NC Register Volume 9 Issue 15 - Office of Administrative Hearings

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