N.J. Admin. Code § 13:44E-4.14

Current through Register Vol. 56, No. 24, December 18, 2024

Section 13:44E-4.14 - Plan of care; recordkeeping

(a) A licensed chiropractic assistant shall follow the plan of care designed for a patient's treatment by a licensed chiropractor.

(b) Licensed chiropractic assistants shall make contemporaneous, permanent entries into professional treatment records that shall accurately reflect the treatment or service rendered as listed in the plan of care. To the extent applicable, professional treatment records shall reflect:

1. Dates and times of interaction with a patient;

2. Identifying and documenting specific elements of each physiotherapy modality provided, including:

i. Time or other details to be included in a plan of care;

ii. Equipment used during session or provided to the patient; and

iii. Length of time for each treatment relating to therapeutic modalities or rehabilitative care;

3. Care provided without the co-signature of the supervising chiropractor; and

4. Patient progress and status at discharge in the chiropractic record according to office policies.

N.J. Admin. Code § 13:44E-4.14

Adopted by 50 N.J.R. 1212(b), effective 5/7/2018