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The North Carolina Respiratory Care Board

Welcome to the North Carolina Respiratory Care Board

Board Office Location and Hours: As noted in 21 NCAC 61 .0102: The administrative offices of the North Carolina Respiratory Care Board (NCRCB) are located at 125 Edinburgh South Drive, Suite 100, Cary, NC 27511. Office hours are 8:00 a.m. until 4:00 p.m., Monday through Friday, except North Carolina state holidays.

Public Notice: At the January 8, 2015 meeting, the NC Respiratory Care Board approved a new policy allowing licensees to print their renewal cards. This change will allow you to print your cards. For this reason, renewal cards will no longer be mailed starting February 2, 2015. After renewing your license, you will be prompted to print your card when renewing. You will also receive an email with a PDF file for records. You can download as a PDF for printing, sending to your manager, and maintaining a file copy for your records. Please be aware that your pop-up blocker must be set to allow pop-ups from the NCRCB website. Since everyone does not have an email, please let your co-workers know about the change.

Notice:Please Keep your email address up to date. The NCRCB will use your email address as the primary source of providing you with information including your license renewal reminder.

Notice: To Individuals with military training in Respiratory Care and their spouses please click here and review the approved requirements per the NC General Statute 93B-15.1  

 

Latest News

April 13, 2017 Board Meeting Highlights

Posted: 4/24/2017 2:53:00 PM

Highlights from the North Carolina Respiratory Care Board Meeting -April 13, 2017

Dr. Klima reported that as of December 31, 2016, all Board positions have been filled.  Dr. Klima reported that Garry Kauffman, Past President of the AARC, was appointed to the Adhoc Committee for Advance Practice Endorsement.

Treasurer’s Report

 Ms. Short reported that as of March 31, 2017, there was $244,502.48 in the savings account and $43,660.17 in the operating account making a total of $288,162.65.  The total assets are $313,638.63.  The Profit & Loss Budget vs Actual shows that the CE approval fees are over budget, license fees and renewals are under budget, and the total expenses are under budget.

Executive Director’s Report

Dr. Croft reported on the events that had occurred since the last Board meeting:

The Practice and Adhoc Committees met on March 10, 2017.  The Education Committee met on March 9, 2017.  The Rules and Ethics Committees did not meet.

During last quarter, website updates were made to improve the efficiency of the Board, which included CE uploads directly into licensee electronic files.

On January 27, 2017, he met with Representative Justin Burr, who represents Montgomery and Stanly Counties, agreed to be the primary sponsor of HB 358, Modernize Respiratory Care Practice Act, along with Representatives Boles and Goodman.  Co-sponsors include Representatives Floyd and Malone.  HB 358 is currently in the Finance Committee.

During the last quarter, Dr. Croft visited nine community colleges to discuss the licensing process.  The colleges were Pitt, Carteret, Central Piedmont, Fayetteville, Forsyth, Edgecombe, Stanly, Rockingham, and Robeson.

On February 15-17, 2017, Dr. Croft presented at the High County Conference on Advanced Practice Endorsement:  The Next Evolution of the Profession.  On March 6.  2017, he visited Randolph Hospital and presented on the Legal Aspects of Precepting.  On March 14-15, he visited New Hanover Regional Medical Center and presented on the Evolving Scope of Practice for RCP’s.  On April 7, he attended the NCARE Annual Rocking Chair Conference in Lake Lure, NC to speak on the new endorsement program and legislation.

Since July 1, 2016, the Board’s Investigators have opened thirty-eight investigations and completed twenty-eight investigations.  There are currently ten ongoing investigations.  Eight individuals were scheduled for interviews with the Board’s Investigation and Informal Settlement Committee on March 7, 2017.  As of March 31, 2017:  there have been 8802 Respiratory Care Practitioner Licenses applied for since 2002.  Current totals: 4719 Active and 73 Inactive.  There are 161 pending applicants, 3356  expired licenses, 294 failed to complete applications, 64 practitioners deceased, 65 withdrawn applications, 16 voluntarily surrendered licenses, 31 revoked licenses, 8 retired licenses, and 16 denied applications.

Education Committee Report

Dr. Mulcrone reported that the committee met on March 9 to review the Refresher Course changes.  At this time, the changes require the passage of HB 358 followed by a rules change.  The UNCC MSRC was approved with a start date for the fall of 2017.

