January 12, 2012
At
its regularly scheduled meeting the Board:
Introduced new Board Member Deanna Williams who was appointed by the Govenor. Her term expires October 30, 2014.
Was informed of the Governor's reappoinment of Kim Roseman. Her term expires October 30, 2014.
Approved a Practice Committee recommendation to deny the request from the NC Respiratory Care Manager's Group for a declaratory ruling concerning Respiratory Care Staffing levels.
Approved a Practice Committee recommendation to adopt a Position Statement entitled "Respiratory Care Staffing Levels".
Approved an Ad Hoc Committee to further study guidelines for Respiratory Care Staffing levels.
Approved a Practice Committee recommendation for an Interpretative Letter for David Fuller, RCP of Park Ridge Hospital concerning RCP's providing fenantyl nebulizer treatments to hospice patients.
October 13, 2011
At
its regularly scheduled meeting the Board:
Received the annual audit report from the Board's Independent Auditors.
Introduced a new Board Member Rick Sells, RCP who was appointed to complete the unexpired term of Bill Kiger, RCP.
Approved a Practice Committee recommendation to send a letter to the Division of Health Service Regulation requesting a meeting to discuss hospital RCP staffing level issues.
Approved a Practice Committee recommendation to allow a grace period until the RCP's next renewal in 2012 for those RCP's that have allowed their NBRC credentials to expire. The RCP may not use the NBRC credential(s), hold yourself out as being NBRC credentialed and may not sign your name with the NBRC credential(s) until such time as you re-credential and provide proof of NBRC re-credentialing to the Board. The Board strongly recommends that the RCP who has expired NBRC credentials take steps to ensure that the NBRC credentials are current, and to send documentation of that to the Board offices as soon as possible. All RCP’s that renew after June 1, 2012 must have current NBRC credentials or be denied licensure until such time as they re-credential and provide proof of NBRC re-credentialing to the Board.
Approved Interpretative letters to be sent to the requesting RCP's that the following procedures / services are within the scope of the licensed RCP under certain conditions; 1) Tuberculin Skin Testing, 2) Flu vaccinations, 3) B12 Injections, 4) Peripheral venous blood draws, and 5) Administering of medications approved under ACLS and PALS guidelines.
Approved a resolution that allows the Executive Director to offer first time offenders of continuing education falsification a reprimand, civil penalty and disciplinary cost in lieu of requiring the RCP to appear at the Board office for an interview with the Investigation and Informal Settlement Committee.
Approved a 3 year lease for the current Board office space.
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July 14, 2011
At
its regularly scheduled meeting the Board:
Referred back to the Practice Committee to review RCP staffing level concerns and make recommendations to the Board.
Approved a Position Statement on Ventilator Adjustments.
Approved a revised Position Statement on Provision of Respiratory Care Services outside the Hospital or Skilled Nursing Facility.
Approved a grace period until October 13, 2011 for those RCP's that have allowed their NBRC credentials to expire . The Board will discuss this matter again at its October 13, 2011 meeting.
Board Counsel discussed the Regulatory Reform Act of 2011.
A statement explaining Position Statements has been added to the Board Website under the Laws and Rules Tab and Position Statements Tab.
April 14, 2011
At
its regularly scheduled meeting the Board:
Referred to the Practice Committee to discuss. (1) Staffing Level concerns and (2) Requirements to maintain an Active License.
Referred back to the Practice Committee a proposed Position Statement on Ventilator Adjustments and Best Practice Recommendations.
Approved a Position Statement on Provision of Respiratory Care Services outside the Hospital or Skilled Nursing Facility.
Approved a revision of the RCP Application Forms.
Approved a revision of the Board's Disciplinary Manual.
Received the resignation of Bill Kiger, RCP.
January 13, 2011
At
its regularly scheduled meeting the Board:
Approved a letter from the Board's Counsel to be sent to the NC Board of Nursing concerning Nursing Assistant II's performing nebulizer treatments.
Referred back to the Practice Committee a proposed Position Statement concerning Delivery of Respiratory Care Services in Skilled Nursing Facilities Providing Ventilator and/or High Acuity Respiratory Care.
Referred back to the Practice Committee a proposed Position Statement on Ventilator Adjustments.
