AGENCY: Department of Health and Human Services. Division of Substance Use and Mental Health. State Hospital
SERIES: 82180
TITLE: Safety Check Sheet
DATES: 1987-
ARRANGEMENT: Chronological.
DESCRIPTION: This record is generated daily and shows the status of each patient on the unit. This form is used to track 15 minute checks conducted on every patient through the 24 hour period. The record includes patient names, hospital number, status, leave, etc.
RETENTION
Retain for 2 month(s) after completion of publication or report
DISPOSITION
Destroy.
RETENTION AND DISPOSITION AUTHORIZATION
Retention and disposition for this series is authorized by Archives general schedule Transitory tracking records, GRS-1720
AUTHORIZED: 02/11/2021
FORMAT MANAGEMENT
Paper: Retain in Office for 2 months after date of report and then destroy.
APPRAISAL
Administrative Fiscal
This record is required by the Joint Commission of Accredited Hospitals (JCAH).
PRIMARY DESIGNATION
Controlled. Utah Code 63G-2-304(2008)