This course provides North Carolina nursing registry operators and staff with a comprehensive overview of how to operate a registry within the state’s consumer-directed home care landscape while maintaining full compliance with independent contractor requirements. Learners will understand how North Carolina defines a nursing registry, how this differs from an agency-directed care model, and how to avoid employer-like control that could compromise independent contractor status. The course also incorporates national best practices derived from the U.S. Department of Labor Field Assistance Bulletin and the Caregiver Registry Standards Board, offering operators a framework for safe, compliant operations in a state without specific registry regulations. Emphasis is placed on consumer-direction, administrative functions, proper terminology, credentialing procedures, and how to maintain independence while supporting client safety.
Developed by: Scott Strachan RN, BSN
(former Independently Employed CNA)
A certificate and an official state record are issued upon successful completion.
Developed By: Scott Strachan RN BSN
Target Audience: Nursing registry owners, operators, administrative staff, and individuals involved in referral-based caregiver services in North Carolina
Contact Hours: 1 (Not Reported)
Teaching Method: Self-directed learning completed independently, with scenario-based reflection.
This course provides North Carolina nursing registry operators with a comprehensive overview of how to operate a registry within the state’s consumer-directed home care landscape while maintaining full compliance with independent contractor requirements. Learners will understand how North Carolina defines a nursing registry, how this differs from an agency-directed care model, and how to avoid employer-like control that could compromise independent contractor status. The course also incorporates national best practices derived from the U.S. Department of Labor Field Assistance Bulletin and the Caregiver Registry Standards Board, offering operators a framework for safe, compliant operations in a state without specific registry regulations. Emphasis is placed on consumer-direction, administrative functions, proper terminology, credentialing procedures, and how to maintain independence while supporting client safety.
Upon completion of this course, the learner will be able to:
Define the role of a nursing registry in North Carolina and distinguish it from a home care agency.
Identify best practices that support independent contractor status and avoid employer-like control.
Apply national registry standards, including PCA and CRSB guidance, to ensure safe and compliant registry operations.
The developer of this course is professionally involved in the caregiver referral industry through membership in the Private Care Association, use of the CareLink registry software platform, and ongoing consultation with attorneys experienced in independent contractor law, including the work of Russ Hollrah. These relationships support the developer’s familiarity with industry practices and regulatory frameworks, but did not provide financial compensation, sponsorship, or commercial influence over the development of this educational material. No commercial entity funded or directed the content of this course.
This course is intended for educational purposes only and does not constitute legal advice. Laws and regulatory interpretations may change, and operators should consult qualified legal counsel for guidance regarding state-specific compliance, business practices, or independent contractor classification issues. Completion of this course does not imply state approval or certification and does not replace any regulatory obligations established by North Carolina authorities.