Practice Committee Report

Dr. Klima reported that the committee met on March 10 and discussed CMA’s performing advanced pulmonary function studies as outlined in Carolinas HealthCare System’s response.  CHS has addressed the concerns expressed by the Board.  Mr. Shenton recommended sending a letter to them.  There was a discussion by the Board.  Mr. Henson made a motion to charge Dr. Croft and Mr. Shenton to draft a letter to be sent to CHS.  The motion was seconded and carried unanimously.

Adhoc Committee on Advanced Practice Endorsement

Dr. Olson reported that the committee met on March 10.  The committee reviewed roles, practice settings, educational and credentialing requirements.  The roles discussed included the physical and occupational therapy models of delivery, as well as, a physician extender model without prescriptive rights but within a protocol based system of delivery in LTACH’s, physician offices and hospital based ICU’s.  The scope of practice discussion included the AARC 2015 and Beyond Competencies in arriving at a scope of practice for the next meeting.  Graduates of a Master’s program should be competent in the tasks.

New Business

Dr. Croft stated that HB 358 is now in the Finance committee.

Dr. Klima presented auditor quotes from Koonce, Wooten & Haywood, LLP; Rives & Associates, LLP; and Bernard Robinson & Company, LLP.  There was a discussion by the Board.  Dr. Olson made a motion to continue with Koonce, Wooten & Haywood, LLP.  The motion was seconded and carried unanimously.

Dr. Klima presented a request from Myra Stearns regarding Respiratory Care Assistants.  Dr. Croft gave the background for RCA’s which was in effect from 2004 until 2013.  There were scope and supervision issues.  This issue is arising due to a shortage of therapists.  Following a discussion by the Board, it was decided to give this request to the Education Committee.

Dr. Klima presented a request from Murphy Webber from Wilkes Regional Medical Center regarding Concurrent Therapy.  Dr. Croft gave the background information.  He presented 21 NCAC 61 .0103 “Definitions”.  Rule changes could be made to (i) and (l) to help Respiratory Care Departments to be able to develop their own policies to allow therapists to be able to avoid doing concurrent therapy.  Following a discussion by the Board, “critical access hospitals” was changed to “organizations” in (3) (i).  Dr. Croft stated that the only way to deal with concurrent therapy is to make it a violation.  Language could be added to 21 NCAC 61 .0307 (10).  Following a discussion by the Board, it was decided to move this request to the Rules Committee.

Adjournment

The meeting was adjourned at 2:29 PM.

 

 

January 12, 2017 Board Meeting Highlights

Posted: 1/18/2017 1:39:00 PM

Attorney Andrew Henson was appointed by Governor Pat McCrory as a public member.

Members of the Adhoc Committee for Advanced Practice Endorsement were announced The members are: Dr. Eric Olson (Chair), Ricky Bowen, Tina Lovings, Gerrian Pritchett, Amanda Dexter, Lanny Inabnit, and Dr. Croft (ex-officio member). Officers were reelected including Mr. Larry Simpson, RCP, as Chair; Dr. Larry Klima a Co-Chair; Ms. Robin Ross, RCP as Secretary; and Ms. Kathy Short, RCN, RCP as Treasurer.

Treasures Report: Ms. Short reported that as of December 31, 2016, there was $301,933.33 in the checking/savings account. The total assets were $326,879.31. The total liabilities were $24,986.44. The Profit & Loss Budget vs Actual shows total income of $251,805.00 which is $2737.00 over budget. The total license fees were $238,540.00 which was $620.00 over budget. The total expenses were $217,079.09 which was $1284.91 under budget. The net income was $35,757.62 which was $4333.62 over budget.

Executive Director Report: Dr. Croft reported that last quarter, website updates were made to improve the efficiency of the Board. These included late renewal and audit CE uploads and endorsement uploads directly into licensee electronic files. During the last quarter, he visited four community colleges to discuss the licensing process which included Catawba, Sandhills, Southwestern, and Wilkes. The remaining colleges will be visited prior to April 1.

