Nevada Administrative Code
Chapter 640 - Physical Therapists
Section 640.Sec. 23 - NEW
Universal Citation: NV Admin Code 640.Sec. 23
Current through September 16, 2024
Documentation of the care provided to each patient must be complete and must include, without limitation:
1. For an initial evaluation:
(a) History, systems review and tests and
measures.
(b) Synthesis of data to
include identification of the level of impairment, activity limitations and
participation restrictions.
(c)
Physical therapy diagnosis and prognosis.
(d) Predicted level of improvement.
(e) Goals, treatment interventions, proposed
frequency, duration and discharge plans.
2. For daily notes:
(a) Patient reports.
(b) Treatment interventions, responses to
treatment interventions and factors that modify frequency or intensity of
treatment interventions.
(c)
Progression within the plan of care and the plan for the next visit.
3. For reevaluation or reassessment, data from repeated or new examination elements, sufficient to evaluate progress and to modify or redirect treatment interventions.
4. For discharge:
(a) Summary of progression towards
goals.
(b) Discharge instructions,
as the availability of the patient allows.
Added to NAC by Bd. of Phys. Therapy Exam'rs by R124-21A, eff. 12/17/2022
NRS 640.050
Disclaimer: These regulations may not be the most recent version. Nevada may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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