<!--StartFragment--> <P class=바탕글> <TABLE style="BORDER-RIGHT: #000000 0.28pt solid; BORDER-TOP: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; BORDER-BOTTOM: #000000 0.28pt solid; BORDER-COLLAPSE: collapse"> <TBODY> <TR> <TD style="BORDER-RIGHT: #000000 0.28pt solid; BORDER-TOP: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 419.54pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 2.82pt" vAlign=center> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt; TEXT-ALIGN: center"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy"></SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt; TEXT-ALIGN: center"><SPAN style="FONT-WEIGHT: bold; FONT-SIZE: 12pt; FONT-FAMILY: 휴먼명조; mso-hansi-font-family: HCI Poppy; mso-ascii-font-family: HCI Poppy">장기요양급여제공기록지 작성방법 안내</SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy"></SPAN><SPAN lang=EN-US style="FONT-WEIGHT: bold; FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">1. 방문요양</SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">- </SPAN><SPAN style="FONT-FAMILY: 휴먼명조; mso-hansi-font-family: HCI Poppy; mso-ascii-font-family: HCI Poppy">장기요양기관 기호, 장기요양기관명, 장기요양등급, 수급자 성명, 주민등록번호, 장기요양인정번호를 기재합니다.</SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">- 서비스 제공일자별로 구분하여 기재하되, 세부 서비스별 제공시간을 ‘분’ 단위로 기재합니다.</SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">- 제공한 서비스별 시간을 합산하여 </SPAN><SPAN lang=EN-US style="FONT-WEIGHT: bold; FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">‘총 급여제공 시간’</SPAN><SPAN style="FONT-FAMILY: 휴먼명조; mso-hansi-font-family: HCI Poppy; mso-ascii-font-family: HCI Poppy">란에 기재합니다.</SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">- 서비스를 시작한 시간과 종료한 시간을 각각 기재합니다.</SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">- 실제로 서비스를 제공한 장기요양요원 성명, 수급자 본인 또는 보호자 성명을 적고 서명 또는 날인합니다.</SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">예) 2008년 7월 1일 오전 10시부터 11시 20분 사이에 세면도움 10분, 옷 갈아입히기 10분, 식사도움 30분, </SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">취사 30분을 제공한 경우, 다음과 같이 기재합니다.</SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"> <TABLE style="BORDER-RIGHT: #000000 0.28pt solid; BORDER-TOP: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; BORDER-BOTTOM: #000000 0.28pt solid; BORDER-COLLAPSE: collapse"> <TBODY> <TR> <TD style="BORDER-RIGHT: #000000 0.28pt solid; BORDER-TOP: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 187.96pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 2.82pt" vAlign=center colSpan=2> <P class=바탕글 style="LAYOUT-GRID-MODE: char; LINE-HEIGHT: 100%; TEXT-ALIGN: center"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">2008년</SPAN></P></TD> <TD style="BORDER-RIGHT: #000000 0.28pt solid; BORDER-TOP: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 170.98pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 2.82pt" vAlign=center colSpan=2> <P class=바탕글 style="LAYOUT-GRID-MODE: char; LINE-HEIGHT: 100%; TEXT-ALIGN: center"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">7/1</SPAN></P></TD></TR> <TR> <TD style="BORDER-RIGHT: #000000 0.28pt solid; BORDER-TOP: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 187.96pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 2.82pt" vAlign=center colSpan=2> <P class=바탕글 style="LAYOUT-GRID-MODE: char; LINE-HEIGHT: 100%; TEXT-ALIGN: center"><SPAN style="FONT-FAMILY: 휴먼명조; mso-hansi-font-family: HCI Poppy; mso-ascii-font-family: HCI Poppy">세면도움</SPAN></P></TD> <TD style="BORDER-RIGHT: #000000 0.28pt solid; BORDER-TOP: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 170.98pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 2.82pt" vAlign=center colSpan=2> <P class=바탕글 style="LAYOUT-GRID-MODE: char; LINE-HEIGHT: 100%; TEXT-ALIGN: center"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">10</SPAN></P></TD></TR> <TR> <TD style="BORDER-RIGHT: #000000 0.28pt solid; BORDER-TOP: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 187.96pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 2.82pt" vAlign=center colSpan=2> <P class=바탕글 style="LAYOUT-GRID-MODE: char; LINE-HEIGHT: 100%; TEXT-ALIGN: center"><SPAN style="FONT-FAMILY: 휴먼명조; mso-hansi-font-family: HCI Poppy; mso-ascii-font-family: HCI Poppy">옷 갈아입히기</SPAN></P></TD> <TD