- (a) Entries in the record shall be dated and authenticated by the person making the entry.
- (b) Symbols and abbreviations may be used only when they have been approved by the medical staff and when a legend exists to explain them.
- (c) A single signature on the fact sheet of a record does not suffice to authenticate the entire record. Each entry shall be individually authenticated.
- (d) Notation of unusual incidents shall be entered in the medical record.
- (e) Necessary documentation on the patient’s medical record as specified in § 563.12 (relating to form and content of record) shall be completed in a timely manner not to exceed 30 days.
Source
The provisions of this § 563.13 amended October 22, 1999, effective November 22, 1999, 29 Pa.B. 5583. Immediately preceding text appears at serial page (256581).