Module A

Definitions

AM Care – personal activities done in the morning that include toileting, face/hand wash, and mouth care before/after breakfast

Activities of Daily Living (ADL) – term used in health care to describe everyday things that a resident routinely does, such as hygiene and grooming, dressing, eating, toileting, and transferring

Basic Nursing Skills – essential skills required of nurse aides to deliver competent care to residents in health care settings

Cognition – the manner in which messages from the five senses are collected, stored in memory, recovered from memory, and later used to answer questions, respond to requests, and perform tasks; the ability to think logically and clearly

Delegation – the process of assigning part of one’s responsibility to another qualified person in a specific situation; transferring responsibility for the performance of an activity or task while retaining accountability for the outcome

Grooming – tasks done to maintain the person’s appearance, such as caring for fingernails and hair

Hygiene – tasks done to keep bodies clean and healthy, such as bathing and brushing teeth

Interpersonal Skills – in a health care setting, generally refers to a health care provider’s ability to get along with others while getting the job done

North Carolina Board of Nursing – regulatory body that provides list of tasks that fall within the range of function for nurse aides in North Carolina

North Carolina Board of Nursing Administrative Code – defines range of function for nurse aides in North Carolina

North Carolina Health Care Personnel Education and Credentialing Section – section of the State of North Carolina that provides services for unlicensed health care workers, their employers, and their instructors and maintains the NC Nurse Aide I Registry North Carolina

Nurse Aide I Registry – a registry of all people who meet state and federal training and testing requirements to perform Nurse Aide I tasks in the State of North Carolina

Nurse Aide I in the State of North Carolina – a valued, unlicensed member of the health care team, responsible for providing delegated nursing tasks, within a defined range of function, for residents (patients/clients), in a variety of settings, and who is listed on the NC Nurse Aide I Registry

OBRA (Omnibus Budget Reconciliation Act) of 1987 – Federal Law, enacted by Congress, in 1987, to improve quality of life of residents living in a nursing home environment; comprehensive review/update of regulations, effective November 28, 2016

PM Care – personal activities done in the evening that include toileting, face/hand wash, snack, mouth care, and backrub

Personal Care Skills – tasks that deal with a person’s body, appearance, and hygiene, typically done on a daily basis

Team – a group of people with a common purpose, assigned tasks, and coordinated effort to get a job done

Work Ethic – is behavior in workplace that includes appearance, communication skills, treatment of others, choices, judgment, and teamwork

Who is a Nurse Aide I in the State of North Carolina?

  • A valued, unlicensed member of the health care team, responsible for providing delegated nursing tasks within a defined range of function, for residents (patients/clients) in a variety of settings and who is listed on the N.C. Nurse Aide I Registry
  • North Carolina Board of Nursing (NCBON) uses the umbrella term, Unlicensed Assistive Personnel (UAP), to describe unlicensed health care assistants who have been trained to provide certain tasks of client care as directed by a licensed health care provider. The Nurse Aide I, Patient Care Aides, Medical Office Assistants, Medication Aides and Medical Assistants are just some of the roles that are termed Unlicensed Assistive Personnel.
  • Nurse Aide I in NC may also be called nurse aide or nursing assistant

OBRA (Omnibus Budget Reconciliation Act)

  • Federal Law, enacted by Congress, in 1987; updated in 2016
  • Designed to improve quality of life of residents living in a nursing home environment
  • One component of OBRA defines requirements for nurse aide training and competency evaluation, and the nurse aide registry
  • OBRA discussions occur throughout the course

Range of Function for Nurse Aides

  • North Carolina Board of Nursing Administrative Code – defines range of function for nurse aides in North Carolina
  • North Carolina Board of Nursing – provides list of tasks that fall within the range of function for nurse aides in North Carolina
  • Nurses may delegate other tasks that fall within the range of function for nurse aides if task meets specific criteria before the delegation of task occurs

Regulatory Body

  • North Carolina Nurse Aide I Registry – a registry of all people who meet state and federal training and testing requirements to perform Nurse Aide I tasks in the State of North Carolina
  • North Carolina Health Care Personnel Education and Credentialing
    • Section of the State of North Carolina government that provides services for unlicensed health care workers, their employers, and their instructors
    • Maintains N.C. Nurse Aide I Registry
    • Approves Nurse Aide Training Programs

Registry Listing Requirements

  • Individual is listed on the Nurse Aide I Registry upon passing the National Nurse Aide Assessment Program (NNAAP)
    • Written/oral examination
    • Demonstration of five (5) skills
  • Individual may take the NNAAP exam up to 3 times upon completion of a state-approved Nurse Aide I Training Program

Listing Renewals (1)

  • Listings are renewed through qualified work experience completed every 24 months
  • Qualified work experience requires the following:
    • Work a minimum of eight hours during the 24-month listing period
    • Receive payment for work experience
    • Perform nursing or nursing related services
    • Supervised by an RN
  • Any nurse aide who does not work during the 24-month listing period will be required to retrain and retake and pass the NNAAP exam

Listing Renewal Form

  • Both the nurse aide and RN supervisor must complete a designated portion of the renewal listing form
  • RN and nurse aide must sign form
  • Nurse aide should send in renewal listing form about 3 months prior to expiration date of listing
  • Requests for a Replacement Renewal Form may be   found at www.ncnar.org
  • Important note: nurse aides cannot work as a nurse aide once the listing expires