Section 449.74355 - Records of patients1. Each facility shall maintain an organized system for the records of patients.2. The records of a patient must be available to professional members of the staff of the facility who are directly involved with the patient.3. The records of patients must be available to representatives of the Division.4. The records of a patient must include, without limitation: (a) Identification information;(b) Past medical and social history;(c) Copies of all initial and periodic examinations;(d) Evaluations and progress notes; and(e) Assessments and goals of the plan of treatment of the patient.5. The plan of treatment must state who is responsible for providing treatment or services to the patient.6. Entries must be made describing treatments and services rendered, medications administered, and any symptoms or other indications of illness or injury, including, without limitation, the date, time and action taken regarding each incident.7. Records must be adequately safeguarded against destruction, loss or unauthorized use.8. A discharge plan, as determined by a case management assessment of the patient, must be documented for each patient discharged from the facility.9. Records must be retained for at least 5 years after the discharge of a patient from a facility.Nev. Admin. Code § 449.74355
Added to NAC by Bd. of Health by R051-06, eff. 7-14-2006