North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter B - LICENSING OF HOSPITALS › Section .1900 - SUPPLEMENTAL RULES FOR THE LICENSURE OF THE SKILLED: INTERMEDIATE: ADULT CARE HOME BEDS IN A HOSPITAL › Section 13B .1902 - DEFINITIONS

Current through Register Vol. 39, No. 2, July 15, 2024
The following definitions shall apply throughout this
					 Section, unless text otherwise indicates to the contrary:
(1) "Accident" means something occurring by
				  chance or without intention that has caused physical or mental harm to a
				  patient, resident, or employee.
(2)
				  "Administer" means as defined in
				  G.S.
				  90-87.
(3) "Administrator" means the person who has
				  authority for and is responsible to the governing board for the overall
				  operation of a facility.
(4) "Brain
				  injury long-term care" is defined as an interdisciplinary, intensive
				  maintenance program for patients who have incurred brain damage caused by
				  external physical trauma and who have completed a primary course of
				  rehabilitative treatment and have reached a point of no gain or progress for
				  more than three consecutive months. Services are provided through a medically
				  supervised interdisciplinary process and are directed toward maintaining the
				  individual at the optimal level of physical, cognitive, and behavioral
				  functioning.
(5) "Combination
				  Facility" means any hospital with nursing home beds that is licensed to provide
				  more than one level of care such as a combination of intermediate care and
				  skilled nursing care and adult care home care.
(6) "Department" means the North Carolina
				  Department of Health and Human Services.
(7) "Director of Nursing" means the nurse who
				  has authority and responsibility for all nursing services and nursing
				  care.
(8) "Dispense" means as
				  defined in
				  G.S.
				  90-87.
(9) "Drug" means as defined in
				  G.S.
				  90-87.
(10) "Duly Licensed" means holding a current
				  and valid license as required under the General Statues of North
				  Carolina.
(11) "Incident" means an
				  intentional or unintentional action, occurrence or happening that is likely to
				  cause or lead to physical or mental harm to a patient, resident, or
				  employee.
(12) "Licensed Practical
				  Nurse" means as defined in
				  G.S.
				  90-171.30 or
				  G.S.
				  90-171.32.
(13) "Medication" means "drug" as defined in
				  Item (9) of this Rule.
(14) "Nurse
				  Aide" means any individual providing nursing or nursing-related services to
				  patients in a facility, and is not a licensed health professional, a qualified
				  dietitian or someone who volunteers to provide such services without pay, and
				  who is listed in a Nurse Aide Registry pursuant to
				  G.S.
				  131E-255.
(15) "Nurse Aide Trainee" means an individual
				  who has not completed an approved nurse aide training course by the Department
				  in accordance with
				  10A NCAC
				  13O.0301, herein incorporated by reference
				  including subsequent amendments and editions, and competency evaluation and is
				  demonstrating knowledge, while performing tasks that they have been found
				  proficient in by an instructor. These tasks shall be performed under the
				  supervision of a registered nurse. The term does not apply to
				  volunteers.
(16) "Nursing Facility"
				  means that portion of a nursing home certified under Title XIX of the Social
				  Security Act (Medicaid) as in compliance with federal program standards for
				  nursing facilities. It is often used synonymous with the term "nursing home,"
				  the usual prerequisite level for state licensure for nursing facility (NF)
				  certification and Medicare skilled nursing facility (SNF)
				  certification.
(17) "Nurse in
				  Charge" means the nurse to whom duties for a specified number of patients and
				  staff for a specified period of time have been delegated, such as for Unit A on
				  the 7-3 or 3-11 shift.
(18) "On
				  Duty" means personnel who are awake, dressed, and responsive to patient needs
				  and present in the facility performing assigned duties.
(19) "Patient" means any person admitted for
				  care to a skilled nursing or intermediate care facility.
(20) "Physician" means as defined in
				  G.S.
				  90-9.1 or
				  G.S.
				  90-9.2.
(21) "Qualified Dietitian" means as defined
				  in 42 CFR
				  483.60(a)(1), herein
				  incorporated by reference including subsequent amendments and editions.
				  Electronic copies of 42 CFR
				  483.60 can be obtained free of charge at
https://www.ecfr.gov/cgi-bin/text-idx?SID=1260800a39929487f0ca55b0ab5e710b&mc=true&tpl=/ecfrbrowse/Title42/42cfrv5_02.tpl#0
.
(22) "Registered Nurse" means as
				  defined in G.S. 90, Article 9A.
(23) "Resident" means as defined in
				  G.S.131D-2.1.
(24) "Supervisor-in-Charge" means a duly
				  licensed nurse to whom supervisory duties have been delegated by the Director
				  of Nursing.
(25) "Ventilator
				  dependence" means physiological dependency by a patient on the use of a
				  ventilator for more than eight hours a day.
Authority
					 G.S.
					 131E-79;
Eff. February 1,
					 1986;
Amended Eff. March 1, 1990;
Temporary Amendment
					 Eff. October 1, 1990 For a Period of 142 Days to Expire on February 28,
					 1991;
Amended Eff. February 1, 1993; December 1, 1991; March 1,
					 1991;
Readopted Eff. April 1,
					 2020.