style="BORDER-RIGHT: #000000 0.28pt solid; BORDER-TOP: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 170.98pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 2.82pt" vAlign=center colSpan=2> <P class=바탕글 style="LAYOUT-GRID-MODE: char; LINE-HEIGHT: 100%; TEXT-ALIGN: center"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">10</SPAN></P></TD></TR> <TR> <TD style="BORDER-RIGHT: #000000 0.28pt solid; BORDER-TOP: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 187.96pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 2.82pt" vAlign=center colSpan=2> <P class=바탕글 style="LAYOUT-GRID-MODE: char; LINE-HEIGHT: 100%; TEXT-ALIGN: center"><SPAN style="FONT-FAMILY: 휴먼명조; mso-hansi-font-family: HCI Poppy; mso-ascii-font-family: HCI Poppy">식사도움</SPAN></P></TD> <TD style="BORDER-RIGHT: #000000 0.28pt solid; BORDER-TOP: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 170.98pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 2.82pt" vAlign=center colSpan=2> <P class=바탕글 style="LAYOUT-GRID-MODE: char; LINE-HEIGHT: 100%; TEXT-ALIGN: center"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">30</SPAN></P></TD></TR> <TR> <TD style="BORDER-RIGHT: #000000 0.28pt solid; BORDER-TOP: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 187.96pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 12.82pt" vAlign=center colSpan=2> <P class=바탕글 style="LAYOUT-GRID-MODE: char; LINE-HEIGHT: 100%; TEXT-ALIGN: center"><SPAN style="FONT-FAMILY: 휴먼명조; mso-hansi-font-family: HCI Poppy; mso-ascii-font-family: HCI Poppy">취사</SPAN></P></TD> <TD style="BORDER-RIGHT: #000000 0.28pt solid; BORDER-TOP: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 170.98pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 12.82pt" vAlign=center colSpan=2> <P class=바탕글 style="LAYOUT-GRID-MODE: char; LINE-HEIGHT: 100%; TEXT-ALIGN: center"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">30</SPAN></P></TD></TR> <TR> <TD style="BORDER-RIGHT: #000000 0.28pt solid; BORDER-TOP: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 187.96pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 12.82pt" vAlign=center colSpan=2> <P class=바탕글 style="LAYOUT-GRID-MODE: char; LINE-HEIGHT: 100%; TEXT-ALIGN: center"><SPAN style="FONT-WEIGHT: bold; FONT-FAMILY: 휴먼명조; mso-hansi-font-family: HCI Poppy; mso-ascii-font-family: HCI Poppy">총 급여제공 시간</SPAN></P></TD> <TD style="BORDER-RIGHT: #000000 0.28pt solid; BORDER-TOP: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 170.98pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 12.82pt" vAlign=center colSpan=2> <P class=바탕글 style="LAYOUT-GRID-MODE: char; LINE-HEIGHT: 100%; TEXT-ALIGN: center"><SPAN lang=EN-US style="FONT-WEIGHT: bold; FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">80</SPAN></P></TD></TR> <TR> <TD style="BORDER-RIGHT: #000000 0.28pt solid; BORDER-TOP: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 93.98pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 12.82pt" vAlign=center> <P class=바탕글 style="LAYOUT-GRID-MODE: char; LINE-HEIGHT: 100%; TEXT-ALIGN: center"><SPAN style="FONT-FAMILY: 휴먼명조; mso-hansi-font-family: HCI Poppy; mso-ascii-font-family: HCI Poppy">시작</SPAN></P></TD> <TD style="BORDER-RIGHT: #000000 0.28pt solid; BORDER-TOP: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 93.98pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 12.82pt" vAlign=center> <P class=바탕글 style="LAYOUT-GRID-MODE: char; LINE-HEIGHT: 100%; TEXT-ALIGN: center"><SPAN style="FONT-FAMILY: 휴먼명조; mso-hansi-font-family: HCI Poppy; mso-ascii-font-family: HCI Poppy">종료</SPAN></P></TD> <TD style="BORDER-RIGHT: #000000 0.28pt solid; BORDER-TOP: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 85.49pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 12.82pt" vAlign=center> <P class=바탕글 style="LAYOUT-GRID-MODE: char; LINE-HEIGHT: 100%; TEXT-ALIGN: center"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">10:00</SPAN></P></TD> <TD style="BORDER-RIGHT: #000000 0.28pt solid; BORDER-TOP: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 85.49pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 12.82pt" vAlign=center> <P class=바탕글 style="LAYOUT-GRID-MODE: char; LINE-HEIGHT: 100%; TEXT-ALIGN: