this is for north carolina only - you must research the statue statutes and nurse practice in your own states....
in north carolina we have 4 skill categories that are able to provide aide services in the home:
- no hands on services
personal care aide
- not certified, may or may not have had previous experience - has had very basic skills verified by an rn at the agency with which they are employed - must be done by each employer agency - able to provide iadls and assistance with a limited level of adls
nurses aide i
- is certified by the state through written and skill exam - able to do many tasks - but very few invasive ones - able to provide extensive level of adls in addition to the iadls
nurses aide ii
- a level above na i - has gone through additional schooling and testing - able to do all the na i can plus many additional invasive tasks, sterile dressings etc... extensive adls and more skill intensive tasks
definitions from 10a ncac 13j:
means any home care service which involves touching the patient in order to implement the patient's plan of care.
means care to a client who requires hands-on care involving guided maneuvering of limbs with eating, toileting, bathing, dressing, personal hygiene, self monitoring of medications or other tasks assigned that require weight bearing assistance half the time or less during the activity and does not meet the definition of extensive assistance in item (9) of this rule.
means a client is totally dependent or requires weight-bearing support more than half the time while performing part of an activity, such as guiding or maneuvering of limbs, and meets one of the following criteria:
(a) requires extensive assistance in more than two activities of daily living (adls), as defined in item (1) of this rule; or
(b) needs an in-home aide to perform at least one task at the nurse aide ii level; or
(c) requires extensive assistance in more than one adl and has a medical or cognitive impairment as defined in item (19) of this rule.
(if you want to read the whole statute/rule: http://ncrules.state.nc.us/ncac/titl...j%20rules.html
according to the nc bon:
nurse aide i tasks
nurse aide ii tasks
personal care aide aka non-registered aide tasks (10a ncac 13j .1003 g)
(1) assisting with mobility including ambulation, transfers and bed mobility;
(2) assisting with bath/shower;
(3) assisting with toileting;
(4) assisting with dressing;
(5) assisting with eating; and
(6) assisting with continence needs.