Pennsylvania Code (Last Updated: April 5, 2016) |
Title 28. HEALTH AND SAFETY |
PART IV. Health Facilities |
Subpart B. General and Special Hospitals |
Chapter 131. Rehabilitation Services |
Section 131.24. Patients medical records
Latest version.
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Inpatient rehabilitation therapy orders, procedures and treatments shall be recorded in the patients medical record, in accordance with Chapter 115 (relating to medical record services). The responsible therapist shall make notations in the patients chart which reflect repeated evaluations of the patients progress. Records shall be reviewed by the medical staff at prescribed intervals to evaluate the service and to ascertain means of improving the quality of patient care.