North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0900 - RESIDENT CARE AND SERVICES › Section 13F .0903 - LICENSED HEALTH PROFESSIONAL SUPPORT

Current through Register Vol. 39, No. 2, July 15, 2024
(a) An adult
				  care home 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 (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 (having a healed surgical site
				  without sutures or drainage and through which a feeding regimen has been
				  successfully established);
(15)
				  medication administration through injection;
Note: Unlicensed staff may only administer subcutaneous
					 injections, excluding anticoagulants such as heparin.
(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 indo-tracheal
				  suctioning;
(20) administering and
				  monitoring of tube feedings through a well-established gastrostomy tube (see
				  description in 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 early 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.