As of January 6, 2016, there were eight hundred and sixty five (865) licensees registered for the CE Broker program. One hundred and twenty-six of them paid for the advanced version. Since July 1, 2016, the Board’s Investigators have opened twenty-seven investigations and completed twenty investigations. Nine (9) individuals were scheduled for interviews with the Board’s Investigation and Informal Settlement Committee on December 6, 2016. There are currently seven (7) ongoing investigations. As of December 31: there have been 8623 Respiratory Care Practitioner Licenses applied for. Current totals: 4691 Active and 67 Inactive. There are 37 pending applicants, 3341 expired licenses,292 failed to complete applications, 60 practitioners deceased, 65 withdrawn applications, 16 voluntarily surrendered licenses, 31 revoked licenses, 7 retired and 16 denied applications.The Retired status has been updated on the website and will be considered an Inactive status regarding the five-year period to re-activate the Active status with no charge for the Retired status.

Investigation and Informal Settlement Committee Report: Ms. Short reported that the committee met on December 6, 2016 to interview individuals. The committee was scheduled to interview nine (9) individuals. The committee interviewed six (6) individuals. Any disciplinary actions are pending and awaiting the closed session of today’s meeting.

Education Report: Ms. Ross reported that the committee met on January 5, 2017 and presented a new policy for CE audit issues. There are three levels of offenses. Level 1 is for a licensee who falsely attests to completion of CE requirements, but provides the proper documentation within thirty (30) days. The individual would receive a Letter of Concern and would be audited during the next renewal cycle. They would be required to complete the audit using the online service made available by the Board fifteen (15) days prior to their renewal. Level 2 is for a licensee who falsely attests to completion of CE requirements, does not provide the documentation within thirty (30) days but does provide the documentation within ninety (90) days. They would receive a Reprimand in a non-published consent order. The licensee must pay associated civil penalities and disciplinary costs within ninety (90) days of signing the consent order. The individual would be audited during the next renewal cycle and would be required to complete the audit using the online service made available by the Board fifteen (15) days prior to their renewal. Level 3 is for a licensee who falsely attests to completion of CE requirements, and does not provide the proper evidence within ninety (90) days of renewal, or who does not accept the offer for a Letter of Concern or Reprimand. They would be scheduled for an interview with the Investigation and Informal Settlement Committee. There was a discussion by the Board. The committee recommended approval of the policy.

Practice Committee Report: Dr. Klima reported that the Practice Committee met on December 9, 2016 and discussed CMA’s performing advanced pulmonary function studies as outlined in Carolinas Health System’s policy. There were concerns about scope of practice. The committee received the policy from CHS. A letter was sent to the Corporate Counsel for CHS on December 12, 2016 to elicit answers to some questions. CHS was invited to attend the next meeting.

Adhoc Committee Report: Dr. Olson reported that the ADHOC Committee met on December 9, 2016. The committee reviewed roles, practice settings, educational, and credentialing requirements. The general role considered was a physician extender without prescriptive rights but within a protocol based system of delivery in LTACH’s, physician offices, and hospital based ICU. The minimum credentialing and educational requirements will include at a minimum the Masters in Respiratory Care, RRT, ACCS, ACLS, NRP, and PALS. The scope of practice discussion was extensive and revolved around the AARC 2015 and Beyond Competencies, as well as, the MSRC requirements at UNCC which will be the focus of future meetings.

New Business:  Dr. Croft presented the Draft Bill that came out of the Joint Review Committee at the Legislature. This dictates making rules for all of the disciplinary processes which currently are all policies. Dr. Croft presented the Modernize Respiratory Care Practice Act to update language and add clarifications to the current law: 1) Definitions added for Endorsement and Advanced Practice; 2) The power and duty of the Board was updated to include: “Establish and adopt rules defining the education and credential requirements for persons seeking endorsement under this Article.” ;3) Technical changes updates language for COARC and NBRC testing changes; and 4) Provisional and temporary license language was deleted. Last year Senator Wells wanted the Board to have fewer licenses and to do endorsements. The key is that everyone would have an active license but some would be issued endorsements. Attorney Bill Shenton gave a presentation on the Board’s responsibilities under the Respiratory Care Practice Act and APA and the Disciplinary Manual.


The meeting was adjourned at 2:39 PM.

 

Online Services

CLICK LOGIN to enter our online services system to complete the following services: Update your address, practice site, phone number and email address, Request (Certification) Verification of your RCP license to another state, Request a Replacement Licensure Card, Request a Name Change and a new License Card. Online services also includes Application for a RCP license and an online Complaint Form.

Notice: RCP's must maintain their NBRC credentials in order to maintain their RCP license.

NOTICE: You may renew online only during the month your license expires. Reminder- 21 NCAC 61 .0501 requires the RCP to notify the Board within 30 days of any change in address and/or change in practice site.