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Personnel Records

Lists the nine items North Carolina requires in every personnel record for paid staff and direct-care volunteers, keeps confidential health information separate, makes records available to surveyors on the premises, and keeps them at least one year after employment or service ends (six years as the Agency's standard), with longer periods for OSHA and immigration records.

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About this policy
Policy number
NC-HSP-HR-04
Version
1.0
Main rule
10A NCAC 13K .0401(e)
Library
North Carolina hospice · 60 policies
Category
Human resources
Sections
16

In short

  • We keep a personnel record for every staff member and every direct-care volunteer.
  • Your health records (TB, hepatitis B) are kept in a separate confidential file.
  • State surveyors may see personnel records at our office when they ask.
  • Personnel records are kept at least one year after you leave; we keep them six years.

What's inside

16 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (10A NCAC 13K .0401(e))
  • 5. What Each Record Contains
  • 6. Confidentiality and Access
  • 7. Availability to Surveyors
  • 8. Retention
  • 9. Responsibilities
  • 10. Records and Compliance Monitoring
  • 11. Staff Training
  • 12. References
  • 13. Related Policies and Forms
  • 14. Approval
  • 15. Revision History

An inspector may ask

  • Show me the personnel records for these staff and volunteers.
  • Where are the tuberculosis screening, hepatitis B and bloodborne pathogen training records for hands-on staff?

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