SECTION .0400 ‑ UNLICENSED PERSONNEL: NURSE AIDES
21 NCAC 36 .0401 ROLES OF UNLICENSED PERSONNEL
Definitions. As used in Section .0400:
care activities" means activities performed by unlicensed personnel which
are delegated by licensed nurses in accordance with paragraphs (b) and (c) of
care activities" means activities performed by unlicensed personnel when
health care needs are incidental to the personal care required.
(b) The Board
of Nursing, as authorized by G.S. 90-171.23(b)(1)(2)(3), shall be the
determining authority to identify those nursing care activities which may be
delegated to unlicensed personnel. The licensed nurse, registered and
practical, in accordance with 21 NCAC 36 .0224 and .0225 and G.S.
90-171.20(7)(8), may delegate nursing care activities to unlicensed personnel,
regardless of title, that are appropriate to the level of knowledge and skill
of the unlicensed personnel and are within the legal scope of practice as
defined by the Board of Nursing for unlicensed personnel.
activities which may be delegated to unlicensed personnel are determined by the
and skills of the unlicensed personnel;
of clinical competence of the unlicensed personnel by the employing agency;
of the client's condition which involves predictability, absence of risk of
complication, and rate of change, which thereby excludes delegation of nursing
care activities which do not meet the requirements defined in 21 NCAC 36
variables in each service setting which include but are not limited to:
complexity and frequency of nursing care needed by a given client population;
proximity of clients to staff;
(C) the number
and qualifications of staff;
accessible resources; and
policies, procedures, practices, and channels of communication which lend
support to the types of nursing activities being delegated, or not delegated,
to unlicensed personnel.
History Note: Authority G.S. 90‑171.20(2)(4)(7)d.,e.,g.;
42 U.S.C.S. 1395i‑3 (1987);
Eff. March 1, 1989;
Amended Eff. December 1, 1995; October 1, 1991.