Section 97510.17 - Nurses' Notes(a) Nurses' notes shall be kept for all patients and included in the patients' records.(b) Nurses' notes shall include, but not be limited to, the following: (1) A concise and accurate record of nursing care administered.(2) A record of pertinent observations including psychosocial and physical manifestations as well as incidents and unusual occurrences, and relevant nursing interpretation of such observations.(3) Name, dosage, time, and route of administration of medications and treatment. If administration is by injection, site of injection shall be recorded.(4) Record of vital signs.Cal. Code Regs. Tit. 22, § 97510.17
1. New section filed 3-7-88 as an emergency; operative 3-7-88 (Register 88, No. 12). No Certificate of Compliance required pursuant to the provisions of Health and Safety Code section 1250.9(m).
2. Editorial correction of HISTORY No. 1 (Register 90, No. 21). Note: Authority cited: Section 1250.9, Health and Safety Code. Reference: Section 1250.9, Health and Safety Code.
1. New section filed 3-7-88 as an emergency; operative 3-7-88 (Register 88, No. 12). No Certificate of Compliance required pursuant to the provisions of Health and Safety Code section 1250.9(m).
2. Editorial correction of HISTORY No. 1 (Register 90, No. 21).