{"ref":"NC-HC-CMP-01","title":"In-Home Aide Competency Verification and Skills Training","category":"Human resources","summary":"Defines how the registered nurse verifies, by demonstration, that each in-home aide is competent in every client care task before the task is assigned, including the six core personal care skills the rules require for aides not on the nurse aide registry, how skills training is given, when competency is verified again, and the training content NC Medicaid requires for personal care aides. Confirms that North Carolina sets no training-hour minimum for in-home aides.","inShort":["You may do a care task only after you have shown the registered nurse you can do it.","The nurse watches you do the task and signs your skills checklist.","Every aide shows the six core skills: mobility, bathing, toileting, dressing, eating and continence care.","You show a skill again for new tasks or equipment, at your yearly observed visit, and after corrective action.","If you are unsure how to do something, stop and call the registered nurse."],"primaryCitation":"10A NCAC 13J .1110(b)","citations":["10A NCAC 13J .1110(a), (b), (e)","10A NCAC 13J .1003(e), (f)(8), (f)(9), (g)","10A NCAC 13J .1107(b)","10A NCAC 13O .0301","21 NCAC 36 .0401(c)","21 NCAC 36 .0403(a), (b)","NC Medicaid Clinical Coverage Policy 3L, §6.1.2, §7.10(c), (d)","DHSR Home Care Frequently Asked Questions, Q45, Q54, Q57","DHSR Home Care Initial Survey Checklist"],"federalCitations":[],"surveyorAsks":["Show me how this aide's competency was verified for each task on this client's plan of care. Who observed it, and how?","This aide is not on the nurse aide registry and was hired after April 1, 2009. Show me the registered nurse's verification of the six core personal care skills."],"forms":[{"ref":"NC-HC-CMP-01-A","title":"In-Home Aide Skills Competency Checklist"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (10A NCAC 13J .1110(b))","5. Training Hours","6. Skills Training","7. How Competency Is Verified","8. When Competency Is Verified Again","9. Assignment Controls","10. Licensed Caregivers","11. NC Medicaid Personal Care Services","12. Responsibilities","13. Records and Compliance Monitoring","14. Staff Training","15. References","16. Related Policies and Forms","17. Approval","18. Revision History"],"version":"1.0","sample":false,"pack":"nc-hca","state":"North Carolina","service":"Home care","guides":[{"path":"/guides/staff-policy-acknowledgment/","h1":"Staff policy acknowledgment: how read-and-sign works in home care"},{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}