1. (a) Before admission or no later than 2 days after admission of a recipient to a hospital, the attending or staff physician shall establish, and include in the recipient’s medical record, an individual written plan of care.

2. (b) The plan of care shall include:

   1. (1) Medical justification for admission and continued stay.
   2. (2) Diagnoses, symptoms, complaints and complications indicating the need for admission.
   3. (3) A description of the functional level of the individual.
   4. (4) Orders for medications, treatments, restorative and rehabilitative services, activities, therapies, social services and diet.
   5. (5) Plans for continuing care including review and modification of the plan of care.
   6. (6) Plans for discharge.
3. (c) The orders and activities shall be developed in accordance with physician’s instructions and be reviewed and revised as appropriate to treat the recipient’s condition.

Source

The provisions of this § 1163.76 adopted September 23, 1983, effective September 24, 1983, 13 Pa.B. 2881; amended June 22, 1984, effective July 1, 1984, 14 Pa.B. 2185. Immediately preceding text appears at serial page (85057).