N.C. Department of Health and Human Services
Division of Health Service Regulation
Health Care Personnel Education and Credentialing Section
Nurse Aide I Employment Verification by a Registered Nurse
Overview
Welcome! This form is designed to renew a NURSE AIDE I registration only. This form DOES NOT renew a medication aide registration for employment in a long-term care facility.
There is no fee required to complete the online renewal form.
The Nurse Aide must meet the following eligibility requirements to renew. Nurse Aides working in a non-nursing home setting are responsible for making sure their
job duties qualify for renewal.
Performed at least eight (8) hours of nursing or nursing-related services for pay within their current registration/listing period.
The nursing or nursing-related services performed were delegated and supervised by a Registered Nurse (RN).
Private duty employment does not meet the qualifications for renewal. A Nurse Aide hired by a licensed healthcare facility or agency to provide nursing or nursing-related services in the home is not considered private duty employment for renewal. For North Carolina Medicaid Home- and Community-Based Services (HCBS), you must provide documentation of participation in the following two programs: Community Alternatives Program for Disabled Adults (CAP/DA) and Community Alternatives Program for Children (CAP/C).
A Registered Nurse (RN) is required to verify employment for a Nurse Aide to be renewed in the North Carolina Nurse Aide I Registry. The RN may be either a direct supervisor or another RN who has access to employment records and can verify that the Nurse Aide meets the requirements for renewal. Work that the Registered Nurse cannot support with written documentation or facility records, or by personal supervision on (and thereby knowledge of) the employment date does not meet the requirements for renewal.
The Registered Nurse (RN) does not verify competency during the renewal process.
The FIRST and LAST NAME entered must match what is listed in the
North Carolina Nurse Aide I Registry,
including hyphens and suffixes. Please do not include apostrophe’s when entering the FIRST and LAST NAME. If the name is incorrect, please notify the Nurse Aide so that they can correct the information with the Registry Office.
A North Carolina Nurse Aide I Registry listing will be updated within 3-5 business days after the Online Employment Verification Form has been submitted and approved by DHSR.
Contact the Registry Office if you have any questions.
* Denotes required fields
Registry Search
First Name:
*
Last Name:
*
Last 4 Digits of Social Security Number:
*
Date of Birth:
*
Please enter a valid date.
Nurse Aide I Listing Number (6 digits):
*
Click The Submit Button to Proceed.
Message:
Registration/Listing Period:
Registration Expiration Date:
DHSR Nurse Aide Registry Website
v 1.39, 11/03/2023