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§ 97510.17. Nurses' Notes.

22 CA ADC § 97510.17Barclays Official California Code of Regulations

Barclays California Code of Regulations
Title 22. Social Security
Division 7. Health Planning and Facility Construction (Refs & Annos)
Chapter 12. Postsurgical Recovery Care Demonstration Project
Article 2. Required Services
22 CCR § 97510.17
§ 97510.17. Nurses' Notes.
Currentness
(a) Nurses' notes shall be kept for all patients and included in the patients' records.
(b) Nurses' notes shall include, but not be limited to, the following:
(1) A concise and accurate record of nursing care administered.
(2) A record of pertinent observations including psychosocial and physical manifestations as well as incidents and unusual occurrences, and relevant nursing interpretation of such observations.
(3) Name, dosage, time, and route of administration of medications and treatment. If administration is by injection, site of injection shall be recorded.
(4) Record of vital signs.

Credits

Note: Authority cited: Section 1250.9, Health and Safety Code. Reference: Section1250.9, Health and Safety Code.
History
1. New section filed 3-7-88 as an emergency; operative 3-7-88 (Register 88, No. 12). No Certificate of Compliance required pursuant to the provisions of Health and Safety Code section 1250.9(m).
2. Editorial correction of History No. 1 (Register 90, No. 21).
This database is current through 5/10/24 Register 2024, No. 19.
Cal. Admin. Code tit. 22, § 97510.17, 22 CA ADC § 97510.17
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