| 6400.141(c)(13) | The physical examination, for Individual #1, completed on 7/28/17, did not include allergies or contraindicated medications. This section was left blank. | The physical examination shall include: Allergies or contraindicated medications. | The physical form for [Individual #1] dated 7/28/17 has been corrected by the physician to include known allergies. The physician noted on an amended physical form dated 8/25/17, that the patient has seasonal allergies and allergies to Sulfa (anaphylaxis).
Staff has been trained on regulation 6400.141(13) the physical examination form shall include allergies and contraindicated medications, and it is not acceptable to leave blanks on a physical examination form. When an annual physical is completed, a check of the physical form will occur by the Program Manager, Program Coordinator and the Quality Assurance Coordinator. Corrections will be completed by the physician if necessary.
Supporting documentation will be submitted.[5 staff persons signed as trained as stated above on 8/28/17 or 8/29/17. (AS 9/7/17)] |
08/31/2017
| Implemented |