Nurse Aide I FAQ

Questions:

  1. Who must be listed on the N.C. Nurse Aide I Registry?
  2. How do I become a Nurse Aide I?
  3. If I am currently listed on another state's Nurse Aide Registry, may I transfer my listing to North Carolina?
  4. Is training required?
  5. Where do I take state-approved training?
  6. Where do I take the competency testing?
  7. Is retraining or retesting required?
  8. How long does it take to be listed on the registry?
  9. May I perform the duties of a Nurse Aide I before I am listed?
  10. What is the Nurse Aide I listing period (how long will my name remain on the registry)?
  11. How does the registry determine a listing expiration date?
  12. How do I renew my Nurse Aide I listing?
  13. What types of work qualify for Nurse Aide I renewal?
  14. What types of work do not qualify for Nurse Aide I renewal?
  15. Is there a registry fee?
  16. Will I get a notice when my listing has been renewed?
  17. When will my listing renewal appear online?
  18. Upon renewal, why wasn’t my listing expiration date extended for two more years?
  19. How do I report name/address changes to the registry?
  20. How can I or my employer verify my registry listing?
  21. Where can I get Nurse Aide II information?
  22. I’m moving to another state. May I perform nurse aide duties in that state?
  23. How may I contact the N.C. Nurse Aide I Registry?

Answers:

  1. Who must be listed on the N.C. Nurse Aide I Registry?

  2. The N.C. Nurse Aide I Registry is a federally mandated registry for nursing home nurse aides.  Anyone who works as a nurse aide in a North Carolina nursing home must be listed on the N.C. Nurse Aide I Registry. This includes RNs, LPNs, and Nurse Aide IIs.  Medication aides who work in nursing homes must also be listed on the N.C. Nurse Aide I Registry.

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  3. How do I become a Nurse Aide I?

  4. The three ways to become a Nurse Aide I are these:

    1. Pass state-approved Nurse Aide I training (or comparable) and competency testing
    2. Pass state-approved Nurse Aide I competency testing
    3. Registered nurses (RNs) and Licensed Practical Nurses (LPNs) may list without training or testing, if all of these apply:
      • They have a current, unrestricted license to work in N.C.
      • They submit an application form (PDF 52 KB) for listing

    Nurses with restricted licenses may contact our office for listing procedures.

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  5. If I am currently listed on another state's Nurse Aide Registry, may I transfer my listing to North Carolina?

  6. No. North Carolina does not accept reciprocity or listing transfers from another state. To be listed in North Carolina, you must either 1) pass state-approved Nurse Aide I training (or comparable) and competency testing or 2) pass state-approved Nurse Aide I competency testing.

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  7. Is training required?

  8. No. However, training is recommended for anyone seeking listing as a Nurse Aide I and prior to attempting competency evaluation.  Nursing students, nurse aides from other states, and nurse aides who have allowed their listings to expire may wish to attempt the state-approved competency evaluation program without taking any additional training.  Completion of a state-approved Nurse Aide I Training Program is required if an individual fails three consecutive competency evaluation attempts.

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  9. Where do I take state-approved training?

  10. State-approved Nurse Aide I Training Programs (75 hours or longer) are offered at most community colleges and at various nursing homes, hospitals, home care agencies, and private companies. To find state-approved sites in your area, view our guide to state-approved training and competency evaluation programs, or contact registry staff. Since admission policies and class schedules vary, individuals should contact the Program Coordinator at an approved location for information specific to that site.

    Note: Some community colleges offer Nurse Aide I refresher courses, as well as Nurse Aide I transition courses for EMTs, paramedics, surgical technicians and medical office assistants. While these are not considered state-approved Nurse Aide I Training Programs, they were designed to prepare individuals with prior training for competency.  Contact your local community college Link goes outside of N.C. DHHS. for information.

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  11. Where do I take the competency testing?

