Tenn. Comp. R. & Regs. 0940-05-14-.06

Current through December 18, 2024
Section 0940-05-14-.06 - CLIENT RECORD REQUIREMENTS FOR OUTPATIENT FACILITIES
(1) An individual client record must be maintained which includes the following:
(a) Progress notes which must include written documentation of progress or changes which have occurred within the IPP and which must be developed after each service contact;
(b) Documentation of all drugs prescribed or administered by the facility which indicates date prescribed, type, dosage, frequency, amount and reason;
(c) Narrative summary review of all medications prescribed at least every six (6) months which includes specific reasons for continuation of each medication; and
(d) A discharge summary which states, if appropriate, the client's condition at the time of discharge and signature of person preparing the summary.

Tenn. Comp. R. & Regs. 0940-05-14-.06

Original rule filed May 26, 1988; effective July 11, 1988.

Authority: T.C.A. § 33-2-504.