Bill Summaries: H474 (2011-2012 Session)

Tracking:
  • Summary date: Jun 1 2011 - View summary

    AN ACT TO PROTECT ADULT CARE HOME RESIDENTS BY INCREASING MINIMUM CONTINUING EDUCATION, TRAINING, AND COMPETENCY EVALUATION REQUIREMENTS FOR ADULT CARE HOME MEDICATION AIDES, STRENGTHENING ADULT CARE HOME INFECTION CONTROL REQUIREMENTS, AND REQUIRING THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, DIVISION OF HEALTH SERVICE REGULATION, TO ANNUALLY INSPECT ADULT CARE HOMES FOR COMPLIANCE WITH SAFE INFECTION CONTROL STANDARDS. Summarized in Daily Bulletin 3/24/11, 4/26/11, 4/28/11, and 5/12/11. Enacted May 31, 2011. Effective May 31, 2011.


  • Summary date: May 12 2011 - View summary

    Senate committee substitute makes the following changes to 3rd edition. Amends proposed GS 131D-4.5B(b) to provide that existing staff in an adult care home are prohibited from performing any unsupervised medication aide duties unless the individual has previously worked as a medication aide during the previous 24 months in an adult care home or has successfully completed a 5-hour training program that includes training and instruction in safe injection practices and procedures for monitoring or testing in which bleeding occurs or the potential for bleeding exists (was, training and instruction in glucose monitoring). Also requires that an individual complete, within 60 days of being hired, an additional 10-hour training program that includes training and instruction in safe injection practices and procedures for monitoring or testing in which bleeding occurs or the potential for bleeding exists and completes other requirements included in the previous edition. Makes a technical correction.


  • Summary date: Apr 28 2011 - View summary

    House amendment makes the following change to 2nd edition. Amends the infection prevention requirements of new GS 131D-4.4A(b)(1)a. to distinguish between single use and reusable items and, specifically, to require that the infection control policy address the proper disposal of single use equipment used to puncture the skin, mucous membranes, and other tissues, and the proper disinfection of reusable patient care items that are used for multiple residents.


  • Summary date: Apr 26 2011 - View summary

    House committee substitute makes the following changes to 1st edition. Amends proposed GS 131D-4.4A(b)(4) by designating the on-site staff member for each noncontiguous facility the responsibility to ensure that all adult care staff is trained in the facility’s infection control policy, and by adding a new GS section 131D-4.4B, which directs the Department of Health and Human Services (DHHS) to develop guidelines for the method by which adult care homes report suspected communicable disease outbreaks. Changes the training requirements for new medication aides to the following: (1) a five-hour training program developed by DHHS that includes training and instruction in the key principles of medication administration and the federal Centers for Disease Control and Prevention guidelines on infection control and, if applicable, safe injection practices and glucose monitoring; (2) a clinical skills evaluation consistent with 10A NCAC 13F.0503; (3) the completion of an additional 10-hour training program developed by DHHS within 60 days of hire that includes training and instruction in the key principles of medication administration and the federal Centers for Disease Control and Prevention guidelines on infection control and, if applicable, safe injection practices and glucose monitoring; and (4) an examination administered by the Division of Health Service Regulation. Revises the date by which the Division of Health Service Regulation must develop a mandatory, in-service training program for adult care home medication aides to January 1, 2012 (previously December 1, 2011). Requires each adult care home to complete specified actions related to infection control, beginning January 1, 2012 (was, December 1, 2011).


  • Summary date: Mar 24 2011 - View summary

    Enacts GS 131D-4.4A to require adult care homes to engage in specified practices, policies, and procedures to prevent transmission of infections including HIV, hepatitis B, hepatitis C, and other blood borne pathogens, as of December 1, 2011. Requires that an adult care home implement a written infection control policy that is consistent with the federal Centers for Disease Control and Prevention (CDC) guidelines. Also requires each noncontiguous adult care home facility to designate an on-site staff member, who is knowledgeable about the CDC’s guidelines on infection control, to direct the facility’s infection control activities. Requires, beginning October 1, 2013, that any nonsupervisory staff member designated to direct the facility’s infection control activities complete the infection control course developed by the Department of Health and Human Services (DHHS).
    Enacts GS 131D-4.5C directing DHHS to develop a mandatory annual infection control course by December 1, 2011, for adult care home supervisors. Provides that each supervisor who successfully completes the mandatory infection control course will receive continuing education credit, in an amount determined by DHHS, toward meeting the requirements for adult care home supervisors as provided under GS 131D-4.5.
    Enacts GS 131D-4.5B directing the Division of Health Service Regulation (Division) to develop a mandatory annual course by December 1, 2011, for adult care home medication aides that addresses infection control, safe practices for injections and other procedures during which bleeding typically occurs, and glucose monitoring. Provides that each home medication aide who successfully completes the mandatory infection control course will receive partial continuing education credit, in an amount determined by DHHS, toward meeting the requirements for adult care home medication aides as provided under GS 131D-4.5. Sets hiring requirements for adult care home medication aides to be applied beginning October 1, 2013. Requires the Division to develop and administer an employment exam for individuals seeking employment as a medication aide in an adult care home by October 1, 2012.
    Amends GS 131D-2.11(a) to require, beginning July 1, 2012, the Division to include in its inspection of all adult care homes a review of the facility’s compliance with proposed GS 131D-4.4A(b) (infection prevention requirements).
    Makes conforming changes to GS 131D-4.5(1) and GS 131D-4.5(3).