North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 06 - AGING - PROGRAMS OPERATIONS › Subchapter A - AGING: IN HOME AIDE SERVICES FOR OLDER ADULTS › Section .0300 - SERVICE PROVISION › Section 06A .0305 - IN-HOME AIDE TASKS AND REQUIRED COMPETENCIES

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Tasks to be performed and required competencies for In-Home Aides performing
				  Level I - Home Management are as follows:
Tasks Required Competencies
Home Management
· Pay bills as directed by client Communication
					 Skills
· Provide transportation for
· Methods of communication medical appointments and
					 shopping
· Maintaining control
· Clean and care for clothing:
· Observing, documenting and ironing, simple
					 mending, reporting laundering
· Confidentiality
· Do basic housekeeping tasks: sweeping, vacuuming,
					 dusting, Mental Health and Illness mopping, dishes
· Characteristics of good
· Make minor repairs to house and mental health
					 furnishings
· Personality differences
· Make un-occupied bed
· Recognize and report changes in Family Dynamics
					 health and environment
· Cultural and Ethnic Life-
· Identify medications for client styles
· Provide companionship and
· Role of families in emotional support meeting
					 individual needs
· Prepare simple meals
· Shop for food from verbal or Home Management
					 Skills written instruction
· Maintaining a clean and
· Observe and report symptoms of safe environment
					 abuse, neglect, and illness to
· Basic housekeeping proper professional
· Shopping
· Clothing care and repair
· Paying bills Food and Nutrition
· Role of nutrition in promoting good health
· Balanced meal preparation and food handling and
					 storage Disabled Adults
· Life long aging process
· Disabled persons as individuals
· Specific needs of older persons Understanding
					 Basic Human Needs
· Physical and psychological needs
· Needs hierarchy
· Client and Patient Rights Medications
· Retrieve and identify medications for
					 client
· Do's and don'ts of medication Responding to
					 Emergencies
· Fire
· Personal injury and sickness
· Observe and report systems of abuse, neglect,
					 exploitation, illness, or unsafe environment to proper professionals
· Other dangers Personal Hygiene (worker)
· Expectations regarding cleanliness, odors, smoking
					 Safety Measures
· Household safety tips
· Body mechanics for aides
· Transporting of client Inappropriate Tasks
· Personal care
· Deviation from care plan
· Other inappropriate tasks
(b) Tasks to be performed and required
				  competencies for In-Home Aides providing Level II - Home Management and
				  Personal Care are as follows:
Tasks Required Competencies
Home Management
Communication Skills
· Assist in following budget
· Roles of the service prepared by case manager
					 delivery team
· Assist to find and use
· Plan of care community resources
· Report writing
· Perform reading and writing tasks Mental Health
					 and Illness
· Demonstrate and model simple
· Effects of stress altering and mending
					 techniques
· Defense mechanisms
· Demonstrate and model
· Dementia housekeeping
· Assist in organizing household Family Dynamics
					 routines
· Family life cycle
· Assist in making or purchasing
· Issues at each stage of life clothing or other
					 household items
· Effects of disruption
· Plan menus using food guide
· Assist with developing a market Home Management
					 Skills order and shopping
· Housekeeping techniques
· Demonstrate and model food and routines handling,
					 preparation and storage
· Demonstrating and modeling homemaking
					 tasks
Personal Care
· Working within a budget
· Clothing and household
· Assist ambulatory client with supply purchasing
					 mobility and toileting
· Knowledge and use of
· Provide care for normal, community resources
					 unbroken skin
· Assist with personal hygiene, Food and Nutrition
					 (mouth care, hair and scalp
· Planning menus from a food grooming, fingernails
					 and guide bathing; shower, tub, bed, basin)
· Developing a market order Cut and trim
					 hair
· Principles of food
· Shave client (electric and preparation safety
					 razor)
· Following a prescribed
· Provide basic first aid diet
· Apply ace bandages, TED's, binders (demonstrated
					 competency Ill and Disabled Adults verified by R.N.)