Approved the creation of an Ad Hoc Committee to study the concerns of RCP's for the current Asthma Program in North Carolina.
Approved the extension until March 30, 2011 for Robert Smith, RCP to obtain his RT degree as required by a declaratory ruling approved October 11, 2007.
Approved an Interpretative Letter for Christopher Hoey, RCP of Kings Mountain Hospital concerning nurses performing Intubations.
Took No Action on a request from Angela Ford, PA-C of VolvoMack of North Carolina concerning members of the Medical Emergency response Team (MERT) administering oxygen.
Approved a request from Mary Lou Fleming and Vainna Zimbal concerning contracting RCP's for DMEPOS companies.
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October 14, 2010
At
its regularly scheduled meeting the Board:
Approved a Position Statement on RCP's performing Interstate Transport of patients between Virginia and North Carolina.
At the request of Brian McGinnis of Catawba Valley Medical Group, approved an Interpretative Letter concerning Medical Assistants performing screening spirometry under certain conditions.
At the request of Terry Smith, RCP of Mission Hospitals, approved an Interpretative Letter concerning RCP's performing allergy testing under certain conditions.
At the request of Terry Smith, RCP of Mission Hospitals, approved an Interpretative Letter concerning RCP's performing morphine nebulizer treatments under certain conditions.
Denied the request of Terry Smith, RCP of Mission Hospitals concerning RCP's removing chest tubes.
Took no action at this time on a proposed Position Statement concerning Respiratory Care Equipment for Home Care.
Took no action at this time on a proposed Position Statement concerning Delivery of Respiratory Care Services in Skilled Nursing Facilities Providing Ventilator and/or High Acuity Respiratory Care.
Referred to the Practice Committee a proposed Position Statement on Ventilator Adjustments.
Referred to the Practice Committee a request from Mary Lou Fleming and Vainna Zimbal concerning contracting RCP's for DMEPOS companies.
Reviewed a letter from the Attorney General's office concerning Nursing Assistant II's performing nebulizer treatments.
Approved changes to Board policy and to Board Rule 21 NCAC 61 .0302 to require RCP's to maintain their NBRC credentials in order to manitain RCP licensure in North Carolina.
Discussed a request from Charles Kimball, RCP of CarolinaEast Medical Center whether RCP’s may take orders from Nurse Practitioners and Physician Assistants. The RCPA does not prohibit PA’s and FNP’s from writing respiratory care orders. The RCP should question an order that he/she finds inappropriate and refer the matter to his/her Medical Director.
Reviewed the Respiratory Care Assistant Declaratory Ruling and did not revise the ruling but revised the application form and registration letter to restrict the Respiratory Care Assistant to non critical care areas.
Heard from the Education Committee methods to move towards the requirement of a BSRT degree and the RRT credential by 2020. The committee will continue to discuss the matter and formulate recommendations.
Denied a request approve continuing education credit (CE) for ACLS Instructor certification.
Approved continuing education credit (12 CE) for completion of the Essentials for Healthy Home Practitioner Course and certification as a Healthy Home Practitioner.
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July 8, 2010
At
its regularly scheduled meeting the Board:
Approved a Position Statement on Respiratory Care Protocols.
Approved a Position Statement on Respiratory Care Management.
Referred to the Practice Committee a proposed Position Statement on Respiratory Care Equipment for Home Care.
Referred to the Practice Committee a proposed Position Statement on Delivery of Respiratory Therapy Services in Skilled Nursing Facilities Providing Ventilator and / or High Acuity Respiratory Care.
At the request of George Young, RCP, the Board approved an Interpretative Letter concerning RCP's administering Lexiscan and Aminophylline during cardiac stress testing.
Rescinded the Declaratory Ruling for Respiratory Care Assistants effective August 31, 2011. A RCP Student may apply for Respiratory Care Assistant registration until August 31, 2011. The registration will expire upon graduation or withdrawal or dismissal from the Respiratory Care Education program.
Referred to the Education Committee to review and make recommendations to improve compliance with the Respiratory Care Assistant declaratory ruling until its ending effective date of August 31, 2011.
