NC Register Volume 9 Issue 15 - Office of Administrative Hearings
NC Register Volume 9 Issue 15 - Office of Administrative Hearings
NC Register Volume 9 Issue 15 - Office of Administrative Hearings
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PROPOSED RULES<br />
ed for use by hospice patients,<br />
for medical<br />
management <strong>of</strong> symptoms or for<br />
respite care.<br />
(<strong>15</strong>) (44)"Licensed Practical Nurse" means a<br />
nurse holding a valid current license as<br />
required by G.S. 90. Article 9A. North<br />
Carolina Statute.<br />
(16) ft§)"Medical Director" means a physician<br />
who directs the medical aspects <strong>of</strong><br />
the hospice's patient care program.<br />
(17) {+6)"Nurse Aide" means an individual<br />
who is qualified authorized to provide<br />
nursing care under the supervision <strong>of</strong> a<br />
licensed nurse, has completed a training<br />
and competency evaluation program or<br />
competency evaluation program and is<br />
listed on the Nurse Aide Registry ,<br />
North<br />
Carolina Board <strong>of</strong> Nursing as set forth in<br />
21 <strong>NC</strong>AC 36 .0400 at the Division <strong>of</strong><br />
Facility Services .<br />
(18) {47) "Occupational Therapist" means an<br />
individual who is registered as such with<br />
the American Occupational Therapy<br />
Association.<br />
(19) {+8)" Patient and Family Care Coordinator"<br />
means a registered nurse designated<br />
by the hospice to coordinate the provision<br />
<strong>of</strong> hospice services for each patient and<br />
family.<br />
(20) (+9)"Pharmacist" means an individual<br />
duly licensed to practice pharmacy in<br />
North Carolina.<br />
(21) {20)" Physical Therapist" means an individual<br />
holding a valid current license<br />
required by G.S. 90, Article<br />
Carolina Statute.<br />
as<br />
18B. Nerth<br />
(22) {24)"Physician" means an individual<br />
licensed to practice medicine in North<br />
Carolina.<br />
(23) {23)"Primary Caregiver" means the<br />
family member or other person who<br />
assumes the overall<br />
responsibility for the<br />
care <strong>of</strong> the patient in the home.<br />
(24) (24) "<strong>Register</strong>ed Nurse" means a nurse<br />
holding a valid current license as<br />
required by G.S. 90, Article 9A. North<br />
Carolina Statute.<br />
(25) {24)"Respite Care" means care provided<br />
to a patient for the purpose <strong>of</strong> temporary<br />
relief to family members or others caring<br />
for the patient at home.<br />
(26) (2-5)"Social Worker" means an individual<br />
holding a master's degree or a bachelor's<br />
degree in social work from a school<br />
accredited by the Council <strong>of</strong> Social Work<br />
Education with experience in a health<br />
related field and who is capable <strong>of</strong> providing<br />
for hospice patients' and families'<br />
psychosocial needs. An individual holding<br />
a bachelor's or an advanced degree in<br />
psychology, counseling or psychiatric<br />
nursing may also function in this capacity<br />
if the same criteria are met.<br />
(27) {36)"Speech Therapist" means an individual<br />
holding a valid current license as<br />
required by GJL 90^ Article 22. Neftb<br />
Carolina Statute.<br />
(28) {37)"Volunteer" means an individual,<br />
who has received appropriate orientation<br />
and training consistent with acceptable<br />
standards <strong>of</strong> hospice philosophy and<br />
practice.<br />
Statutory Authority G.S.<br />
131E-202.<br />
SECTION .0400 - PERSONNEL<br />
.0402 INSERVICE EDUCATION<br />
AND TRAINING<br />
(a) Written policies shall be established and<br />
implemented which include orientation, hospice<br />
caregiver training,<br />
volunteer training and inservice<br />
education for all hospice staff. Records on the<br />
content <strong>of</strong> volunteer training<br />
sessions and on the<br />
subject <strong>of</strong> inservice shall be maintained by the<br />
hospice; attendance records for both shall be kept.<br />
(b) Training for hospice staff providing direct<br />
patient and family services shall include, but not<br />
be limited to,<br />
the following:<br />
(1) hospice philosophy and concepts <strong>of</strong><br />
(2)<br />
(3)<br />
(4)<br />
(5)<br />
(6)<br />
cares<br />
physiological and psychological aspects<br />
<strong>of</strong> terminal illness^<br />
symptom managements<br />
family dynamics and copings<br />
communication and listenings<br />
emergency procedure.;<br />
(7) procedure for death occurring in the<br />
homes<br />
(8) grief and bereavement-^-afidj and<br />
(9) documentation and record keeping.<br />
(c) In addition to the training described in<br />
Paragraph (b) <strong>of</strong> this Rule, the following additional<br />
training shall be provided to hospice caregivers<br />
assigned to a hospice residential facility:<br />
(1) training specific to the types <strong>of</strong> medications<br />
being administered when assisting<br />
the patient with self administration <strong>of</strong><br />
medications<br />
and provision <strong>of</strong> personal<br />
care from a curriculum approved by the<br />
1165 NORTH CAROLINA REGISTER November 1, 1994 9:<strong>15</strong>