North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0900 - RESIDENT CARE AND SERVICES › Section 13G .0903 - LICENSED HEALTH PROFESSIONAL SUPPORT

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				  facility shall assure that an appropriate licensed health professional
				  participates in the on-site review and evaluation of the residents' health
				  status, care plan, and care provided for residents requiring one or more of the
				  following personal care tasks:
(1) applying
				  and removing ace bandages, TED hose, binders, and braces and splints;
(2) feeding techniques for residents with
				  swallowing problems;
(3) bowel or
				  bladder training programs to regain continence;
(4) enemas, suppositories, break-up and
				  removal of fecal impactions, and vaginal douches;
(5) positioning and emptying of the urinary
				  catheter bag and cleaning around the urinary catheter;
(6) chest physiotherapy or postural
				  drainage;
(7) clean dressing
				  changes, excluding packing wounds and application of prescribed enzymatic
				  debriding agents;
(8) collecting
				  and testing of fingerstick blood samples;
(9) care of well-established colostomy or
				  ileostomy. For the purpose of this Rule, "well-established colostomy or
				  ileostomy" means having a healed surgical site without sutures or
				  drainage;
(10) care for pressure
				  ulcers, up to and including a Stage II pressure ulcer, which is a superficial
				  ulcer presenting as an abrasion, blister, or shallow crater;
(11) inhalation medication by
				  machine;
(12) forcing and
				  restricting fluids;
(13)
				  maintaining accurate intake and output data;
(14) medication administration through a
				  well-established gastrostomy feeding tube. For the purpose of this Rule,
				  "well-established gastrostomy feeding tube" means having a healed surgical site
				  without sutures or drainage and through which a feeding regimen has been
				  successfully established;
(15)
				  medication administration through subcutaneous injection in accordance with
				  Rule.1004(q) except for anticoagulant medications;
(16) oxygen administration and
				  monitoring;
(17) the care of
				  residents who are physically restrained and the use of care practices as
				  alternatives to restraints;
(18)
				  oral suctioning;
(19) care of
				  well-established tracheostomy, not to include endotracheal suctioning. For the
				  purpose of this Rule, "well-established tracheostomy" means the stoma is
				  well-healed and the airway is patent;
(20) administering and monitoring of tube
				  feedings through a well-established gastrostomy feeding tube in accordance with
				  Subparagraph (a)(14) of this Rule;
(21) the monitoring of continuous positive
				  air pressure devices (CPAP and BIPAP);
(22) application of prescribed heat
				  therapy;
(23) application and
				  removal of prosthetic devices except as used in post-operative treatment for
				  shaping of the extremity;
(24)
				  ambulation using assistive devices that requires physical assistance;
(25) range of motion exercises;
(26) any other prescribed physical or
				  occupational therapy;
(27)
				  transferring semi-ambulatory or non-ambulatory residents; or
(28) nurse aide II tasks according to the
				  scope of practice as established in the Nursing Practice Act and rules
				  promulgated under that Act in
				  21 NCAC
				  36.