Washington Administrative Code
Title 246 - Health, Department of
PROFESSIONAL STANDARDS AND LICENSING
Chapter 246-812 - Board of denturists
PRACTICE STANDARDS
Section 246-812-310 - Patient record content
Universal Citation: WA Admin Code 246-812-310
Current through Register Vol. 24-18, September 15, 2024
(1) A licensed denturist who treats patients shall maintain legible, complete, and accurate patient records.
(2) The patient record must contain clinical records and financial records.
(3) Each clinical record entry must include at least the following information:
(a)
Signature, initials, or electronic verification of the individual making the
entry note;
(b) Identity of
practitioner who provided treatment, if treatment was provided;
(c) Date of each patient record entry,
document, radiograph, or model;
(d)
Physical examination findings documented by subjective complaints, objective
findings, an assessment or diagnosis of the patient's condition, and treatment
plan;
(e) Treatment plan based on
the assessment or diagnosis of the patient's condition;
(f) Up-to-date dental and medical history
that may affect treatment;
(g) Any
diagnostic aid used including, but not limited to, images, radiographs, and
test results, which shall be retained as listed in WAC
246-812-320;
(h) Complete description of all treatment or
procedures, or both, provided at each visit;
(i) Referrals and communication to and from
health care providers;
(j) Notation
of communication to or from patients or patient's parent or guardian,
regarding:
(i) Notation of the informed
consent discussion indicating potential risk(s) and benefit(s) of proposed
treatment, recommended tests, and alternatives to treatment, including no
treatment or tests;
(ii) Notation
of post-treatment instructions or reference to an instruction pamphlet given to
the patient;
(iii) Notation
regarding patient complaints or concerns associated with treatment including
complaints or concerns obtained in person or by phone, email, or text;
and
(iv) Termination of the
denturist-patient relationship.
(4) Clinical record entries must not be erased or deleted from the record.
(a)
Mistaken handwritten entries must be corrected with a single line drawn through
the incorrect information and must be initialed and dated. New or corrected
information must be initialed and dated.
(b) If an electronic record, a record audit
trail must be maintained that includes a time and date history of deletions,
edits, or corrections, or all the above, to electronically signed
records.
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