1. (a) If an agency provides nursing services, those services shall be provided by or under the supervision of a registered nurse and in accordance with the North Carolina Nursing Practice Act, G.S. Chapter 90, Article 9A, and the client's plan of care shall include the following as a minimum:

   1. (1) regularly assess the nursing needs of the client;
   2. (2) develop and implement the client's nursing plan of care;
   3. (3) provide nursing services, treatment, and diagnostic and preventive procedures;
   4. (4) initiate preventive and rehabilitative nursing procedures appropriate for the client's care and safety;
   5. (5) observe signs and symptoms and report to the physician any reaction to treatment, drugs, or changes in the client's physical or emotional condition;
   6. (6) teach, supervise, and counsel the client and family members about providing care for the client at home; and
   7. (7) supervise and train other nursing service personnel.

2. (b) Licensed practical nurse duties are delegated by and performed under the supervision of a registered nurse. Consistent with the client's plan of care, duties may include:

   1. (1) participating in assessment of the client's health status;
   2. (2) implementing nursing activities, including the administration of prescribed medical treatments and medications;
   3. (3) assisting in teaching the client and family members about providing care to the client at home; and
   4. (4) delegating tasks to in-home aides and supervising their performance of tasks within the limitations established in 21 NCAC 36 .0225(d)(3) adopted by reference.
3. (c) If an agency provides nursing services, the agency shall provide on‑call nursing services on a 24 hour basis, seven days a week. The agency shall retain current on-call schedules and previous schedules for one year and make them available, on request, to the Department.

History Note: Authority G.S. 131E‑140;
Eff. July 1, 1992;
RRC Objection due to lack of statutory authority Eff. November 16, 1995;
Amended Eff. February 1, 1996;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. June 25, 2016.