Minnesota Administrative Rules

4655.4700 PHYSICIANS' EXAMINATIONS AND ORDERS.

Subpart 1.

Physical examination at admission.

Each patient or resident shall have an admission medical history and complete physical examination performed and recorded by a physician within five days prior to or within 72 hours after admission. The medical record shall include: the report of the admission history and physical examination; the admitting diagnosis and report of subsequent physical examinations; reports of appropriate laboratory examinations; general medical condition including disabilities and limitations; instructions relative to the patient's or resident's total program of care; written orders for all medications with stop dates, treatments, special diets, and for extent or restriction of activity; physician's orders and progress notes; and condition on discharge or transfer, or cause of death.

Subp. 2.

Periodic physical examination requirements.

Each nursing home patient shall be examined by a physician at least every six months and each boarding care home resident at least annually or more often if indicated by the clinical condition.

Subp. 3.

Records of physical examinations.

A progress note shall be recorded in the patient's or resident's record at the time of each examination.

Subp. 4.

Temporary orders for new admissions.

If orders for the immediate care of a patient or resident are not available at the time of admission, the emergency physician shall write temporary orders which are effective for a maximum of 72 hours.

Statutory Authority:

MS s 14.05; 14.3895; 144.56; 144A.02 to 144A.08

History:

44 SR 371

Published Electronically:

September 16, 2019