21 NCAC 36 .0403 QUALIFICATIONS
(a) The nurse aide I shall perform basic nursing skills and personal care activities after successfully completing an approved nurse aide I training and competency evaluation or competency evaluation program. The licensed nurse shall delegate these activities only after considering the variables defined in Rule .0401(b) and (c) of this Section. Pursuant to G.S. 90-171.55, as of April 1, 1992 no individual may function as a nurse aide I, regardless of title, to provide nursing care activities, as identified in Rule .0401(a) of this Section, to clients or residents until:
(1) the individual has successfully completed, in addition to an orientation program specific to the employing facility, a State approved nurse aide I training and competency evaluation program or its equivalent; or a State approved competency evaluation program and the employing facility or agency has verified listing on the Division of Health Service Regulation Nurse Aide Registry (DHSRNAR); or
(2) the employing agency or facility has assured that the individual is enrolled in a State approved nurse aide I training and competency evaluation program which the individual shall successfully complete within four months of employment date. During the four month period, the individual shall be assigned only tasks for which he has demonstrated competence and performs under supervision.
(b) The nurse aide II shall perform more complex nursing skills with emphasis on sterile technique in elimination, oxygenation, and nutrition after successful completion of an approved nurse aide II training and competency evaluation program. The licensed nurse shall delegate these activities to the nurse aide II only after consideration of the variables described in Rule .0401(b) and (c) of this Section. Pursuant to G.S. 90-171.55, as of January 1, 1991 no individual may function as a nurse aide II unless:
(1) the individual has successfully completed, in addition to an orientation program specific to the employing agency, a nurse aide II program approved by the Board of Nursing according to these Rules or its equivalent as identified by the Board of Nursing;
(2) the individual is listed as a nurse aide I on the DFS Nurse Aide I Registry with no substantiated findings of abuse, neglect, or misappropriation of property; and
(3) the employing facility or agency has inquired of the Board of Nursing as to information in the Board of Nursing Nurse Aide II Registry concerning the individual and confirms with the Board of Nursing that the individual is listed on the Board of Nursing Nurse Aide II Registry (BONNAR) as a nurse aide Level II.
(c) Listing on a Nurse Aide Registry is not required if the care is performed by clients themselves, their families or significant others, or by caretakers who provide personal care to individuals whose health care needs are incidental to the personal care required.
(d) Pursuant to G.S. 131E-114.2 and G.S. 131E-270, the medication aide shall be limited to performing technical aspects of medication administration consistent with Rule .0401(b) and (c) of this Section, Rule .0221 of this Chapter, and only after:
(1) successful completion of a medication aide training program approved by the Board of Nursing;
(2) successful completion of a state-approved competency evaluation program; and
(3) listing on the Medication Aide Registry.
History Note: Authority G.S. 90‑171.20(2)(4)(7)d.,e.,g.; 90‑171.43(4); 90‑171.55; 90-171.56; 131E-114.2; 131E-270; 42U.S.C.S. 1395i-3 (1987);
Eff. March 1, 1989;
Temporary Amendment Eff. October 11, 1989 For a Period of 180 Days to Expire on April 6, 1990;
Amended Eff. September 1, 2006; December 1, 1995; March 1, 1990.