10a NCAC 26d .0905 PROGRESS NOTES
(a) Progress notes shall be recorded at least on a weekly basis in residential and inpatient services and following each scheduled appointment in outpatient services.
(b) Progress notes shall reflect the client's progress or lack of progress:
(1) in meeting goals;
(2) in staff interventions;
(3) regarding information which may have a significant impact on the client's condition; and
(4) when indicating reviews of relevant laboratory reports and actions taken.
History Note: Authority G. S. 148‑19(d);
Eff. January 4, 1994.