Okla. Admin. Code § 450:23-5-6

Current through Vol. 42, No. 4, November 1, 2024

Section 450:23-5-6 - Progress notes

(a) Progress notes shall chronologically describe the services provided by date and, for timed treatment sessions, time of service, and the consumer's progress in treatment for consumers admitted to facility-based crisis stabilization.

(b) Progress notes must include the consumer's name, be signed by the service provider, and include the service provider's credentials.

(c) Progress notes shall be documented according to the following time frames:

(1) Intervention team shall document progress notes daily; and

(2) Nursing service shall document progress notes on each shift.

(d) Compliance with 450:23-5-6 shall be determined by a review of clinical records.

Okla. Admin. Code § 450:23-5-6

Added at 18 Ok Reg 531, eff 10-13-00 (emergency); Added at 18 Ok Reg 2690, eff 7-1-01; Amended at 19 Ok Reg 1443, eff 7-1-02

Amended by Oklahoma Register, Volume 31, Issue 24, September 2, 2014, eff. 10/1/2014

Amended by Oklahoma Register, Volume 39, Issue 24, September 1, 2022, eff. 9/15/2022