Tenn. Comp. R. & Regs. 0940-05-26-.04 - Client Record Requirements for Placement Services Facilities

(1) Each client record must contain the following information:

(a) A recent photograph and a description of the client;

(b) The client's social security number;

(c) The client's legal competency status;

(d) The client's sources of financial support including social security, veteran's benefits and insurance;

(e) The sources of coverage for medical care costs;

(f) The name, address and telephone number of the physician or health agency providing medical services;

(g) Documentation of all drugs prescribed or administered by the facility which indicates date prescribed, type, dosage, frequency, amount and reason;

(h) A discharge summary which states the date of discharge, reasons for discharge and referral for other services, if appropriate;

(i) Report of medical problems, accidents, seizures and illnesses and treatments for such medical problems, accidents, seizures and illnesses;

(j) Report of significant behavior incidents and of actions taken;

(k) Report of the use of restrictive behavior management techniques;

(l) A list of each individual article of each client's personal property valued at fifty dollars ($50) or more, including its disposition if no longer in use; and

(m) Written accounts of all monies received and disbursed on behalf of the client.

Notes

Tenn. Comp. R. & Regs. 0940-05-26-.04

Original rule filed May 26, 1988; effective July 11, 1988.

Authority: T.C. A. § 33-2-504.