10A N.C. Admin. Code 26D.0906

Current through Register Vol. 39, No. 9, November 1, 2024

Section 26D .0906 - TRANSFER OR DISCHARGE SUMMARY

(a) Whenever a client is transferred to a different level of service, a written transfer note by the referring unit shall accompany the client summarizing the client's condition at the time of transfer, and any recommendations for continued care.

(b) A qualified professional in the receiving unit shall evaluate the client to determine the need for continued treatment or habilitation.

(c) At the time of discharge, a discharge summary shall be completed and shall include:

(1) the reason for admission;

(2) course and progress of the client in relation to the goals and strategies in the individual treatment or habilitation plan;

(3) condition of the client at discharge;

(4) recommendations and arrangements for further services or treatment; and

(5) final diagnosis.

10A N.C. Admin. Code 26D .0906

Authority G.S. 148-19(d);
Eff. January 4, 1994;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. June 20, 2015.

Authority G.S. 148-19(d);
Eff. January 4, 1994.