North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter S - ADULT DAY HEALTH STANDARDS FOR CERTIFICATION › Section .0200 - ADMINISTRATION › Section 06S .0204 - STAFF REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Standards set
				  forth in 10A NCAC 06R .0305(a),
				  (b), and (d) shall be met by adult day health
				  programs.
(b) The program director
				  for adult day health programs with a capacity of 10 or fewer participants may
				  also serve as the health care coordinator provided that the individual meets
				  all the requirements set forth in
				  10A NCAC
				  06R.0305(d), Paragraph (c)
				  of this Rule, and requirements in Rule.0203 of this Section. If requirements of
				  10A NCAC
				  06R .0305(d) and Paragraph
				  (c) of this Rule are met, and the capacity is greater than 10 participants, the
				  program director may serve as the substitute health care coordinator for no
				  more than three consecutive weeks.
(c) Health Care Coordinator of Adult Day
				  Health Programs:
(1) Adult day health programs
				  shall have a health care coordinator to coordinate the delivery of health care
				  services and participate in direct care as specified in Subparagraph (c)(2) of
				  this Rule. The health care coordinator shall be on-site a minimum of four hours
				  per day and any additional hours necessary to meet the requirements for the
				  provision of health care services to satisfy the participants' service plans as
				  set forth in this Subchapter.
(2)
				  The nursing responsibilities of the health care coordinator, consistent with
				  the Nursing Practice Act,
				  G.S.
				  90-171.19, shall include:
(A) completing preadmission health assessment
				  for initial acceptance into the adult day health program, including
				  problem-identification and care planning;
(B) implementing the health care components
				  of the established service plan that include medication administration, wound
				  care, enteral or parenteral feedings, bowel or bladder training and maintenance
				  programs, tracheotomy care and suctioning, and delegating nursing care tasks to
				  unlicensed personnel;
(C)
				  monitoring a participant's response to a medical treatment plan and nursing
				  interventions and revising a participant's service plan as necessary;
(D) reporting and recording results of the
				  nursing assessment, care rendered, and the participant's response to
				  care;
(E) collaborating with other
				  health care professionals and caregivers regarding provision of the
				  participant's health care;
(F)
				  educating other staff members about emergency procedures and providing
				  information to staff and caregivers about health concerns and conditions of the
				  participants;
(G) providing first
				  aid treatment as needed; and
(H)
				  ensuring health and personal care services as outlined in
				  10A NCAC
				  06S.0403 are provided to participants
				  consistent with the participant's service plans.
(3) The health care coordinator:
(A) shall be either a registered nurse or a
				  licensed practical nurse licensed to practice in North Carolina;
(B) if the health care coordinator is a
				  licensed practical nurse, supervision shall be provided by a registered nurse
				  consistent with the Nursing Practice Act and
				  21 NCAC
				  36.0224 and
				  36.0224 .0225. These Rules are
				  hereby incorporated by reference, including subsequent amendments. The licensed
				  practical nurse shall also receive on-site supervision by a registered nurse as
				  determined by the supervising registered nurse or at minimum every two
				  weeks;
(C) shall have knowledge and
				  understanding of the physical and emotional aspects of aging, the resultant
				  diseases and infirmities, and related medications and rehabilitative
				  measures;
(D) shall be at least 18
				  years of age;
(E) shall present,
				  prior to beginning employment, a written medical statement completed within the
				  prior 12 months by a physician, nurse practitioner, or physician's assistant,
				  certifying that the employee has no illness or health condition that would pose
				  a risk to others and ability to perform the duties assigned on the job;
				  and
(F) shall provide at least
				  three reference letters or the names of individuals who can be contacted, one
				  of which shall include previous employment verification. The individuals
				  providing reference information shall have knowledge of the applicant health
				  care coordinator's background and qualifications.