N.J. Admin. Code § 10:161B-7.4 - Physician responsibilities

(a) Physicians who provide medical care to clients in an outpatient substance use disorder treatment program shall be responsible for:
1. Ensuring the provision or documentation of a complete medical examination as required by 10:161B-9.1;
2. Ordering, interpreting and documenting medical screening tests, as appropriate;
3. Documenting all orders for medical services to be provided to the client, including frequency and type of treatment, therapies to be administered or coordinated, medications prescribed, and date of discharge for medical services;
4. Ensuring that all medical interventions are documented in the client's clinical record and also shared with the nursing staff; and
5. Ensuring that medical follow-up of all acute or chronic illnesses and conditions are entered in the client's treatment plan, and that referrals for medical services are completed during the client's treatment, or as part of the client's discharge/continuum of care plan, as appropriate.
(b) In programs that provide medical services on-site, the physician shall ensure that medical staff participate as part of the multidisciplinary treatment team, and shall document medical services provided in client progress notes.

Notes

N.J. Admin. Code § 10:161B-7.4
Amended by 48 N.J.R. 2791(a), effective 12/19/2016

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