Current through Register Vol. 39, No. 6, September 16, 2024
(a) Standards set
forth in 10A NCAC 06R .0305(a),
(b), and (d) shall be met by adult day health
programs.
(b) The program director
for adult day health programs with a capacity of 10 or fewer participants may
also serve as the health care coordinator provided that the individual meets
all the requirements set forth in
10A NCAC
06R.0305(d), Paragraph (c)
of this Rule, and requirements in Rule.0203 of this Section. If requirements of
10A NCAC
06R .0305(d) and Paragraph
(c) of this Rule are met, and the capacity is greater than 10 participants, the
program director may serve as the substitute health care coordinator for no
more than three consecutive weeks.
(c) Health Care Coordinator of Adult Day
Health Programs:
(1) Adult day health programs
shall have a health care coordinator to coordinate the delivery of health care
services and participate in direct care as specified in Subparagraph (c)(2) of
this Rule. The health care coordinator shall be on-site a minimum of four hours
per day and any additional hours necessary to meet the requirements for the
provision of health care services to satisfy the participants' service plans as
set forth in this Subchapter.
(2)
The nursing responsibilities of the health care coordinator, consistent with
the Nursing Practice Act,
G.S.
90-171.19, shall include:
(A) completing preadmission health assessment
for initial acceptance into the adult day health program, including
problem-identification and care planning;
(B) implementing the health care components
of the established service plan that include medication administration, wound
care, enteral or parenteral feedings, bowel or bladder training and maintenance
programs, tracheotomy care and suctioning, and delegating nursing care tasks to
unlicensed personnel;
(C)
monitoring a participant's response to a medical treatment plan and nursing
interventions and revising a participant's service plan as necessary;
(D) reporting and recording results of the
nursing assessment, care rendered, and the participant's response to
care;
(E) collaborating with other
health care professionals and caregivers regarding provision of the
participant's health care;
(F)
educating other staff members about emergency procedures and providing
information to staff and caregivers about health concerns and conditions of the
participants;
(G) providing first
aid treatment as needed; and
(H)
ensuring health and personal care services as outlined in
10A NCAC
06S.0403 are provided to participants
consistent with the participant's service plans.
(3) The health care coordinator:
(A) shall be either a registered nurse or a
licensed practical nurse licensed to practice in North Carolina;
(B) if the health care coordinator is a
licensed practical nurse, supervision shall be provided by a registered nurse
consistent with the Nursing Practice Act and
21 NCAC
36.0224 and
36.0224 .0225. These Rules are
hereby incorporated by reference, including subsequent amendments. The licensed
practical nurse shall also receive on-site supervision by a registered nurse as
determined by the supervising registered nurse or at minimum every two
weeks;
(C) shall have knowledge and
understanding of the physical and emotional aspects of aging, the resultant
diseases and infirmities, and related medications and rehabilitative
measures;
(D) shall be at least 18
years of age;
(E) shall present,
prior to beginning employment, a written medical statement completed within the
prior 12 months by a physician, nurse practitioner, or physician's assistant,
certifying that the employee has no illness or health condition that would pose
a risk to others and ability to perform the duties assigned on the job;
and
(F) shall provide at least
three reference letters or the names of individuals who can be contacted, one
of which shall include previous employment verification. The individuals
providing reference information shall have knowledge of the applicant health
care coordinator's background and qualifications.
(d) Staff Responsible for Personal
Care in Adult Day Health Programs. All adult day health program staff providing
personal care shall present evidence of meeting the following qualifications
prior to assuming such responsibilities:
(1)
completion of nurse's aide, home health aide, or equivalent training course;
or
(2) a minimum of one year of
experience in caring for impaired adults.
Authority
G.S.
131D-6;
143B-153(2a);
143B-153(6);
42 USC
3032c;
Eff. September 1,
1990;
Amended Eff. September 1, 2007; July 1, 2007; May 1,
1992;
Readopted Eff. November 1,
2019.