Adopted the proposed amendments to Board Rules 21 NCAC 61 .0204, 21 NCAC 61 .0302, 21 NCAC 61 .0308 and 21 NCAC 61 .0401. Board Rule 21 NCAC 61 .0103 was adopted with changes approved by Board resolution.
April 8, 2010
At
its regularly scheduled meeting the Board:
Approved a Resolution endorsing the COPD Community Chronic Care Model.
Referred to the Practice Committee a proposed Position Statement on Respiratory Care Management.
Referred to the Practice Committee a proposed Position Statement on Respiratory Care Protocols.
Referred to the Education Committee for review and recommendations concerning RCP Student co-signing orders, review of the Respiratory Care Assistant Ruling, request for CE approval at Board Meetings, and CE specific content.
At the request of William Mashburn, RCP the Board approved an Interpretative Letter concerning RCP's writing orders supported by Respiratory Care Protocols.
At the request of Judy Hilton, RCP the Board approved an Interpretative Letter concerning RCP's starting IV's and removing sutures from tracheostomy.
Approved changes to Board Rules 21 NCAC 61 .0103, .0204, .0302, .0308 and .0401. The proposed amendments will be published in the NC Register on May 3, 2010.
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January 14, 2010
At
its regularly scheduled meeting the Board:
Approved a Position Statement on Chronic Disease Management.
Introduced new Board members:
Dr. Edward Bratzke, MD, appointed by the President Pro Tem of the Senate. His term will expire October 31, 2012.
Dr. Joseph Coyle, MD, appointed by the Speaker of the House. His term will expire October 31, 2012.
Dan Grady, RCP, appointed by the NC Hospital Association. His term will expire October 31, 2012.
Kimberly Clark, RCP, appointed by the Speaker of the House. Her term will expire October 31, 2012.
Tim Safley, RCP, reappointed by the NC Association of Medical Equipment Services. His term will expire October 31, 2012.
Elected Officers for 2010:
Chairman- Joseph. Coyle, MD.
Vice-Chairman- Dan Grady, RCP
Secretary- Sherry Samuels
Treasurer- Tim. Safley, RCP
Board Chair assigned the following Committee Members:
Ethics Committee: Kim Roseman (Chair), Arnold Frazier, MD, and Floyd Boyer, RCP (ex officio)
Rules Committee: Tim Safley, RCP (Chair), Edward Bratzke, MD, Sherry Samuels, and Floyd Boyer, RCP (ex officio)
Investigation and Informal Settlement Committee: Sherry Samuels (Chair), Tim Safley, RCP, Dan Grady, RCP, Floyd Boyer, RCP (ex officio), and Judy Green, RCP (ex officio)
Practice Committee: Joseph Coyle, MD (Chair), Ralph Webb, RCP, Arnold Frazier, MD, and Floyd Boyer, RCP (ex officio)
Education Committee: Kimberly Clark, RCP (Chair), Ralph Webb, RCP, Bob Campbell, RCP, and Floyd Boyer, RCP (ex officio)
October 8, 2009
At
its regularly scheduled meeting the Board:
Approved
a Practice Committee recommendation to approve a Declaratory Ruling
concerning Sleep Related Testing and to rescind all previous Declaratory Rulings concerning Sleep Technology. To view the ruling click Sleep Related Testing.
Approved a resolution from the Board stating that providing flu vaccine injections and subcutaneous Xolair is within the scope of practice of Respiratory Care Practitioners. The RCP must have documented training and competency review in the procedures. The RCP must have approval of the health care facility and have written policies and procedures
Approved a resolution from the Board stating the use of lasers is not within the scope of practice for Respiratory Care Practitioners in North Carolina.
Approved the Audit Report from Koone, Wooten and Haywood, LLP.
Awarded Service Plagues to outgoing Board Members:
Bill Croft, RCP- December 20, 2002 – October 31, 2009
Peggy Mitchell, RCP- December 20, 2002 – October 31, 2009
Karl Karlson, MD- November 1, 2006 – October 31, 2009
Tom Goodin, MD- November 1, 2003 – October 31, 2009
Wayne Beauford, MD- November 1, 2003 – October 31, 2009
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May 18, 2009
At
a special meeting, the Board approved
a Position Statement supporting House Bill 819 and Senate Bill 892 as an important first step in the regulation of this field. The Position Statement may be viewed by clicking Position Statement.
