North Carolina Administrative Code

10A NCAC 13K .1105 HOSPICE VISITATION (a) The hospice shall: (1) provide areas that ensure privacy for visitation and at the time of death; (2) arrange for family members to remain with the patient overnight. (b) Family and friends may visit at any hour. Children and pets shall n…

10A NCAC 13K .1106 INFECTION CONTROL (a) The hospice shall develop and implement an infection control program which shall aim to protect the residents, family and personnel from hospice or community associated infections. (b) There shall be written policies and procedures governi…

10A NCAC 13K .1107 HOUSEKEEPING AND LINENS (a) Requirements for linens and personal care articles shall include: (1) The use of common towels, washcloths, cups or any other personal care articles is prohibited. (2) Each resident shall have a supply of towels, washcloths and soap.…

10A NCAC 13K .1108 REPORT OF DEATH The hospice shall have a written plan to be followed in case of patient death. The plan must provide for: (1) collection of data needed for the death certificate, as required by G.S. 130A-117; (2) recording time of death; (3) pronouncement of de…

10A NCAC 13K .1109 RESIDENT CARE AREAS (a) A facility shall meet the following requirements for resident bedrooms: (1) private bedroom with not less than 100 square feet of floor area or semi-private bedroom with not less than 80 square feet of floor area per bed shall be provide…

10A NCAC 13K .1110 FURNISHINGS Furnishings of the residence shall be home-like and non-institutional and include lounge furniture in addition to furnishings in resident rooms. Accessories such as wallpaper, bedspreads, carpets and lamps shall be selected to create such an atmosph…

10A NCAC 13k .1111 HOSPICE RESIDENCE ZONING AND FIRE SAFETY REQUIREMENTS Hospices maintained as residential facilities shall provide documentation of approval from local zoning commissions, fire departments and building departments. History Note: Authority G.S. 131E-202; Eff. Jun…

10A NCAC 13K .1112 DESIGN AND CONSTRUCTION (a) A new facility or remodeling of an existing facility shall meet the requirements of the North Carolina State Building Codes, which are incorporated by reference, including all subsequent amendments and editions, in effect at the time…

10A NCAC 13K .1113 PLANS AND SPECIFICATIONS (a) When construction or remodeling of a facility is planned, one copy of construction documents and specifications shall be submitted by the owner or the owner's appointed representative to the Department for review and approval. Schem…

10A NCAC 13K .1114 PLUMBING For hospice residential facilities with five or more residents, a 50-gallon quick recovery water heater is required. For hospice residential facilities with fewer than five residents, a 40-gallon quick recovery water heater is required. History Note: A…

10A NCAC 13K .1115 WASTE DISPOSAL (a) Sewage shall be discharged into a public sewer system, or in the absence of a public sewer system, sewage shall be disposed of in a manner approved by the North Carolina Department of Health and Human Services, Division of Public Health, Envi…

10A NCAC 13K .1116 APPLICATION OF PHYSICAL PLANT REQUIREMENTS The physical plant requirements for each hospice residential facility or unit shall be applied as follows: (1) New construction shall comply with all the requirements of this Section. (2) Except where otherwise specifi…

SECTION .1200 - HOSPICE INPATIENT CARE 10A NCAC 13K .1201 REQUIREMENTS FOR HOSPICE INPATIENT UNITS (a) Hospice inpatient facilities or units shall conform to the rules outlined in Sections .0100 through .1100 of this Subchapter and the rules of this Section. (b) Hospice inpatient…

10A NCAC 13K .1202 ADDITIONAL STAFFING REQUIREMENTS FOR HOSPICE INPATIENT UNITS (a) All nursing services shall be provided under the supervision of a registered nurse. (b) A facility providing respite care must provide 24-hour nursing services that meet the nursing needs of all p…

10A NCAC 13K .1203 ADDITIONAL SERVICES REQUIRED FOR HOSPICE INPATIENT CARE (a) The hospice shall assure, directly or through written agreement, the provision of duly licensed radiology, laboratory, pathology and other medically related services in accordance with physicians' orde…

10A NCAC 13K .1204 ADDITIONAL PATIENT CARE AREA REQUIREMENTS FOR HOSPICE INPATIENT UNITS (a) A facility shall meet the following requirements for patient bedrooms: (1) private bedrooms shall be provided with not less than 100 square feet of floor area; (2) semi-private bedrooms w…

10A NCAC 13K .1205 FURNISHINGS FOR HOSPICE INPATIENT CARE (a) A facility shall provide handgrips at all toilet and bath facilities used by patients. Handrails shall be provided on both sides of all corridors where corridors are defined by walls and used by patients. (b) For each …

