New Jersey Administrative Code
Title 8 - HEALTH
Chapter 39 - STANDARDS FOR LICENSURE OF LONG-TERM CARE FACILITIES
Subchapter 36 - ADVISORY MEDICAL RECORDS
Section 8:39-36.1 - Advisory policies and procedures for medical records
Universal Citation: NJ Admin Code 8:39-36.1
Current through Register Vol. 56, No. 6, March 18, 2024
(a) The name by which the resident wishes to be called is entered on the cover or first page of the medical record.
(b) There is a comprehensive discharge summary with statistical and narrative information from each service completed for each resident.
(c) The full medical records for all discharged or deceased residents are completed within 15 days.
(d) Telephone orders are countersigned by a physician or advanced practice nurse within 48 hours except for orders for non-prescription drugs or treatments, which are countersigned within seven days.
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