The Board proposes the rule amendment to provide guidance to licensees concerning proper medical records.

DEPARTMENT OF HEALTH
Board of Orthotists and Prosthetists

Rule No.: RULE TITLE
64B14-7.002: Patient Records
PURPOSE AND EFFECT: The Board proposes the rule amendment to provide guidance to licensees concerning proper medical records.
SUBJECT AREA TO BE ADDRESSED: Standards of Practice.
SPECIFIC AUTHORITY: 456.057(16), 468.802 FS.
LAW IMPLEMENTED: 456.057(16), 468.802 FS.
IF REQUESTED IN WRITING AND NOT DEEMED UNNECESSARY BY THE AGENCY HEAD, A RULE DEVELOPMENT WORKSHOP WILL BE NOTICED IN THE NEXT AVAILABLE FLORIDA ADMINISTRATIVE WEEKLY.
THE PERSON TO BE CONTACTED REGARDING THE PROPOSED RULE DEVELOPMENT AND A COPY OF THE PRELIMINARY DRAFT, IF AVAILABLE, IS: Bruce Deterding, Executive Director, Board of Orthotists and Prosthetists/MQA, 4052 Bald Cypress Way, Bin #C07, Tallahassee, Florida 32399-3253

THE PRELIMINARY TEXT OF THE PROPOSED RULE DEVELOPMENT IS:

64B14-7.002 Patient Records.

(1) Licensees and Registrants shall prepare and maintain in a timely manner patient records which include, at a minimum, the following:

(a) through (f) No change.

(g) Progress notes for each session must include the treatment provider’s name and signature, and date of occurrence. In the event the treatment provider is a Resident or Intern as defined in subsection 64B14-7.001(5), F.A.C., the licensed supervisor shall countersign each progress note.

(h) Progress notes shall be typed or handwritten in black or blue ink and in such a manner that all material is clearly legible, including the treatment provider’s name and signature.

(2) through (3) No change.

Rulemaking Authority 456.057(16), 468.802 FS. Law Implemented 456.057(16), 468.802 FS. History–New 7-1-98, Amended 6-22-09,________.