Ch. 243                           MARVIN MANDEL, Governor                              619

(5)  A DETAILED SUMMARY OF EACH SIGNIFICANT CONTACT BY
A QUALIFIED MENTAL HEALTH PROFESSIONAL WITH THE
PATIENT; AND

(6)   A COPY OF THE INDIVIDUALIZED POST-HOSPITALIZATION
PLAN AND ANY MODIFICATIONS THERETO, AND A SUMMARY OF
THE STEPS THAT HAVE BEEN TAKEN TO IMPLEMENT THAT PLAN;
AND

(7)   A MEDICATION HISTORY AND STATUS, WHICH INCLUDES
THE SIGNED ORDERS OF THE PRESCRIBING PHYSICIAN. NURSES
SHALL INDICATE BY SIGNATURE THAT PHYSICIANS' ORDERS
HAVE BEEN CARRIED OUT; AND

(8)     A SUMMARY OF THE RESULTS OF EACH PHYSICAL
EXAMINATION; AND

(9)  AN EVALUATION WHICH NOTES THE ONSET OF ILLNESS, THE
CIRCUMSTANCES LEADING TO ADMISSION, THE PATIENT'S
ATTITUDE AND BEHAVIOR ON ADMISSION, AN ESTIMATE OF HIS
INTELLECTUAL FUNCTIONING, MEMORY FUNCTIONING AND
ORIENTATION, IN DESCRIPTIVE, NOT INTERPRETIVE FASHION;
AND

(10)  A SUMMARY OF THE CHIEF COMPLAINTS OF THE PATIENT
AND THE CHIEF COMPLAINTS OF OTHERS REGARDING THE
PATIENT; AND

(11)  A PERIODIC REVIEW BY ONE QUALIFIED MENTAL HEALTH
PROFESSIONAL OF THE TREATMENT PLAN WHICH ANALYZES THE
SUCCESSES AND FAILURES OF THE TREATMENT PLAN AND
DIRECTS WHATEVER MODIFICATIONS ARE NECESSARY; AND

(12)  A WEEKLY SUMMARY OF THE EXTENT AND NATURE OF THE
PATIENTS WORK ACTIVITIES AS PROVIDED FOR IN THE
TREATMENT PLAN, AND THE EFFECT OF THE ACTIVITY UPON THE
PATIENT'S PROGRESS UNDER THE TREATMENT PLAN; AND

(13)   AN ORDER SIGNED BY A QUALIFIED MENTAL HEALTH
PROFESSIONAL FOR ANY RESTRICTIONS ON VISITATIONS AND
COMMUNICATIONS; AND

(14)   AN ORDER SIGNED BY A QUALIFIED MENTAL HEALTH
PROFESSIONAL FOR ISOLATION OR FOR ANY PHYSICAL
RESTRAINTS ON THE PATIENT'S FREEDOM OF MOVEMENT ABOUT
THE HOSPITAL OR FACILITY; AND

(15)  A DETAILED SUMMARY OF ANY EXTRAORDINARY INCIDENT
IN THE HOSPITAL OR FACILITY INVOLVING THE PATIENT. THE
SUMMARY SHALL BE ENTERED BY ANY STAFF MEMBER HAVING
PERSONAL KNOWLEDGE OF THE INCIDENT AND SHALL CLEARLY
SPECIFY HIS SOURCE OF INFORMATION. UPON COMPLETION, THE
SUMMARY SHALL BE READ AND INITIALED BY A QUALIFIED
MENTAL HEALTH PROFESSIONAL WITHIN TWENTY-FOUR (24)
HOURS.)]

(N) ON OR AFTER OCTOBER _1, 1973, EVERY PATIENT IN OR
ADMITTED TO ANY FACILITY LICENSED BY OR_ UNDER THE
JURISDICTION OF THE DEPARTMENT SHALL HAVE AN