10A NCAC 13J .1107        IN-HOME AIDE SERVICES

(a)  If an agency provides in-home aide services, the services shall be provided in accordance with the client's plan of care. Agencies participating in the Home and Community Care Block Grant or Social Services Block Grant through the Division of Aging and Adult Services shall comply, for those clients, with the in-home aide service level rules contained in 10A NCAC 06A and 10A NCAC 06X which are hereby incorporated by reference with all subsequent amendments. All other agencies providing in-home aide services shall comply with the provisions in Paragraphs (b) and (c) of this Rule.

(b)  If the client's plan of care requires the in-home aide to provide extensive assistance as defined in Rule .0901(9) of this Subchapter the in-home aide shall be listed on the Nurse Aide Registry pursuant to G.S. 131E-255.  However, if the client's plan of care requires the in-home aide to provide only limited assistance as defined in Rule .0901(18) of this Subchapter the in-home aide is not required to be listed on the Nurse Aide Registry.

(c)  In-home aides shall follow instructions for client care written by the health care practitioner required for the services provided.  In-home aide duties may include the following:

(1)           help with prescribed exercises which the client and in-home aides have been taught by a health care practitioner licensed pursuant to G.S. 90;

(2)           provide or assist with personal care (i.e., bathing, care of mouth, skin and hair);

(3)           assist with ambulation;

(4)           assist client with self-administration of medications which are ordered by a physician or other person authorized by state law to prescribe;

(5)           perform incidental household services which are essential to the client's care at home; and

(6)           record and report changes in the client's condition, family situation or needs to an appropriate health care practitioner.

 

History Note:        Authority G.S. 131E-140;

Eff. July 1, 1992;

Amended Eff. January 1, 2010; October 1, 2007; October 1, 2006; February 1, 1996.