10A NCAC 13K .1206 HOSPICE INPATIENT FIRE AND SAFETY REQUIREMENTS (a) The hospice shall establish written policies and procedures governing disaster preparedness and fire protection. (b) The hospice shall have detailed written plans and procedures to meet potential emergencies an…

10a NCAC 13K .1207 HOSPICE INPATIENT REQUIREMENTS FOR HEATING/AIR CONDITIONING A facility shall provide heating and cooling systems complying with the following: (1) The American National Standards Institute and American Society of Heating, Refrigerating, and Air Conditioning Eng…

10A NCAC 13K .1208 HOSPICE INPATIENT rEQUIREMENTS FOR EMERGENCY ELECTRICAL SERVICE A facility shall provide an emergency electrical service for use in the event of failure of the normal electrical service. This emergency electrical service shall consist of the following: (1) In a…

10A NCAC 13K .1209 HOSPICE INPATIENT REQUIREMENTS FOR GENERAL ELECTRICAL (a) All main water supply shut off valves in the sprinkler system shall be electronically supervised so that if any valve is closed an alarm will sound at a continuously manned central station. (b) No two ad…

10A NCAC 13K .1210 OTHER HOSPICE INPATIENT REQUIREMENTS (a) A nurses' calling system shall be provided: (1) in each patient bedroom for each patient bed. The call system activator shall be such that it can be activated with a single action and remain on until deactivated by staff…

10A NCAC 13K .1211 ADDITIONAL PLUMBING REQUIREMENTS/HOSPICE INPATIENT UNITS Hospice inpatient facilities or units shall provide a flow of hot water within safety ranges specified as follows: (1) Patient Areas – 6 ½ gallons per hour per bed and at a temperature of 100 to 116 degre…

10A NCAC 13K .1212 APPLICATION OF PHYSICAL PLANT REQUIREMENTS The physical plant requirements for each hospice inpatient facility or unit shall be applied as follows: (1) New construction shall comply with all the requirements of this Section. (2) Except where otherwise specified…

SUBCHAPTER 13L - NURSING POOL LICENSURE SECTION .0100 - GENERAL INFORMATION 10A NCAC 13L .0101 DEFINITIONS The following definitions apply throughout this Subchapter: (1) "Division" means the Division of Health Service Regulation within the Department of Health and Human Services…

SECTION .0200 - LICENSING 10A NCAC 13L .0201 APPLICATION FOR LICENSE (a) Requests for a nursing pool license shall be submitted on application forms made available by the Division. Each application shall include the following information: (1) Business identification consisting of…

10A NCAC 13L .0202 ISSUANCE OF LICENSE (a) Each site shall be individually licensed when it has been determined by the Division that the site involved is substantially in compliance with this Subchapter. Business sites using the same public business name already licensed by the D…

10A NCAC 13L .0203 PROGRAM COMPLIANCE (a) The Division shall employ a system of initial and renewal applications, complaint investigation and on-site inspections for nursing pools with sites in the state as a means for monitoring and determining program compliance. This system sh…

10A NCAC 13L .0204 PUBLIC DISPLAY (a) The nursing pool's license shall be valid only for the premises on which displayed and specified on the license. (b) The public use of the pool's license status shall not be included in any advertisement which involves any unlicensed services…

SECTION .0300 - ADMINISTRATION 10A NCAC 13L .0301 WRITTEN POLICIES AND PROCEDURES (a) The nursing pool shall have written administrative and personnel policies to govern the services that it provides. These policies shall include those concerning patient care, personnel, training…

10A NCAC 13L .0302 PERSONNEL RECORDS (a) A nursing pool shall maintain a personnel record on each individual. (b) Each individual's personnel record shall include: (1) A legible copy of an unexpired license verification to practice nursing as a registered nurse or a licensed prac…

10A NCAC 13L .0303 INSURANCE REQUIRED The nursing pool shall carry general and professional liability insurance written by an insurer approved by the North Carolina Department of Insurance. The terms of such insurance shall be disclosed to clients receiving services from the lice…

SUBCHAPTER 13M - MAMMOGRAM AND PAP SMEAR CERTIFICATION SECTION .0100 - PAP SMEAR CERTIFICATION 10A NCAC 13M .0101 STATE CERTIFICATION FOR LABORATORIES CONDUCTING PAP SMEARS (a) All laboratories evaluating Pap smears shall be state certified by the Division of Health Service Regul…

SECTION .0200 - MAMMOGRAPHY CERTIFICATION 10A NCAC 13M .0201 STATE CERTIFICATION OF SCREENING MAMMOGRAPHY SERVICES (a) All facilities performing screening mammograms shall be state certified by the Division of Health Service Regulation, Department of Health and Human Services in …

subchapter 13O – healthcare personnel registry SECTION .0100 - HEALTH CARE PERSONNEL REGISTRY 10A NCAC 13O .0101 DEFINITIONS The following definitions shall apply throughout this Subchapter: (1) "Abuse" is defined by 42 CFR Part 488 Subpart E which is incorporated by reference, i…

