North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .5400 - COMPREHENSIVE INPATIENT REHABILITATION › Section 13B .5401 - DEFINITIONS

Current through Register Vol. 39, No. 2, July 15, 2024
The following definitions shall apply to inpatient
					 rehabilitation facilities or units only:
(1) "Case management" means the coordination
				  of services, for a given patient, between disciplines so that the patient may
				  reach optimal rehabilitation through the judicious use of resources.
(2) "Comprehensive, inpatient rehabilitation
				  program" means a program for the treatment of persons with functional
				  limitations or chronic disabling conditions who have the potential to achieve a
				  significant improvement in activities of daily living. A comprehensive,
				  rehabilitation program shall utilize a coordinated and integrated,
				  interdisciplinary approach, directed by a physician, to assess patient needs
				  and to provide treatment and evaluation of physical, psycho-social and
				  cognitive deficits.
(3) "Inpatient
				  rehabilitation facility or unit" means a free-standing facility or a unit (unit
				  pertains to contiguous dedicated beds and spaces) approved in accordance with
				  G.S. 131E, Article 9 to establish inpatient, rehabilitation beds and to provide
				  a comprehensive, inpatient rehabilitation program within an existing licensed
				  health service facility.
(4)
				  "Medical consultations" means consultations which the rehabilitation physician
				  or the attending physician determine are necessary to meet the acute medical
				  needs of the patient and do not include routine medical needs.
(5) "Occupational therapist" means any
				  individual licensed in the State of North Carolina as an occupational therapist
				  in accordance with the provisions of G.S. 90, Article 18D.
(6) "Occupational therapist assistant" means
				  any individual licensed in the State of North Carolina as an occupational
				  therapist assistant in accordance with the provisions of G.S. 90, Article
				  18D.
(7) "Psychologist" means a
				  person licensed as a practicing psychologist in accordance with G.S. 90,
				  Article 18A.
(8) "Physiatrist"
				  means a licensed physician who has completed a physical medicine and
				  rehabilitation residency training program approved by the Accreditation Council
				  of Graduate Medical Education or the American Osteopathic
				  Association.
(9) "Physical
				  therapist" means any person licensed in the State of North Carolina as a
				  physical therapist in accordance with the provisions of G.S. 90, Article
				  18B.
(10) "Physical therapist
				  assistant" means any person licensed in the State of North Carolina as a
				  physical therapist assistant in accordance with the provisions of
				  G.S.
				  90-270.24, Article 18B.
(11) "Recreational therapist" means a person
				  certified by the State of North Carolina Therapeutic Recreational Certification
				  Board.
(12) "Rehabilitation aide"
				  means an unlicensed assistant who works under the supervision of a registered
				  nurse, licensed physical therapist or occupational therapist in accordance with
				  the appropriate occupational licensure laws governing his or her supervisor and
				  consistent with staffing requirements as set forth in Rule.5508 of this
				  Section. The rehabilitation aide shall be listed on the North Carolina Nurse
				  Aide Registry and have received additional staff training as listed in Rule
				  .5509 of this Section.
(13)
				  "Rehabilitation nurse" means a registered nurse licensed in North Carolina,
				  with training, either academic or on-the-job, in physical rehabilitation
				  nursing and at least one year experience in physical rehabilitation
				  nursing.
(14) "Rehabilitation
				  physician" means a physiatrist or a physician who is qualified, based on
				  education, training and experience regardless of specialty, of providing
				  medical care to rehabilitation patients.
(15) "Social worker" means a person certified
				  by the North Carolina Social Work Certification and Licensure Board in
				  accordance with
				  G.S.
				  90B-3.
(16) "Speech and language pathologist" means
				  any person licensed in the State of North Carolina as a speech and language
				  pathologist in accordance with the provisions of G.S. 90, Article 22.
Authority
					 G.S.
					 131E-79;
RRC Objection due to
					 lack of statutory authority Eff. January 18, 1996;
Eff. May 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. July 22,
					 2017.