Records
14(1)An operator shall keep a complete and up-to-date record for each resident from the time of admission to the time of discharge and such record shall include
(a)
the standard admission form required by the regulations;
(b)
the admission medical and subsequent medical reports;
(c)
a comprehensive care plan;
(d)
physician’s, pharmacist’s, nurse practitioner’s and dentist’s notes and orders;
(e)
medication and treatment sheets;
(g)
activation and rehabilitation program progress reports and attendance records;
(h)
special dietary requirements or problems;
(i)
discharge sheets showing the date of discharge, the reason for discharge, the condition of the resident at the time of discharge, the address to which the resident has been discharged;
(j)
the type and amount of drugs accompanying the resident on discharge;
(k)
a recording of all valuables belonging to the resident, if the operator has undertaken to keep them in safe-keeping.
14(2)The records which each operator is required to keep under subsection (1) are confidential documents, and no information contained therein shall be imparted to any person other than for the purpose of care of the resident or for the purpose of carrying out the provisions of this Act and the regulations; but a copy of such information may be made available to any person
(a)
on the written request of the resident concerned,
(b)
in the event of the incapacity or death of a resident, on the written request of the resident’s next of kin or legal representative,
(c)
on the written order of the Minister, or
(d)
on the order of a court of competent jurisdiction.
2002, c.23, s.7; 2009, c.12, s.1