10A NCAC 13o .0102 INVESTIGATING AND REPORTING HEALTH CARE PERSONNEL The reporting by health care facilities to the Department of all allegations against health care personnel as defined in G.S. 131E-256 (a)(1), including injuries of unknown source, shall be done within 24 hours …

section .0200 – medication aide registry 10A NCAC 13O .0201 MEDICATION AIDE COMPETENCY EVALUATION (a) A competency evaluation candidate shall be advised by the Department after successful completion of a North Carolina Board of Nursing approved medication aide training program an…

10A NCAC 13O .0202 REGISTRY OF MEDICATION AIDES (a) Prior to assigning medication aide duties to a Medication Aide, pursuant to G.S. 131E-114.2, the facility shall conduct a clinical skills validation for those medication administration tasks to be performed in the facility. This…

SECTION .0300 - Nurse Aide I Registry 10A NCAC 13O .0301 NURSE AIDE I TRAINING AND COMPETENCY EVALUATION (a) To be eligible to be listed on the NC Nurse Aide I Registry by the Health Care Personnel Education and Credentialing Section, a person shall: (1) pass a Nurse Aide I train…

SUBCHAPTER 13P – EMERGENCY MEDICAL SERVICES AND TRAUMA RULES SECTION .0100 – DEFINITIONS 10A NCAC 13P .0101 ABBREVIATIONS As used in this Subchapter, the following abbreviations mean: (1) ACS: American College of Surgeons; (2) AEMT: Advanced Emergency Medical Technician; (3) AHA:…

10A NCAC 13P .0102 Definitions In addition to the definitions in G.S. 131E-155, the following definitions apply throughout this Subchapter: (1) "Affiliated EMS Provider" means the firm, corporation, agency, organization, or association identified with a specific county EMS system…

10a ncac 13p .0108 EMS INSTRUCTOR History Note: Authority G.S. 131E-155(a)(7a); 143-508(b); 143-508(d)(3); 143-508(d)(4); Temporary Adoption Eff. January 1, 2002; Repealed Eff. January 1, 2004.

SECTION .0200 – EMS SYSTEMS 10A NCAC 13P .0201 EMS SYSTEM REQUIREMENTS (a) County governments shall establish EMS Systems. Each EMS System shall have: (1) a defined geographical service area for the EMS System. The minimum service area for an EMS System shall be one county. There…

10a ncac 13p .0202 MODEL EMS SYSTEMS History Note: Authority G.S. 143-508(b); 143-508(d)(1), (d)(3), (d)(5), (d)(8), (d)(9), (d)(10),(d)(13); 143-509(1), (3), (4), (5); Temporary Adoption Eff. January 1, 2002; Eff. January 1, 2004; Repealed Eff. March 1, 2009.

10a ncac 13p .0203 SPECIAL SITUATIONS (a) Upon written request from an EMS system or systems, tribal government, or federal jurisdiction having recognized province in North Carolina, the North Carolina Medical Care Commission may approve the furnishing and providing of services w…

10a ncac 13p .0204 EMS PROVIDER LICENSE REQUIREMENTS (a) Any firm, corporation, agency, organization, or association that provides non-transportation emergency medical services at the AEMT or Paramedic level shall be licensed by the Department as an EMS Provider by meeting and ma…

10a ncac 13p .0205 EMS PROVIDER LICENSE CONDITIONS (a) Applications for an EMS Provider License must be received by the OEMS at least 30 days prior to the date that the EMS Provider proposes to initiate service. Applications for renewal of an EMS Provider License must be received…

10A NCAC 13P .0206 TERM OF EMS PROVIDER LICENSE (a) EMS Provider Licenses remain in effect for six years unless any of the following occurs: (1) the Department imposes an administrative sanction which specifies license expiration; (2) the EMS Provider closes or goes out of busine…

10a ncac 13p .0207 GROUND AMBULANCE: VEHICLE AND EQUIPMENT REQUIREMENTS (a) To be permitted as a Ground Ambulance, a vehicle shall have: (1) a patient compartment that meets the following interior dimensions: (A) the length, measured on the floor from the back of the driver's com…

10a ncac 13p .0208 CONVALESCENT AMBULANCE: VEHICLE AND EQUIPMENT REQUIREMENTS (a) To be permitted as a Convalescent Ambulance, a vehicle shall have: (1) a patient compartment that meets the following interior dimensions: (A) the length, measured on the floor from the back of the …