{"ref":"NC-HC-SVC-02","title":"In-Home Aide Services, Levels of Assistance, and Nurse Aide Tasks","category":"Clinical tasks","summary":"Sets out what in-home aides do, how the registered nurse records the level of assistance for each activity of daily living, when an aide must be listed on the Nurse Aide Registry, which Nurse Aide I and Nurse Aide II tasks may be assigned and on what conditions, how assignments and written instructions are given, what aides record and report, and how orders for in-home aide services are handled when a payer requires them.","inShort":["Follow the registered nurse's written assignment sheet for each client, and do no task that is not on it.","The sheet shows the level of help for bathing, dressing, mobility, toileting and eating.","Clients who need extensive help may be served only by aides listed on the Nurse Aide I Registry.","Record every visit and every task before you leave the home.","Call the registered nurse at once about a fall, new pain, breathing trouble, confusion, skin sores or refused care."],"primaryCitation":"10A NCAC 13J .1107","citations":["10A NCAC 13J .1107(a)-(c), (f)-(h)","10A NCAC 13J .0901(1), (7), (10), (13), (15), (18), (19)","10A NCAC 13J .1110(b)","10A NCAC 13J .1202(a)","10A NCAC 13J .1302(a), (d)","10A NCAC 13J .1402(a)(2)(C)","G.S. 131E-136(3)d.","G.S. 131E-255","10A NCAC 13O .0301","21 NCAC 36 .0221(b)","21 NCAC 36 .0401(a), (c)","21 NCAC 36 .0403(a)-(c)","NC Medicaid Clinical Coverage Policy 3L, §4.2.1(h), (i), §6.1.4(o), §6.1.5, §6.1.6, §7.10(b)(8)","DHSR Home Care Frequently Asked Questions, Q50, Q52, Q53"],"federalCitations":[],"surveyorAsks":["Show me this client's plan of care. Where is the level of assistance for each activity of daily living?","This plan of care calls for extensive assistance. Show me that every aide assigned is listed on the Nurse Aide Registry."],"forms":[{"ref":"NC-HC-SVC-02-A","title":"In-Home Aide Assignment and Task Sheet"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (10A NCAC 13J .1107)","5. What In-Home Aides Do","6. Levels of Assistance and Who May Provide Them","7. Nurse Aide I and Nurse Aide II Tasks","8. Assignment and Written Instructions","9. Recording Each Visit","10. Reporting Changes to the Registered Nurse","11. Orders for In-Home Aide Services","12. Geographic Limit and Block Grant Programs","13. Responsibilities","14. Records and Compliance Monitoring","15. Staff Training","16. References","17. Related Policies and Forms","18. Approval","19. Revision History"],"version":"1.0","sample":false,"pack":"nc-hca","state":"North Carolina","service":"Home care","guides":[{"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}}