Oklahoma Administrative Code
Title 450 - Department of Mental Health and Substance Abuse Services
Chapter 23 - Standards and Criteria for Community-Based Structured Crisis Centers
Subchapter 5 - CBSCC Clinical Records
Section 450:23-5-6 - Progress notes

Universal Citation: OK Admin Code 450:23-5-6

Current through Vol. 42, No. 1, September 16, 2024

(a) Progress notes shall chronologically describe the services provided by date and, for timed treatment sessions, time of service, and the consumer's progress in treatment for consumers admitted to facility-based crisis stabilization.

(b) Progress notes must include the consumer's name, be signed by the service provider, and include the service provider's credentials.

(c) Progress notes shall be documented according to the following time frames:

(1) Intervention team shall document progress notes daily; and

(2) Nursing service shall document progress notes on each shift.

(d) Compliance with 450:23-5-6 shall be determined by a review of clinical records.

Added at 18 Ok Reg 531, eff 10-13-00 (emergency); Added at 18 Ok Reg 2690, eff 7-1-01; Amended at 19 Ok Reg 1443, eff 7-1-02

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