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 .0304 - COMPETENCY REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Aides who
				  provide In-Home Aide Services must meet the competency requirements for the
				  level of service they are regularly required to perform. In addition, an aide
				  performing any tasks in Level III Personal Care must meet the competency
				  requirements for that level and be registered as a Nurse Aide I with the NC
				  Board of Nursing. Meeting competency requirements includes a correct
				  demonstration of the tasks to an appropriate professional.
(b) The agency employing the in-home aides
				  must maintain documentation of each aide's competence; this includes
				  verification of knowledge of all content areas and ability to correctly perform
				  all tasks at the level of service regularly provided. If the aide is required
				  to perform selective tasks at a higher level, documentation of competence in
				  the specific tasks is also required. An aide must be fully competent at the
				  current level of service provision before being assigned tasks at a higher
				  level.
(c) By July 1, 1991,
				  regardless of the level of service to which the aide is assigned, demonstrated
				  competence for the specific tasks assigned to that aide must be documented
				  before allowing the aide to perform the tasks independently.
(d) Competency requirements for all levels
				  except Level III Personal Care are applicable on July 1, 1993 for all persons
				  hired after than date. All aides performing any Level III Personal Care tasks
				  must have met the NC Board of Nursing's competency requirements and be
				  registered as a Nurse Aide I with the North Carolina Board of Nursing by
				  January 1, 1991 or within four months of being assigned these tasks. Each
				  service provider agency is responsible for ensuring that competency testing is
				  appropriately administered.
(e) A
				  listing of the tasks and related areas of competence for each level from which
				  a competency test for the aide will be drawn is provided in Rule.0305 of this
				  Section.
(f) Each service provider
				  agency is responsible for insuring that its aides have sufficient training to
				  pass a competency test for the level of service the aides will regularly
				  provide.
(g) In the event that a
				  spouse, parent, child or sibling is paid to provide care, the service provider
				  agency can make a determination that the family member is capable of providing
				  the care needed without requiring any formal training. The family member must
				  demonstrate competence to perform the tasks needed by the client to an
				  appropriate professional. When the family member provides Personal Care at
				  Level III, he must meet the NC Board of Nursing's competency requirements and
				  be registered as a Nurse Aide I with the NC Board of Nursing within four months
				  of being assigned these tasks.
(h)
				  Demonstration of competence in the presence of an appropriate professional can
				  take place in a variety of settings including, but not limited to, the
				  classroom, laboratory, local agency, or the home of the client and
				  family.
Authority
					 G.S.
					 143B-181.1(c);
					 143B-181.9A;
Eff.
					 December 1, 1991;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.