North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .3000 - GENERAL INFORMATION › Section 13B .3001 - DEFINITIONS

Current through Register Vol. 39, No. 2, July 15, 2024
Notwithstanding Section.1900 of this Subchapter, the
					 following definitions shall apply throughout this Subchapter unless the context
					 indicates to the contrary:
(1)
				  "Appropriate" means suitable or fitting, or conforming to standards of care as
				  established by professional organizations, including Association of
				  Professionals in Infection Control and Epidemiology (APIC), American Medical
				  Association (AMA) and American Nurses Association (ANA).
(2) "Authority having jurisdiction" means the
				  Division of Health Service Regulation.
(3) "Certified Dietary Manager" or "CDM"
				  means an individual who is certified by the Certifying Board of the Dietary
				  Managers and meets the standards and qualification as referenced in the
				  "Dietary Manager Training Program Requirements." These standards include any
				  subsequent amendments and editions of the referenced manual. Copies of the
				  "Dietary Manager Training Program Requirements" may be obtained free of charge
				  at
https://www.cbdmonline.org/
.
(4) "Competence" means the state
				  or quality of being able to perform specific functions well; skill; and
				  ability.
(5) "Construction
				  documents" means final building plans and specifications for the construction
				  of a facility that a governing body submits to the Construction Section for
				  approval as specified in Rule.3102 of this Subchapter.
(6) "Construction Section" means the
				  Construction Section of the Division of Health Service Regulation.
(7) "Continuous" means ongoing or
				  uninterrupted, 24 hours per day.
(8) "CRNA" means a Certified Registered Nurse
				  Anesthetist who meets the criteria set forth in
				  G.S.
				  90-171.21(d)(4).
(9) "Credentialed" means that the individual
				  having a given title or position has been credited with the right to exercise
				  official responsibilities to provide specific patient care and treatment
				  services, within defined limits, based upon the individual's license,
				  education, training, experience, competence, and judgment.
(10) "Department" means the Department of
				  Health and Human Services.
(11)
				  "Dietetics" means as defined in
				  G.S.
				  90-352.
(12) "Dietitian" means a person who meets the
				  criteria set forth in G.S. 90, Article 25.
(13) "Direct Supervision" means the state of
				  being under the control of a supervisor, manager, or other person of
				  authority.
(14) "Division" means
				  the Division of Health Service Regulation.
(15) "Facility" means a hospital as defined
				  in G.S.
				  131E-76.
(16) "Full-time equivalent" means a unit of
				  measure of employee work time that is equal to the number of hours that one
				  full-time employee would work during one calendar year if the employee worked
				  eight hours a day, five days a week, and 52 weeks a year; i.e. 2,080 hours per
				  year.
(17) "Governing body" means
				  the authority as defined in
				  G.S.
				  131E-76.
(18) "Imaging" means a reproduction or
				  representation of a body or body part for diagnostic purposes by radiologic
				  intervention that may include conventional fluoroscopic exam, magnetic
				  resonance, nuclear or radio-isotope scan.
(19) "Invasive procedure" means a procedure
				  involving puncture or incision of the skin, insertion of an instrument or
				  foreign material into the body (excluding venipuncture and intravenous
				  therapy).
(20) "License" means
				  formal permission to provide services as granted by the State.
(21) "Medical staff" means the formal
				  organization that is comprised of individuals who have sought and obtained
				  clinical privileges in a facility. As defined by the facility's medical staff
				  bylaws, rules and regulations, those members of the medical staff who regularly
				  and routinely admit patients to a facility constitute the active medical
				  staff.
(22) "Mission statement"
				  means a written statement of the philosophy and beliefs of the organization or
				  hospital as approved by the governing body.
(23) "Neonate" means the newborn from birth
				  to one month.
(24) "Nurse
				  executive" means a registered nurse who is the director of nursing services or
				  a representative of decentralized nursing management staff.
(25) "Nurse midwife" means a person who meets
				  the criteria as set forth in
				  G.S.
				  90-171.21(d)(4).
(26) "Nursing facility" means as defined in
				  G.S.
				  131E-116(2).
(27) "Nursing staff" means the registered
				  nurses, licensed practical nurses, nurse aides, and others under nurse
				  supervision, who provide patient care. The term also includes clerical
				  personnel who work in clinical areas under nurse supervision.
(28) "Nutrition and Dietetic Technician
				  Registered" means as defined by the Academy of Nutrition and Dietetics. A copy
				  of the requirements can be obtained at
				  https://www.eatrightpro.org/about-us/what-is-an-rdn-and-dtr/what-is-a-nutrition-and-dietetics-technician-registered
				  at no cost.
(29) "Nutrition
				  therapy" ranges from intervention and counseling on diet modification to
				  administration of specialized nutrition therapies as determined necessary to
				  manage a condition or treat illness or injury. Specialized nutrition therapies
				  include supplementation with medical foods, enteral and parenteral nutrition.
				  Nutrition therapy integrates information from the nutrition assessment with
				  information on food and other sources of nutrients and meal preparation
				  consistent with cultural background and socioeconomic status.
(30) "Observation bed" means a bed used for
				  no more than 24-hours, to evaluate and determine the condition and disposition
				  of a patient and is not considered a part of the hospital's licensed bed
				  capacity.
(31) "Patient" means any
				  person receiving diagnostic or medical services at a hospital.
(32) "Pharmacist" means as defined in
				  G.S.
				  90-85.3.
(33) "Physical Rehabilitation Services" means
				  any combination of physical therapy, occupational therapy, speech therapy, or
				  vocational rehabilitation.
(34)
				  "Physician" means a person who meets the criteria set forth in
				  G.S.90-9.1 or
				  G.S.
				  90-9.2.
(35) "Provisional license" means a hospital
				  license recognizing less than full compliance with the licensure
				  rules.
(36) "Qualified" means
				  having complied with the specific conditions for employment or the performance
				  of a function.
(37) "Reference"
				  means to use in consultation to obtain information.
(38) "Special Care Unit" means a unit or area
				  of a hospital that includes a critical care unit, an intermediate care unit, or
				  a pediatric care unit.
(39) "Unit"
				  means a designated area of the hospital for the delivery of patient care
				  services.
Authority
					 G.S.
					 131E-79;
RRC Objection due to
					 lack of Statutory Authority Eff. July 13, 1995;
Eff. January 1,
					 1996;
Readopted Eff. April 1,
					 2020.