When the North Carolina Nursing Board issues a complaint to a nurse, the document may reference specific North Carolina Administrative Codes (NCAC) or North Carolina General Statutes (NCGS) that the nurse is alleged to have violated.
Understanding these codes and statutes is important for nurses to understand what is being alleged in the complaint.
On this page, we’re focusing on 21 North Carolina Administrative Code 36 .0217 (12)
21 North Carolina Administrative Code 36 .0217 (12)
failing to maintain an accurate record of all pertinent health care information as defined in Rule .0224(f)(2) or .0225(f)(2) for each client;
Referenced Rules:
Rule .0224(f)(2)
(2) Recording means the documentation of information on the appropriate client record, nursing care
plan or other documents. This documentation shall:
(A) be pertinent to the client’s health care;
(B) accurately describe all aspects of nursing care, including assessment, planning,
implementation, and evaluation;
(C) be completed within a time period consistent with the client’s need for care;
(D) reflect the communication of information to other individuals; and
(E) verify the proper administration and disposal of controlled substances
Rule .0225(f)(2)
(2) Recording means the documentation of information on the appropriate client record, nursing care plan, or other documents. This documentation shall:
(A) be pertinent to the client’s health care, including client’s response to care provided;
(B) accurately describe all aspects of nursing care provided by the licensed practical nurse;
(C) be completed within a time period consistent with the client’s need for care;
(D) reflect the communication of information to other persons; and
(E) verify the proper administration and disposal of controlled substances.
(G) Collaborating involves communicating and working cooperatively in implementing the heal
If you’re a North Carolina Nurse and have received a complaint with this code cited in the text, it is being alleged that your record keeping efforts through the course of your work is inadequate. This could be due to a question about the timeliness of the record keeping, the lack of detail in record keeping, or proper verification.
If you’re a Licensed North Carolina Nurse facing disciplinary action or licensing issues, North State Law Firm is here to help. Our experienced team represents North Carolina licensed professionals, including nurses, when their licenses are at risk.
We invite you to take advantage of our Free 15 Minute Discovery Call, where you can discuss your situation with one of our knowledgeable attorneys and gain valuable insights into your options.
Contact North State Law Firm today to schedule your call and take the first step towards protecting your nursing license.