· Diseases of the elderly
· Make occupied bed
· Coping with chronic
· Assist limited function patient illness with
					 dressing
· Observe, record and report Special Care Skills
					 self-administered medications
· Assist with feeding
· Apply and remove prosthetic clients with special
					 devices for stable clients conditions (excluding (demonstrated competency
					 verified swallowing difficulties) by R.N.)
· Application of ace
· Assist with feeding clients with bandage, TED's,
					 binders special conditions (no swallowing
· Assist and encourage difficulties) physical
					 activity and
· Assist and encourage physical prescribed exercise
					 activity and prescribed exercise
· Assist ambulatory client
· Assist client with self- with mobility and
					 toileting monitoring of temperature, pulse,
· Assist limited function blood pressure and weight
					 client with dressing (demonstrated competency verified
· Making occupied bed by R.N.)
· Assist with application and removal of prosthetic
					 devices Personal Hygiene (client)
· Assist with bathing (bed, tub, shower,
					 basin)
· Assist with mouth care
· Assist with hair and scalp grooming (cut and trim
					 hair)
· Assist with fingernail care (clean and
					 file)
· Shaving clients (electric and safety razor)
· Normal skin care Medications
· Reminding and reinforcing self-administered
					 medications
· Observe, report, record self-administered
					 medications Abuse and Neglect
· Recognizing and reporting criteria (age specific)
					 Infection Control
· Preventing the spread of diseases
· Hand washing techniques Basic First Aid
· Principles of cardio- pulmonary
					 Resuscitation
· Taking temperature, pulse, height and
					 weight
· Taking blood pressure Inappropriate Tasks
(c) Tasks to be performed and
				  required competencies for In-Home Aides providing Level III - Home Management
				  and Level III - Personal Care are as follows:
Tasks Required Competencies
Home Management
Communication Skills
· Demonstrate securing and caring
· Promoting client for household furnishing
					 independence
· Teach basic sewing and use of
· Strategies for guiding, sewing machine supporting,
					 and encouraging
· Demonstrate how to plan for a
· Medical terminology move, locate housing, and
					 organize
· Documentation moving activities
· Teach and reinforce house- Mental Health and
					 Illness keeping methods, home safety,
· Substance abuse energy conservation, and
· Mental retardation sanitation skills
· Types of mental disorders
· Teach and reinforce personal hygiene and self
					 care, reinforce Principles of Adult Education sound health care practices,
					 and
· How Adults Learn personal safety
					 techniques
· "Let's Do" teaching
· Take and accompany to medical appointments;
					 reinforce special Food and Nutrition diet routines; monitor treatment ·
					 Comparison Shopping plans
· Principles of therapeutic
· Teach and reinforce household (specialized) diets
					 budgeting and planning skills;
· Purchasing, planning and teach proper use of
					 credit preparing therapeutic
· Demonstrate and reinforce (specialized) diets
					 comparison shopping and good
· Observing dietary consumer practices with food,
					 treatment plans clothing and furnishings
· Teach and reinforce management Infection Control
					 of time and resources, including
· Isolation techniques work simplification
					 techniques
· Universal precautions
· Teach and reinforce appropriate
· Application in the home food handling and cooking
					 skills
· Monitor and reinforce family Death and Dying
					 progress on protective service plan goals
Personal Care Track
Personal Care
Personal Hygiene
· Bed bath (Tasks subject to nurse
· Shampoo in bed supervision requirements of
					 the
· Shave client with skin Nursing Practice Act.)
