North Carolina Administrative Code
Title 10A - HEALTH AND HUMAN SERVICES
Chapter 28 - MENTAL HEALTH, STATE OPERATED FACILITIES AND SERVICES
Subchapter F - ADMISSION AND DISCHARGE
Section .0600 - VOLUNTARY ADMISSION OF ADULTS WHO ARE NOT OTHERWISE ADMISSIBLE AS CLIENTS TO DESIGNATED RESEARCH FACILITIES IN REGIONAL PSYCHIATRIC HOSPITALS
Section 28F .0605 - RECORD KEEPING

Universal Citation: 10A NC Admin Code 28F .0605

Current through Register Vol. 39, No. 6, September 16, 2024

(a) A client record shall be maintained for each individual and shall include but not be limited to:

(1) application for admission;

(2) signed informed consent form covering participation in the project;

(3) physical examination and review of systems;

(4) description of procedures performed;

(5) special tests;

(6) adverse reactions and incidents; and

(7) termination summary.

(b) A complete description of medications administered shall be placed in the client record when it no longer would interfere with the purpose of the research to do so.

Authority G.S. 122C-112(b)(3); 122C-210.2;
Eff. January 1, 1989;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. August 24, 2019.

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