April 9, 2009
At
its regularly scheduled meeting the Board:
Approved
a Practice Committee recommendation to change the expiration dates of licenses to the end of the month as they are renewed (Note: the expiration date does not change on your current license card. The date will change to the end of the month upon renewal for the renewal period April 9, 2009 to April 8, 2010). The change in expiration date will be phased in over the next year (April 9, 2009 to April 8, 2010). The approved policy change reads as follows:
The license will expire annually on the last day of the month in which it was issued (except for February 29). The license may be renewed only during the month of expiration.
Took no action on a request from the NC Council of State to change board policy or rules to amend or waive licensing requirements for Guards and Reservists while deployed. Current Board policy will meet the Council's requests.
Approved the Board apply for membership in the Citizen Advocacy Center.
Sent
to the Practice Committee for further study, a request to look into standards for managing Respiratory Care Departments.
Approved a motion that the Board recommend to the General Assembly that a study commission be enacted to study the practice of polysomnography and come up with a bill that interested stakeholders could approve.
January 8, 2009
At
its regularly scheduled meeting the Board:
Approved
a Practice Committee recommendation to approve a revised Declaratory Ruling
concerning Sleep Technology. To view the ruling click Sleep Technology.
Approved a motion that the Board supports the scope of practice in all hospitals in the state of North Carolina that only licensed individuals may take verbal orders from physicians.
The Board referred a request from the State Auditor to the Rules Committee to enact Rules to offer relief to Guard and Reservists in order to maintain their licenses while on deployment,
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October
9 , 2008
At
its regularly scheduled meeting the Board:
Approved
a Position Statement "Diagnostic
Testing and Treatment of Sleep Related Disorders".
Sent
back to committee for further study, a request from Wendy Yates of Respironics
to allow RCP’s licensed in other states to perform orientation
and competency evaluations of North Carolina licensed RCP’s without
being licensed in North Carolina.
Approved
a Declaratory Ruling allowing Chris Howard, RCP of Carolinas Medical
Center-Pineville, NC to provide advanced practices during cardiac stress
testing.
Took no position
on a request from Recbecca Williams, RCP of Forsyth Medical Center concerning
home care ventialtors in the hosptial setting.
Endorsed
the AARC's Postion Statement "Inhaled
Medication Administration Schedules" as the official position
of the Board.
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July
10, 2008
The
Board approved a request to endorse the AARC's Uniform Reporting Manual as
an official position of the Board. The manual will help Respiratory
Care Departments determine proper staffing requirements.
July
10, 2008
The
Board rescinded the Position Statement “The Provision Of Respiratory
Care and Its Relationship to the Provision of Respiratory Care Equipment
in the Home”, that was approved at its April 10, 2008 Board Meeting.
The Board returned the statement to committee for further review.
In
other action the Board sent back to the Practice Committee for further
review, a request from the NC Hospital Association to endorse the AARC's
Position Statement concerning Polysomnography certification requirements.
The Board
approved a request from Tammy
Creed, RCP and Laurie Hunt, RCP to modifying the declaratory ruling
of January 6, 2005 to allow RCP's to administer atropine and Lopressor
during stress testing. Click Ruling
to review the revised document.
The Board
sent back to committee for further study a request from Wendy Yates
of Respironics to allow RCP’s licensed in other states to perform
orientation and competency evaluations of North Carolina licensed RCP’s
without being licensed in North Carolina.
June
18 , 2008
The
Board's Home Care Subcommittee met for the purpose of soliciting public
comment to the Position Statement “The Provision Of Respiratory
Care and Its Relationship to the Provision of Respiratory Care Equipment
in the Home” that was approved by the Board at its April 10, 2008
meeting.
April
10, 2008
The
Board approved a Position Statement “The Provision Of Respiratory
Care and Its Relationship to the Provision of Respiratory Care Equipment
in the Home”. The Position Statement defines the support activities
that are permitted in the home care setting with oversight by a licensed
Respiratory Care Practitioner or other appropriately licensed health
care provider. Click Position Statement to view the approved document.
In
other action the Board sent back to the Practice Committee for further
review, a request for a Position Statement concerning Polysomnography
certification requirements.
