ARM 37.106.1001
ARM 37.106.1001. MINIMUM STANDARDS FOR AN OUTPATIENT FACILITY
Cite as Mont. Admin. R. 37.106.1001
(1) Nursing services must be provided by or under the supervision of a licensed registered nurse.
(2) Standing orders utilized for emergency or post-operative care shall be recorded in each patient's medical record and dated and signed by his licensed physician.
(3) An outpatient facility shall maintain a medical record for each patient which includes, but is not limited to, the following information:
(a) identification data;
(b) chief complaint;
(c) present illness;
(d) medical history;
(e) physical examination;
(f) laboratory and x-ray reports;
(g) treatment administered;
(h) tissue report;
(i) progress reports;
(j) discharge summary.