SECTION 310:605-13-3. Participant records

  All adult day care centers shall maintain an individual folder for each participant. Each record shall include but not be limited to the following:

(1)   Admission information including medical and social history and identification.

(2)   Physician's orders for medications, treatments, diet, rehabilitation, and special medical procedures.

(3)   Current health evaluations.

(4)   A chart of medications administered and any reactions, if applicable.

(5)   A written plan of care.

(6)   Copies of initial and periodic examinations, evaluations, and progress notes.

(7)   An authorization statement for emergency medical assistance including the name of a designated physician.

(8)   Name, address, and phone number of at least two (2) family members, guardians, and/or other persons designated to be contacted in an emergency.

(9)   Discharge plan and summary, when appropriate.

[Source: Added at 11 Ok Reg 901, eff 12-17-93 (emergency); Added at 11 Ok Reg 2635, eff 6-25-94; Amended at 20 Ok Reg 1182, eff 5-27-03]