrontation skills case supervision by social worker)

· Principles of adult ! Implement strategies developed learning on social work plan including arranging transportation, housing Home Management Skills and other auxiliary services

· Planning moves (under close case supervision by

· Understanding eviction social worker) procedures

· Demonstrate management of food

· Elimination of household resources and menu planning (under safety hazards relevant to close case supervision by social client functioning worker)

· Provide case tracking and follow Protective Services up to social work staff by

· Legal base and liability observing families in home

· Factors of increased risk environment for abuse or neglect

· Assist professionals in

· Indicators of mental and establishing and maintaining emotional functioning various client groups

· Provide tracking of household budgets with clients

· Identify indicators of risks to families and appropriately report to social worker