SOP_NUMBER: 508.30-att-3
TITLE: Acute Care Unit Admission Log
DIVISION: Mental Health
TOPIC_AREA: 508 Policy - Mental Health Evaluations/Screenings/Treatment
EFFECTIVE_DATE: 2019-12-09
WORD_COUNT: 58
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/420245
URL: https://gps.press/sop-data/508.30-att-3/
SUMMARY:
This is a tracking log form used to document all admissions to the Acute Care Unit (ACU) in correctional facilities. The form records offender information, admission and discharge diagnoses, referral sources, and counselor signatures for each admission during a given month. Mental health staff use this log to maintain records of ACU census and patient movement for quality assurance and compliance purposes.
KEY_TOPICS: Acute Care Unit, ACU admission log, mental health intake, admission diagnosis, discharge diagnosis, referral source, mental health screening, behavioral health, inmate mental health records, counselor documentation, mental health treatment tracking
ATTACHMENTS:
1. Acute Care Unit Treatment Plan (Form M70-01-01)
URL: https://gps.press/sop-data/508.30-att-1/
2. Acute Care Unit Discharge Summary
URL: https://gps.press/sop-data/508.30-att-2/
3. Acute Care Unit Admission Log
URL: https://gps.press/sop-data/508.30-att-3/
4. Abbreviated Psychiatric Admission Note (M70-01-04)
URL: https://gps.press/sop-data/508.30-att-4/
5. Acute Care Unit Discharge Summary Note (Form M70-01-05)
URL: https://gps.press/sop-data/508.30-att-5/
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FULL TEXT:
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# **ACUTE CARE UNIT ADMISSION LOG** **Month:____________ Year:_________**
SOP 508.30
Attachment 3
12/9/19
|Date|Time|Offender|GDC#|Referral
Source|Admission
Diagnoses|Counselor
Signature|Discharge
Diagnoses|Discharge
Date|Referred to|Counselor
Signature|Col12|
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Form no. M70-01-03 Page 1 of 1
Retention Schedule: Upon completion, this form shall be maintained for four (4) years in the mental health area.