Current through Register Vol. 39, No. 6, September 16, 2024
(a) Within five
weeks of a patient's admission to the program, the interdisciplinary team shall
complete and document a cardiac rehabilitation assessment. At a minimum, the
assessment shall include the components specified in this Rule.
(b) Medical Assessment shall include:
(1) cardiovascular evaluation as to present
diagnosis, therapy, and a discharge summary of the patient=s last
hospitalization; or
(2) statement
by referring physician as to present diagnosis, and therapy;
(3) resting 12-lead ECG;
(4) medical record documentation prior to or
during the first exercise session of ECG, hemodynamic data, and the presence or
absence of symptoms, preferably determined by a graded exercise test. A graded
exercise test shall not be required when deemed unnecessary by the patient's
attending or personal physician or the program's medical director;
(5) fasting blood chemistry, as indicated, to
include total cholesterol, high density lipoprotein (HDL) cholesterol, low
density lipoprotein (LDL) cholesterol, triglycerides, and other comparable
measures; and
(6) simple
spirometry, if clinically indicated.
(c) Physical Assessment shall include:
(1) functional capacity as determined by
measured or predicted equivalents (METs);
(2) height, weight, or other anthropometric
measures (i.e., body mass index, percent body fat, waist-to-hip ratio, girth
measurements);
(3) current and past
exercise history; and
(4) physical
limitations and disabilities that may impact rehabilitation.
(d) Nursing Assessment shall
include:
(1) coronary risk profile;
(2) current symptoms such as angina or
dyspnea, and recovery from recent cardiac events;
(3) presence of comorbidities;
(4) assessment of medications; and
(5) educational needs.
(e) Nutrition Assessment shall include:
(1) review of medical history;
(2) eating patterns as measured by a food
diary or food frequency questionnaire;
(3) fasting blood chemistries as described in
Subparagraph (b)(5) of this Rule;
(4) anthropometric measures as described in
Subparagraph (c)(2) of this Rule;
(5) behavioral patterns; and
(6) identification of nutritional
goals.
(f) Mental Health
Assessment shall include:
(1) past history of
mental illness including depression, anxiety, or hostility or anger;
and
(2) present mental health
functioning and need for referral to a mental health professional.
(g) Vocational Assessment shall
include:
(1) vocational questionnaire to
determine current vocational status, description of physical requirements of
job, working conditions, psychological demands as perceived by the patient;
and
(2) the need for vocational
rehabilitation services.
Authority
G.S.
131E-169;
Eff. July 1,
2000;
Pursuant to
G.S.
150B-21.3A, rule is necessary without
substantive public interest Eff. December 6,
2016.
