1. (a) The treatment plan must be updated and signed by the attending physician [medical doctor (MD), or doctor of osteopathy, (DO)], a physician assistant (PA), or advanced practice registered nurse (APRN) at least annually.

2. (b) Copies of the attending physician's orders and, at a minimum, the last thirty (30) days of medical records for the actual care provided must be maintained and include the following:

   1. (1) The beginning and ending time of the care and must be signed by the person providing care;
   2. (2) The nurse's credentials;
   3. (3) All provisions of the treatment plan, such as vital signs, medication administration, glucose/neuro checks, vital signs, respiratory assessments, and all applicable treatments must be documented; and
   4. (4) Meet the record retention requirements set forth in Oklahoma Administrative Code (OAC) 317:30-3-15.

Added at 23 Ok Reg 33, eff 8-1-05 (emergency)

Added at 23 Ok Reg 1364, eff 5-25-06

Amended at 24 Ok Reg 333, eff 12-1-06 (emergency)

Amended at 24 Ok Reg 930, eff 5-11-07

Amended at 39 Ok Reg 1523, eff 9-12-22