10A NCAC 06A .0305 IN‑HOME AIDE TASKS AND REQUIRED COMPETENCIES

(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

History Note: 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.