How soon after admission must written admission orders and the physical examination be documented in the resident's record?

Written admission orders and the physical examination must be documented in the resident's record within 48 hours of admission to comply with regulations governing health facilities. This timeframe is established to ensure that all necessary medical and treatment information is promptly recorded, which is crucial for resident care continuity and safety. Timely documentation contributes to effective communication among the care team and helps in maintaining an accurate and organized medical record.

The 48-hour requirement allows for a thorough initial assessment and planning to take place shortly after the resident arrives, ensuring that any urgent health needs can be addressed promptly. This standard is vital for monitoring residents' health status and making any necessary adjustments to their care plans without delay.