The
Education Committee presented information concerning the BSRT degree
program at UNC-Charlotte. For information click BSRT
Program.
Changes to Board
Rules
Effective March 1, 2008
and April 1, 2008
Board Rules 21 NCAC 61
.0204 and 21 NCAC 61 .0305 have been amended and became effective March
1, 2008. Board Rule 21 NCAC 61 .0201 has been amended and became effective
April 1, 2008.
21
NCAC 61 .0201 APPLICATION PROCESS
(a) Each applicant
for a respiratory care practitioner license shall complete an application
form provided by the Board. This form shall be submitted to the Board
and shall be accompanied by:
(1) one head
and shoulders passport type photograph of the applicant of acceptable
quality for identification, two inches by two inches in size;
(2) the fee established in Rule .0204 of this Chapter;
(3) evidence, verified by oath, that the applicant has successfully
completed the minimum requirements of a respiratory care education
program approved by the Commission for Accreditation of Allied Health
Educational Programs or the Canadian Council on Accreditation for
Respiratory Therapy Education;
(4) evidence, verified by oath, that the applicant has successfully
completed the requirements for certification in Basic Life Support
which includes Adult, Child and Infant Cardiopulmonary Resuscitation
(CPR), the Heimlich Maneuver, and Automatic External Defibrillator
(AED) use by the American Heart Association, the American Red Cross
or the American Safety and Health Institute; and
(5) evidence from the National Board for Respiratory Care (NBRC) of
successful completion of the Certified Respiratory Therapist (CRT)
examination administered by it.
(b) Applicants
for initial licensure in North Carolina, who have been inactive and
who have not practiced respiratory care for a period of time greater
than one year, must complete the following requirements in addition
to the requirements in Paragraph (a) of this Rule:
(1) for applicants
who have not practiced respiratory care for a period of time greater
than one year, but less than five years, the applicant must provide
evidence of twelve hours of continuing education, that meet the requirements
of 21 NCAC 61 .0401, for each full year of inactivity; and
(2) for applicants
who have not practiced respiratory care for a period of time greater
than five years, the applicant must provide evidence of either:
(A) sixty
hours of continuing education that meet the requirements of 21 NCAC
61 .0401 and evidence from the National Board for Respiratory Care
(NBRC) of successful completion of the Certified Respiratory Therapist
(CRT) examination taken as an assessment examination within the
90-day period before issuance of a license, or
(B) completion of a Respiratory Care refresher course offered through
a Respiratory Care Education program accredited by the Commission
for the Accreditation of Allied Health Educational Programs.
History Note: Authority
G.S. 90 652 (1), (2) and (13); 90-653(a);
Temporary Adoption Eff. October 15, 2001;
Eff. August 1, 2002;
Amended Eff. April 1, 2007; November 1, 2004; March 1, 2004.
21 NCAC
61 .0204 FEES
(a) Fees are as
follows:
(1) For an initial
application, a fee of fifty dollars ($50.00);
(2) For issuance of an active license, a fee of one hundred twenty-five
dollars ($125.00);
(3) For the renewal of an active license, a fee of sixty five dollars
($65.00);
(4) For the late renewal of any license, an additional late fee of
seventy- five dollars ($75.00);
(5) For a license with a provisional or temporary endorsement, a fee
of fifty dollars ($50.00);
(6) For official verification of license status, a fee of twenty dollars
($20.00);
(b) Fees shall
be nonrefundable and shall be paid in the form of a cashier's check,
certified check or money order made payable to the North Carolina Respiratory
Care Board. However, personal checks shall be accepted for payment of
renewal fees.
History Note: Authority
G.S. 90-652(2);(9); 90-660;
Temporary Adoption Eff. October 15, 2001;
Eff. August 1, 2002;
Amended Eff. March 1, 2007; March 1, 2004.
21 NCAC 61 .0305 INACTIVE STATUS
(a) A licensee
who wishes to retain a license but who will not be practicing respiratory
care may obtain inactive status by indicating this intention on the
annual renewal and payment of a fee of twenty dollars ($20.00). An individual
licensed on inactive status may not practice respiratory care during
the period in which he or she remains on inactive status.
