Minn. R. agency 144, ch. 4655, MEDICAL AND DENTAL SERVICES, pt. 4655.4700

Current through Register Vol. 49, No. 27, December 30, 2024
Part 4655.4700 - PHYSICIANS' EXAMINATIONS AND ORDERS
Subpart 1.Physical examination at admission.

Each patient or resident shall have an admission medical history and complete physical examination performed and recorded by a physician within five days prior to or within 72 hours after admission. The medical record shall include: the report of the admission history and physical examination; the admitting diagnosis and report of subsequent physical examinations; reports of appropriate laboratory examinations; general medical condition including disabilities and limitations; instructions relative to the patient's or resident's total program of care; written orders for all medications with stop dates, treatments, special diets, and for extent or restriction of activity; physician's orders and progress notes; and condition on discharge or transfer, or cause of death.

Subp. 2.Periodic physical examination requirements.

Each nursing home patient shall be examined by a physician at least every six months and each boarding care home resident at least annually or more often if indicated by the clinical condition.

Subp. 3.Records of physical examinations.

A progress note shall be recorded in the patient's or resident's record at the time of each examination.

Subp. 4.Temporary orders for new admissions.

If orders for the immediate care of a patient or resident are not available at the time of admission, the emergency physician shall write temporary orders which are effective for a maximum of 72 hours.

Minn. R. agency 144, ch. 4655, MEDICAL AND DENTAL SERVICES, pt. 4655.4700

Statutory Authority: MS s 144.56; 144A.02 to 144A.08