N.J. Admin. Code § 10:54-2.10

Current through Register Vol. 56, No. 24, December 18, 2024

Section 10:54-2.10 - Minimum documentation; hospital or nursing facility

(a) In a hospital or nursing facility, documentation shall include:

1. An update of symptoms;

2. An update of physical findings;

3. A resume of findings of procedures, if any are applicable;

4. The pertinent positive and negative findings of laboratory, X-Ray, electrocardiograms (ECGs), or other tests or consultations;

5. Any additional planned studies, if any, including the reasons for any studies; and

6. Treatment changes, if any.

N.J. Admin. Code § 10:54-2.10