Pennsylvania Code (Last Updated: April 5, 2016) |
Title 28. HEALTH AND SAFETY |
PART IV. Health Facilities |
Subpart B. General and Special Hospitals |
Chapter 109. Nursing Services |
Section 109.36. Nursing notes
Latest version.
-
Nursing records and reports which reflect the progress of each patient and the nursing care planned shall be maintained. They shall be pertinent, accurate, and concise so that they contribute to the continuity of patient care. Nursing records and reports shall become part of each patients medical record.