(b) An individual licensed on inactive status may convert his or her
license to active status by submission of a renewal application and
payment of the renewal fee and late fee. The renewal application must
contain evidence of the completion of a minimum of twelve hours of continuing
education that meets the requirements of 21 NCAC 61 .0401 for each full
year of inactivity.
(c) In no case may an individual remain on inactive status for more
than 60 months.
History Note: Authority
G.S 90 652(1),(2),(4);
Temporary Adoption Eff. October 15, 2001;
Eff. August 1, 2002;
Amended Eff. March 1, 2007; June 1, 2005.
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January
10, 2008
Amendments to Board Rules
21 NCAC 61 .0201, 21 NCAC 61 .0204 and 21 NCAC 61 .0305 were adopted
by the Board. The proposed changes were reviewed at a Public Hearing
on November 15, 2007. The deadline for written comments ended on December
31, 2007. The adopted Rules changes have been submitted to the Rules
Review Coommission. Click Rule
Changes Pages 912-913 to review the proposed changes.
In other actions the Board
elected Ralph Webb, RCP as the Board Chair, Karl Karlson, MD as the
Board Vice Chair and Sherry Samuels as the Board Secretary and Treasurer.
The Ad Hoc Committee to study CPAP setups in the home and new technology
for home based sleep studies is still working on a Position Statement
or Declaratory Ruling concerning these procedures. The committee is
to report back to the Practice Committee before the next Board meeting.
The Sleep Technology Subcommittee
reported on CMS Rules changes concerning sleep studies and individuals
that may perform the studies. The committee also gave the Board proposed
language for a Polysomnographic Technologist Licensure Bill.
October 11, 2007
Amendments to Board Rules
21 NCAC 61 .0201, 21 NCAC 61 .0204 and 21 NCAC 61 .0305 were approved
by the Board. Click Rule
Changes Pages 912-913 to review the proposed changes.
In other actions the Board
Chair appointed an Ad Hoc Committee to study changes to the current
Positon Statement concerning CPAP setups in the home and new technology
for home based sleep studies. The committee is to report back to the
Board at its January meeting.
July 12, 2007
The NCRCB approved a resolution
to endorse the AARC's White Paper on Concurrent Therapy as the official
position of the Board. The position statement may be viewed and downloaded
at Concurrent
Therapy.
In other actions the Board:
-
Approved
a Practice Committee recommendation to approve a Declaratory Ruling
concerning the Breath of Life Center and the administration of Hyperbaric
Air Therapy and Oxygen Administration. To view the ruling click
Breath
of Life.
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Sent
back to the Practice Committee for consideration a request from
Heather Anthony concerning LPN's performing ventilator care.
-
Approved
a Education Committee recommendation to change the CE language of
the advanced practice rulings The changes may be viewed at each
specific ruling at Rulings.
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Charged the Executive
Director with discussing interstate licensing issues for transport
therapists at the NBRC State Liasion Meeting to be held September
7 and 8, 2007.
April 12, 2007
The NCRCB approved a resolution
to support of Allied Health Funding and a resolution to support House
Bill 267 and Senate Bill 125 to add ethyl alcohol as a substance specifically
named as a toxic vapor and make illegal any instrument that can be used
to atomize or introduce a toxic vapor in to body unless it is a device
used to deliver a prescription medication or an approved over-the-counter
medication.
In other actions the Board:
-
Approved
a Practice Committee recommendation to deny a request to allow EMT's
to provide respiratory care services in the home environment. The
request would have allowed services that are outside the EMT's EMS
scope of service.
-
Approved
requests to allow for certain advanced respiratory care practices.
-
Approved
to adopt changes to Board
Rule 21 NCAC 61 .0401.
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Table
a Declaratory Ruling concerning the Breath of Life Center and the
administration of Hyperbaric Air Therapy and Oxygen Administration.
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Approved
a fee to recover the cost of copying for RCP's that request the
Board supply copies of CE documentation to meet the NBRC's recredentialing
requirements.
-
Sent
to the Practice Committee for consideration a request from Terry
Smith to denounce concurrent therapy.
January 11, 2007
The NCRCB approved moving
forward with a proposed Bill to license polysomnographic technologists.
The Board also approved changes to the Respiratory Care Practice Act
to increase fees and provide for Advanced Practice Endorsement.