					 disorders
· Assist with feeding clients
· Trim toenails (no diabetes or with special
					 conditions peripheral vascular disease)
· Give bed bath
· Perineal and catheter care
· Make occupied bed
· Assist with mobility, gait Treatment Techniques
					 training using assistive devices
· Assist with feeding
· Assist with range of clients with special motion
					 exercises conditions
· Assist limited function patient
· Force and restrict fluids with dressing
· Care of non-infected skin
· Take and record temperature, ulcers pulse, blood
					 pressure, height and
· Clean dressing changes weight, respirations
					 (non-sterile)
· Observe, record and report
· Vaginal douches self-administered
					 medications
· Apply prescribed heat and
· Apply and remove prosthetic cold devices for
					 stable client
· Assist client in
· Apply ace bandages, TED's, understanding medical
					 orders binders and routines, encourage
· Assist with scalp care compliance
· Trim toenails for clients
· Intake and output without diabetes or
					 peripheral
· Take respirations vascular disease
· Empty and record drainage of Elimination and
					 Treatment catheter bag
· Empty and record drainage of
· Shave clients with skin catheter bag
					 disorders
· Bowel and bladder retraining
· Administer enemas
· Collect and test urine or
· Insert rectal tubes and flatus fecal specimens
					 bags
· Insert rectal tube and
· Bowel and bladder retraining flatus bag
· Collect and test urine or fecal
· Apply condom catheters specimens
· Administer enemas
· Perineal care
· Use of bedpans and urinals
· Apply condom catheters
· Chair and stretcher transfer Other Training
					 Techniques
· Turn and position
· Apply and remove EKG
· Safety measures (side rails, monitor leads mitts,
					 restraints)
· Post mortem care
· Change non-sterile dressings
· Gastric suction
· Force and restrict fluids (maintenance)
· Apply prescribed heat and cold
· Turn, cough and deep breath
· Care for non-infected decubitus
· Restorative services ulcers
· Assist clients in understanding Body Mechanics
					 medical orders and routines,
· Transfer techniques encourage compliance
· Use of lifts
· Assist with purchase and
· Assistive devices preparation of diet food
					 specified
· Assist with prescribed by professional physical
					 and occupational
· Vaginal douches after therapy instruction
· Assist with prescribed physical Safety Measures
					 and occupational therapy
· Side rails, mitts
· Plan menus for special diets restriants
· Monitor dietary treatment plan, provide feedback
					 to professional Basic First Aid
· Cardiopulmonary Tasks With Special Training
					 Resuscitation (Requires Nurse Aide II registration with the NC Board
Home
					 Management Track
of Nursing)
· Administer gastrostomy tube Home Management Skills
					 feedings
· Teaching housekeeping skills
· Perform in and out bladder
· Planning and organizing catheterizations moving
					 activities
· Change sterile dressings
· Energy conservation
· Basic mending and sewing and use of sewing
					 machine
· Home safety skills Financial Management
· Setting family goals
· Developing a family budget
· Making good budgeting and spending choices
· Use of credit
· Consumer protection practices Resource
					 Management
· Securing and caring for household
					 furnishings
· Teaching management of time and resources
· Locating housing
· Work simplification techniques Self Care
· Personal hygiene and health care practices
· Personal safety techniques
· Following treatment plans Family Dynamics
· Understanding dysfunction in families
· Impact of substance abuse
· Reinforce new skills and patterns
in poorly functioning families
(d) Tasks to be performed and required
				  competencies for In-Home Aides providing Level IV - Home Management are as
				  follows:
Tasks Required Competencies
Home Management
Family Dynamics
· Provide supervision and role
· Characteristics and modeling of appropriate care
					 and interventions for multi supervision when family is problem families
					 available but unable to perform
· Impact of loss, separation caretaker duties due
					 to physical
· Family violence or emotional illness (under
					 close
· Confrontation skills case supervision by social
					 worker)
· Principles of adult ! Implement strategies
					 developed learning on social work plan including arranging transportation,
					 housing Home Management Skills and other auxiliary services
· Planning moves (under close case supervision
					 by
· Understanding eviction social worker)
					 procedures
· Demonstrate management of food
· Elimination of household resources and menu
					 planning (under safety hazards relevant to close case supervision by social
					 client functioning worker)
· Provide case tracking and follow Protective
					 Services up to social work staff by
· Legal base and liability observing families in
					 home
· Factors of increased risk environment for abuse
					 or neglect
· Assist professionals in
· Indicators of mental and establishing and
					 maintaining emotional functioning various client groups
· Provide tracking of household budgets with
					 clients
· Identify indicators of risks to families and
					 appropriately report to social worker
Authority
					 G.S.
					 143B-181.1(c);
					 143B-181.9A;
Eff.
					 December 1, 1991;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. September 6,
					 2016.