Showing posts with label Fifth Question of the Day October 21. Show all posts
Showing posts with label Fifth Question of the Day October 21. Show all posts

Monday, October 21, 2013

Fifth Question of the Day October 21, 2013 Should all States Require Veterinarians to include the following Information in their Records/Charts for Treatment for Animals?


64B15-15.004 Written Records; Minimum Content; Retention.
(1) For the purpose of implementing the provisions of Section 459.015(1)(o), F.S., osteopathic physicians shall maintain written legible records on each patient. Such written records shall contain, at a minimum, the following information about the patient:
(a) Patient histories;
(b) Examination results;
(c) Test results;
(d) Records of drugs prescribed, dispensed or administered;
(e) Reports of consultations; and
(f) Reports of hospitalizations.


(2) Medical records in which compounded medications are administered to a patient in an office setting must contain, at a minimum, the following information:
(a) The name and concentration of medication administered;
(b) The lot number of the medication administered;
(c) The expiration date of the medication administered;
(d) The name of the compounding pharmacy or manufacturer;
(e) The site of administration on the patient;
(f) The amount of medication administered; and
(g) The date medication administered.
(3) Whenever patient records are released or transferred, the osteopathic physician releasing or transferring the records shall maintain either the original records or copies thereof and a notation shall be made in the retained records indicating to whom the records were released or transferred. However, whenever patient records are released or transferred directly to another Florida licensed physician, or licensed health care provider it is sufficient for the releasing or transferring osteopathic physician to maintain a listing of each patient whose records have been so released or transferred which listing also includes the physician or licensed health care provider to whom such records were released or transferred. Such listing shall be maintained for a period of five (5) years.
(4) In order that the patients may have meaningful access to their records pursuant to Section 456.058, F.S., an osteopathic physician shall maintain the written record of a patient for a period of at least five (5) years from the date the patient was last examined or treated by the osteopathic physician. However, upon the death of the osteopathic physician, the provisions of Rule 64B15-15.001, F.A.C., are controlling.
Rulemaking Authority 459.005 FS. Law Implemented 456.058, 459.015(1)(o) FS. History-New 11-30-94, Amended 10-25-95, Formerly 59W-15.004, Amended 12-22-97, 9-9-13.