In other actions the Board
approved a Practice Committee recommendation to withdraw a proposed
Position Statement concerning Support Technicians.
Effective October 13,
2006
Amendments to Board Rule
21 NCAC 61 .0103 was adopted by the Board. Amendments to Board Rule
21 NCAC 61 .0401 was approved by the Board.
Effective July 13, 2006
The Board approved changes
to the Declaratory Ruling for Respiratory Care Assistants by requiring
the applicant to complete competency evaluations, which includes laboratory
and clinical evaluations. The revised ruling may be viewed at
RC Assistant Ruling.
Effective April 13, 2006
The Board approved changes
to the Declaratory Ruling for Respiratory Care Assistants by adding
the following to the approved tasks list: Devices designed to augment
airway clearance, e.g. EzPAP, Flutter, etc.
Effective January 12, 2006
The Board approved guidance
statements and representative forms to give indivuduals guidance on
compliance with the ruling on sleep labs approved October 6, 2005. The
guidance statements and forms may be viewed and downloaded at
Sleep Guidance.
Effective January 12, 2006
The Board approved a position
statement to give indivuduals guidance on financial relationshios and
referral incentives. The positon statement may be viewed and downloaded
at
Position Statement.
Effective October 6, 2005
The Board approved changes
to the Declaratory Ruling for Advanced Practice for RCP's relating to
ECMO. The ruling may be viewed at
Advanced Practice-ECMO.
The Board approved changes
to the Declaratory Ruling for Advanced Practice for RCP's relating to
EMS Services. The ruling may be viewed at Advanced
Practice for RCP's.
Effective October 6, 2005
Board Rule 21 NCAC 61 .0103
and 21 NCAC 61 .0202 was approved by the Board for amendment. A public
hearing will be held at the Board office on November 17, 2005.
Effective October 6, 2005
The Board approved changes
to the Declaratory Ruling on Sleep Labs. The revised ruling adds the
technician level provider and certification requirements. The revised
ruling may be viewed at Sleep
Lab Ruling.
Effective July 7, 2005
The Board approved changes
to the Declaratory Ruling on Sleep Labs. The revised ruling adds the
technician level provider and certification requirements. The revised
ruling may be viewed at Sleep
Lab Ruling.
Changes to Board Rules
Effective July 1, 2005
Board Rule 21 NCAC 61 .0308
has been amended and became effective June 1, 2005.
21 NCAC 61 .0308 CONTINUING DUTY TO REPORT
(a) All licensed respiratory care practitioners and provisional licensees
are under a continuing duty to report to the Board any and all:
(1) convictions of, or pleas of guilty or nolo contendere to:
(A) any felony;
(B) any misdemeanor or other offense, such as fraud, when an element
of the crime involves conduct by the licensee which indicates a lack
of honesty, integrity, or competence directly relating to the licensee’s
delivery of respiratory care, including crimes whose elements include
violations of Rule .0307 (2), (5), (7), (10), (19), (21), (22), (23),
(24) and (25) of this Chapter; and
(2) the existence of any civil suit which arises out of or is related
to the licensee's practice of respiratory care.
(b) All supervising respiratory care practitioners
are under a continuing duty to report to the Board any and all:
(1) terminations of any respiratory care practitioner for violations
of the practice act or Board rules; and
(2) violations of the practice act or Board rules by any respiratory
care practitioner under his or her supervision.
(c) The reports required by this rule must be made
within 15 days of the occurrence.
History Note: Authority G.S. 90
652(2);
Temporary Adoption Eff. October 15, 2001;
Eff. August 1, 2002,;
Amended Eff. July 1, 2005.
Effective June 1, 2005
Board Rule 21 NCAC 61 .0305
has been amended and became effective June 1, 2005.
21 NCAC 61 .0305 INACTIVE STATUS
(a) A licensee who wishes to retain a license but who will not be practicing
respiratory care may obtain inactive status by indicating this intention
on the annual renewal and payment of a fee of twenty dollars ($20.00).
An individual licensed on inactive status may not practice respiratory
care during the period in which he or she remains on inactive status.
(b) An individual licensed on inactive status may convert his or her
license to active status by submission of a renewal application and
payment of the renewal fee and late fee. The renewal application must
contain evidence of the completion of a minimum of 10 hours of continuing
education that meets the requirements of 21 NCAC .0401 for each full
year of inactivity.