  12. Pearson VUE is the state-contracted provider of Nurse Aide I competency evaluation (testing). NACES Plus Foundation, Inc., works with Pearson VUE to schedule and provide tests. Candidates must obtain registration information, apply for and schedule their Nurse Aide I Competency exam by visiting the Pearson VUE website Link goes outside of N.C. DHHS.. Candidates can obtain a Nurse Aide I candidate handbook in these ways:

    Important test policies and information are provided in the candidate handbook. To protect your exam fee investment, applicants should thoroughly read the candidate handbook before applying for the exam.

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  13. Is retraining or retesting required?

  14. If a Nurse Aide I does not perform, or cannot document having performed, at least 8 hours of qualified employment during the active registry listing period (a two year period), the aide must retest (or retrain/retest) to renew. See the Guide to State-Approved Nurse Aide I Training and Competency for further related information.

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  15. How long does it take to be listed on the registry?

  16. Successful Nurse Aide I candidates (those who pass both the skills and written portions of the competency exam) are usually listed on the registry within two to four business days after completing the exam.  The new listing can be verified online or by 24-hour Voice Response (919) 715-0562 on the following business day.

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  17. May I perform the duties of a Nurse Aide I before I am listed?

  18. A Nurse Aide student who is enrolled in a state-approved training component, has completed training and is waiting to take the competency exam can work for a maximum of four (4) months from the date of initial enrollment in the training program, as long as the facility and the training program have an agreement that the training program has a responsibility to be available to answer questions from its students. This option applies only to skilled care facilities. Your training program and/or potential employer facility can answer this question. If a student is hired during this four-month period, he/she may not perform any duty for which he/she has not been trained and checked by the instructor.

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  19. What is the Nurse Aide I listing period (how long will my name remain on the registry)?

  20. The Nurse Aide I listing period is always a 24-month period during which the listing is active. Nurse Aide I listings are valid for two years (24 months), initially. The initial listing period starts on the day you pass competency evaluation and ends, or expires, on the last day of the 24th month.

    Aides can renew (for up to another 24 months), based on qualified work reported to the registry. At renewal, the new listing period starts on the reported qualified work date and it ends, or expires, on the last day of the 24 month.

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  21. How does the registry determine a listing expiration date?

  22. Initially, Nurse Aide I listings expire 24 months after the date the aide passes competency evaluation. At listing renewal, Nurse Aide I listings expire 24 months after their latest reported qualified work date.

    Note: Beginning with November 2007 expiration dates and later, all listing expiration dates fall on the last day of the 24th month.

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  23. How do I renew my Nurse Aide I listing?

  24. Nurse Aide I listings may be renewed through qualified work experience completed by the aide during every two years. To be "qualified", the work must be ALL of the following:

    1. For pay
    2. As a nurse aide Link goes outside of N.C. DHHS.
    3. Supervised by a registered nurse
    4. A total of eight hours or more during the 24 month registry listing period

    The registry mails a renewal form to nurse aides about three months before their listings expire. Both the aide and the supervisor must complete the form to report the qualified work experience. Upon receipt of qualified work verification, the registry will renew the nurse aide’s listing. The renewal lasts for 24 months (two years) from the most recent qualified work date reported on the renewal form. The expiration date falls at the end of the 24th month.

    Renewal is the aide's responsibility. Aides should report name and address changes promptly. Contact the registry if you do not receive your renewal application on time. You can download a Request for a Replacement Renewal Form (PDF, 36 KB) to be sent to you by mail. Tips and instructions for completing the renewal form are also available.

    Anytime there is a 24-month period during which a Nurse Aide I does not perform qualified work (or cannot document such work), the aide must retest (or retrain/retest) to renew. See the Guide to State-Approved Nurse Aide I Training and Competency for further information.

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  25. What types of work qualify for Nurse Aide I renewal?

  26. Qualified work for a Nurse Aide I is employment that is ALL FOUR (4) of the following:

    1. For pay
    2. Performing nurse aide tasks Link goes outside of N.C. DHHS.
    3. Delegated and supervised by a registered nurse
    4. Time worked totals at least 8 hours during the aide’s 24-month listing period

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  27. What types of work do not qualify for Nurse Aide I renewal?

