North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter K - HOSPICE LICENSING RULES › Section .0100 - GENERAL INFORMATION › Section 13K .0102 - DEFINITIONS

Current through Register Vol. 39, No. 2, July 15, 2024
In addition to the definitions set forth in
					 G.S.
					 131E-201, the following definitions shall
					 apply throughout this Subchapter:
(1)
				  "Agency" means a licensed hospice as defined in
				  G.S.
				  131E-201(3).
(2) "Care Plan" means the proposed method
				  developed in writing by the interdisciplinary care team through which the
				  hospice seeks to provide services that meet the patient's and family's medical,
				  psychosocial, and spiritual needs.
(3) "Clergy Member" means an individual who
				  has received a degree from a theological school and has fulfilled
				  denominational seminary requirements; or an individual who, by ordination or
				  authorization from the individual's denomination, has been approved to function
				  in a pastoral capacity. Each hospice shall designate a clergy member
				  responsible for coordinating spiritual care to hospice patients and
				  families.
(4) "Coordinator of
				  Patient Family Volunteers" means an individual on the hospice team who
				  coordinates and supervises the activities of all patient family
				  volunteers.
(5) "Dietary
				  Counseling" means counseling given by a licensed dietitian/nutritionist or
				  licensed nutritionist as defined in
				  G.S.
				  90-352.
(6) "Director" means the person having
				  administrative responsibility for the operation of the hospice.
(7) "Division" means the Division of Health
				  Service Regulation of the North Carolina Department of Health and Human
				  Services.
(8) "Governing Body"
				  means the group of persons responsible for overseeing operations of the
				  hospice, including the development and monitoring of policies and procedures
				  related to all aspects of the operations of the hospice program. The governing
				  body ensures that all services provided are consistent with accepted standards
				  of hospice practice.
(9) "Hospice"
				  means a coordinated program of services as defined in
				  G.S.
				  131E-201.
(10) "Hospice Caregiver" means an individual
				  on the hospice team who has completed hospice caregiver training as defined in
				  Rule.0402 of this Subchapter and is assigned to a hospice residential facility
				  or hospice inpatient unit.
(11)
				  "Hospice Inpatient Facility or Hospice Inpatient Unit" means as defined in
				  G.S.
				  131E-201(3a).
(12) "Hospice Residential Facility" means as
				  defined in
				  G.S.
				  131E-201(5a).
(13) "Hospice Team" means as defined in
				  G.S.
				  131E-201(6).
(14) "Informed Consent" means the agreement
				  to receive hospice care made by the patient and family that specifies in
				  writing the type of care and services to be provided. The informed consent form
				  shall be signed by the patient prior to service. If the patient's medical
				  condition is such that a signature cannot be obtained, a signature shall be
				  obtained from the individual having legal guardianship, applicable durable or
				  health care power of attorney, or the family member or individual assuming the
				  responsibility of primary caregiver.
(15) "Interdisciplinary Team" means as
				  defined in
				  G.S.
				  131E-201(6).
(16) "Licensed Practical Nurse" means as
				  defined in
				  G.S.
				  90-171.30 or G.S. 171.32.
(17) "Medical Director" means a physician
				  licensed to practice medicine in North Carolina who directs the medical aspects
				  of the hospice's patient care program.
(18) "Nurse Practitioner" means as defined in
				  G.S.
				  90-18.2(a).
(19) "Nurse Aide" means an individual who is
				  authorized to provide nursing care under the supervision of a licensed nurse,
				  has completed a training and competency evaluation program or competency
				  evaluation program and is listed on the Nurse Aide Registry, at the Division of
				  Health Service Regulation. If the nurse aide performs Nurse Aide II tasks, the
				  nurse aide shallalso meet the requirements established by the N.C. Board of
				  Nursing as defined in
				  21 NCAC
				  36.0405, incorporated by reference including
				  subsequent amendments.
(20)
				  "Patient and Family Care Coordinator" means a registered nurse designated by
				  the hospice to coordinate the provision of hospice services for each patient
				  and family.
(21) "Patient Family
				  Volunteer" means an individual who has received orientation and training as
				  defined in Rule.0402 of this Subchapter, and provides volunteer services to a
				  patient and the patient's family in the patient's home or in a hospice
				  inpatient facility or hospice inpatient unit, or a hospice residential
				  facility.
(22) "Pharmacist" means
				  as defined in
				  G.S.
				  90-85.3.
(23) "Physician" means as defined in
				  G.S.
				  90-9.1 or
				  G.S.
				  90-9.2.
(24) "Premises" means the location or
				  licensed site where the agency provides hospice services or maintains patient
				  service records or advertises itself as a hospice agency.
(25) "Primary Caregiver" means the family
				  member or other person who assumes the overall responsibility for the care of
				  the patient in the patient's home.
(26) "Registered Nurse" means as defined in
				  G.S.
				  90-171.30 or
				  G.S.
				  90-171.32.
(27) "Respite Care" means care provided to a
				  patient for temporary relief to family members or others caring for the patient
				  at home.
(28) "Spiritual Caregiver"
				  means an individual authorized by the patient and family to provide for their
				  spiritual needs.
Authority
					 G.S.
					 131E-202;
Eff. November 1,
					 1984;
Amended Eff. February 1, 1996; February 1, 1995; June 1,
					 1991; November 1, 1989;
Readopted Eff. January 1,
					 2021.