(c) In no case may an individual remain on inactive status for more
than 60 months.
History Note: Authority G.S 90 652(1),(2),(4);
Temporary Adoption Eff. October 15, 2001;
Eff. August 1, 2002,:
Amended Eff. June 1, 2005.
Effective April 7, 2005
The Board approved a Declaratory
Ruling for Advanced Practice for RCP's relating to ECMO. The ruling
may be viewed at Advanced
Practice-ECMO.
The Board approved changes
to the Declaratory Ruling for Advanced Practice for RCP's relating to
EMS Services. The ruling may be viewed at Advanced
Practice for RCP's.
Board Chair Joseph Coyle,
MD, appointed a subcommittee of the Board's Practice Committee to look
into issues concerning the practice of polysomnography in the state.
The committtee meet on April 17, 2005 and discussed the Board's Declaratory
Ruling on Sleep Labs and other concerns. The committee will meet again
on April 28, 2005 at the Board office.
Effective January 6, 2005
The Board approved changes
to the Discipline Manual which became effective January 6, 2005. The
manual may be reviewed at Discipline
Policy Manual. It is suggested that all RCP's review the manual
for Board policies. The Board has changed the policy for RCP supervisors
concerning disclosure of persons under their supervision that might
practice without a license. The policy now reads as follows:
A Respiratory Care Practitioner
who accepts a respiratory care administration position supervising other
respiratory care personnel is accountable for ensuring that all such
personnel are properly licensed, and will do the following:
• Immediately upon assuming responsibilities of the position,
verify that a system exists to verify licensure of practitioners supervised
by the position.
• Within fourteen (14) days of assuming responsibilities of the
position, verify the licenses of all supervised respiratory care personnel.
• Thereafter, assure that the licenses of all supervised respiratory
care personnel are current and valid. The supervisor must report to
the Board any RCP found practicing with a lapsed license within 72 hours
of the discovery. The Board authorizes the Executive Director to waive
sanctioning of the supervisor if he/she reports the lapsed licensee
within 14 days of the violation.
Effective January 6, 2005
The Board approved a Declaratory
Ruling on the administration of certain drugs by RCP's during cardiac
stress tests. The ruling may be viewed at Stress
Test Ruling.
Effective November 1, 2004
Board Rules 21 NCAC 61
.0201 and 21 NCAC 61 .0302 have been amended and became effective November
1, 2004. The amendment to Rule 21 NCAC 61 .0201 establishes additional
requirements for licensure for applicants who have been out of practice
for more than 1 year. The amendment to Rule 21 NCAC 61 .0302 adds language
concerning the BLS requirements for renewal of a RCP license. The latest
Board Rules may be downloaded for review and printing at Chapter
61 Rules.
Effective October 7, 2004
If a RCP has renewed his/her license
and hasn’t received the license card in the mail, his/her supervisor
may print off the license verification from the website. Print off two
copies, one for your records and one to be given to the RCP to be used
in lieu of the wallet card. The copy of the verification of licensure
will be acceptable for a period not to exceed seven days. After receipt
of the license card the RCP must present the card to his/her supervisor.
The supervisor must either file or display a copy of the renewal card
at the practice site so as to be available for inspection. The RCP must
keep a copy of the license wallet card available for inspection to anyone
on request in the course of delivering services. If the RCP has not
received the wallet card in the mail within the seven day period, he/she
must contact the Board office at (919) 878-5595.
Effective October 7, 2004
The Board approved a request to
allow a grace period of one month for earning CE's for those RCP's that
renew their licenses early. Therefore, if a RCP renews his/her license
within the month prior to the expiration date of the license, he/she
may then count any CE's earned in the time between the renewal date
and his/her expiration date towards the next year's CE requirement.
Effective October 7, 2004
The Board approved an amendment
to the RCP Advanced Practice Declaratory Ruling. Click RCP
Advanced Practice Ruling to read the revised ruling. All RCP's providing
Advanced Practice through the Office of Emergency Medical Services System
must comply with this ruling. The ruling requires the RCP to complete
and submit additional CE related to advanced practice.
.