  28. The following types of work cannot be considered for Nurse Aide I listing renewal:

    1. Work that is not delegated and supervised by an RN
    2. Less than 8 hours of cumulative qualified employment during the listing period
    3. Employment dates on which the aide did not actually work, even if on payroll (e.g., on medical leave)
    4. Volunteer work - work with no monetary compensation
    5. Sitter work
    6. Periods of orientation where no nurse aide tasks are performed
    7. Work that the RN supervisor cannot support with written documentation or facility records, or by personal supervision on (and thereby knowledge of) the employment date
    8. Work that is not within the scope of a Nurse Aide I

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  29. Is there a registry fee?

  30. No. The Nurse Aide I Registry does not charge listing or renewal fees.

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  31. Will I get a notice when my listing has been renewed?

  32. Renewed listings are posted each business day to the Verify Registry Listings page and the 24-hour Voice Response (919) 715-0562. You may monitor these systems to confirm when the listing has been renewed.

    When checking the Verify Registry Listings page, you may register to receive a courtesy email notification to alert you when the registry has received a renewal form and when your listing expiration date has been changed.  (To register, go to the Verify Registry Listings page, and enter your email address and social security number, then click submit.  The registration will be valid for 12 months.)  It is important to complete this registration before submitting the renewal application to the registry to receive both notifications.  Note: The registry does not guarantee delivery of email. 

    No other notifications are sent verifying the renewal.

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  33. When will my listing renewal appear online?

  34. New and renewed listings are posted to the Verify Registry Listings page and the 24-hour Voice Response (919) 715-0562 on the following business day. Same-day renewal verification is available during business hours by calling registry staff.

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  35. Upon renewal, why wasn’t my listing expiration date extended for two more years?

  36. This depends on the qualified work date reported on your renewal application. Expiration dates are calculated for two years (24 months), starting with the last reported work date. The more recent the work experience is that is reported, the later the expiration date can be extended. A nurse aide must work during every 24 months to maintain his or her listing.

    Note: All listing expiration dates, beginning with November 2007 expiration dates and later, fall on the last day of the 24th month.

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  37. How do I report name/address changes to the registry?

  38. You may report your changes in these ways:

    Note: If you are listed on the N.C. Medication Aide Registry or Geriatric Aide Registry, your changes will also appear there.

    You are asked to voluntarily provide your SSN. This number is for record keeping and registry identification purposes only. Your SSN will remain confidential and will not be disclosed to the public. 

    All documents submitted to the registry may be verified with the issuing source before a change occurs.

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  39. How can I or my employer verify my listing on the Nurse Aide I Registry?

  40. Employers can verify N.C. Medication Aide, N.C. Nurse Aide I and N.C. Health Care Personnel Registry listings by these:

    The verification systems use social security numbers to access registry records. Printed verifications are available only through the web site. Daily changes to the registry database are uploaded to the web site and VRS on the following business day. Same day verification of updates is available by calling registry staff.

    IMPORTANT: The N.C. Medication Aide Registry verification given by these systems does not apply to Medication Aides working in Adult Care Homes. Employers of Medication Aides working in Adult Care Homes must verify listing by calling (919) 733-7615.

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  41. Where can I get Nurse Aide II information?

  42. The N.C. Board of Nursing Link goes outside of N.C. DHHS. operates the Nurse Aide II Registry. Visit their web site or call (919) 782-7499.

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  43. Iím moving to another state. May I perform nurse aide duties in that state?

  44. If you are moving FROM North Carolina, contact the Nurse Aide Registry in the state where you are moving, to obtain state requirements.

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  45. How may I contact the N.C. Nurse Aide I Registry?

  46. N.C. Nurse Aide I Registry
    2709 Mail Service Center
    Raleigh, N.C. 27699-2709

    Phone Staff: Weekdays, 8 a.m. - 12 noon, and 1 p.m. - 3 p.m., EST: (919) 855-3969

    Fax: (919) 733-9764

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Link goes outside of N.C. DHHS. Denotes link to site outside of N.C. DHHS