Utah Admin. Code 432-153-14

Current through Bulletin 2024-17, September 1, 2024
Section R432-153-14 - Medical Records
(1) The facility shall retain, store and safeguard the client medical record and its contents.
(2) The facility shall protect the client medical record against access by unauthorized individuals.
(3) The facility shall retain the client medical record for at least seven years. Medical records of minors shall be kept until the age of 18 plus four years, but in no case less than seven years.
(4) The facility shall maintain a record for each client receiving respite services that includes:
(a) the assessment and service agreement;
(b) demographic information and client identification data;
(c) contact information for the responsible party;
(d) nursing notes;
(e) physician treatment orders;
(f) records made by staff regarding daily care of the client in service; and
(g) a post-service summary.

Utah Admin. Code R432-153-14

Adopted by Utah State Bulletin Number 2022-07, effective 3/10/2022