center"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">11:20</SPAN></P></TD></TR> <TR> <TD style="BORDER-RIGHT: #000000 0.28pt solid; BORDER-TOP: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 187.96pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 12.82pt" vAlign=center colSpan=2> <P class=바탕글 style="LAYOUT-GRID-MODE: char; LINE-HEIGHT: 100%; TEXT-ALIGN: center"><SPAN style="FONT-FAMILY: 휴먼명조; mso-hansi-font-family: HCI Poppy; mso-ascii-font-family: HCI Poppy">장기요양요원 성명(인 또는 서명)</SPAN></P></TD> <TD style="BORDER-RIGHT: #000000 0.28pt solid; BORDER-TOP: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 170.98pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 12.82pt" vAlign=center colSpan=2> <P class=바탕글 style="LAYOUT-GRID-MODE: char; LINE-HEIGHT: 100%; TEXT-ALIGN: center"><SPAN style="FONT-FAMILY: 휴먼명조; mso-hansi-font-family: HCI Poppy; mso-ascii-font-family: HCI Poppy">이 OO(인)</SPAN></P></TD></TR> <TR> <TD style="BORDER-RIGHT: #000000 0.28pt solid; BORDER-TOP: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 187.96pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 12.82pt" vAlign=center colSpan=2> <P class=바탕글 style="LAYOUT-GRID-MODE: char; LINE-HEIGHT: 100%; TEXT-ALIGN: center"><SPAN style="FONT-FAMILY: 휴먼명조; mso-hansi-font-family: HCI Poppy; mso-ascii-font-family: HCI Poppy">본인 또는 보호자 성명(인 또는 서명)</SPAN></P></TD> <TD style="BORDER-RIGHT: #000000 0.28pt solid; BORDER-TOP: #000000 0.28pt solid; BORDER-LEFT: #000000 0.28pt solid; WIDTH: 170.98pt; BORDER-BOTTOM: #000000 0.28pt solid; HEIGHT: 12.82pt" vAlign=center colSpan=2> <P class=바탕글 style="LAYOUT-GRID-MODE: char; LINE-HEIGHT: 100%; TEXT-ALIGN: center"><SPAN style="FONT-FAMILY: 휴먼명조; mso-hansi-font-family: HCI Poppy; mso-ascii-font-family: HCI Poppy">김 OO(인)</SPAN></P></TD></TR></TBODY></TABLE><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy"></SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 100%; MARGIN-RIGHT: 10pt"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy"></SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"><SPAN lang=EN-US style="FONT-WEIGHT: bold; FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">2. 방문목욕 </SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">- </SPAN><SPAN style="FONT-FAMILY: 휴먼명조; mso-hansi-font-family: HCI Poppy; mso-ascii-font-family: HCI Poppy">장기요양기관 기호, 장기요양기관명, 장기요양등급, 수급자 성명, 주민등록번호, 장기요양인정번호를 기재합니다.</SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">- 서비스 제공 일자와 차량번호, 서비스 시작 및 종료시간, 총 급여 제공시간, 차량 이용여부를 기재합니다.</SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">- 목욕제공과 관련하여 발생된 특이사항(수급자의 신체상태 및 요구사항, 사용한 장비 등)을 기재합니다.</SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">- 장기요양요원 2명의 성명, 수급자 또는 보호자의 성명을 적고 서명 또는 날인합니다.</SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 100%; MARGIN-RIGHT: 10pt"> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy"></SPAN><SPAN lang=EN-US style="FONT-WEIGHT: bold; FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">3. 방문간호</SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">- </SPAN><SPAN style="FONT-FAMILY: 휴먼명조; mso-hansi-font-family: HCI Poppy; mso-ascii-font-family: HCI Poppy">장기요양기관 기호, 장기요양기관명, 장기요양등급, 수급자 성명, 주민등록번호, 장기요양인정번호를 기재합니다.</SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">- 방문간호지시서 관련 사항을 기재합니다.</SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">․의료기관명칭, 발급일자, 유효기간, 의사면허번호, 방문횟수</SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">- 서비스 일자별로 구분하여 작성하며, 서비스 시작 및 종료시간, 총 급여제공 시간을 기재합니다.</SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">- 실제로 서비스를 제공한 장기요양요원 성명, 수급자 본인 또는 보호자 성명을 적고 서명 또는 날인합니다.</SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">- 방문간호 제공과 관련하여 발생된 특이사항(수급자의 신체상태, 활력징후, 사용한 처치 재료대 종류 및 개수, 사용한 약제 등)을 기재합니다. </SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 100%; MARGIN-RIGHT: 10pt"> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy"></SPAN><SPAN lang=EN-US style="FONT-WEIGHT: bold; FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">4. 주․야간보호</SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">- </SPAN><SPAN style="FONT-FAMILY: 휴먼명조; mso-hansi-font-family: HCI Poppy; mso-ascii-font-family: HCI Poppy">장기요양기관 기호, 장기요양기관명, 장기요양등급, 수급자 성명, 주민등록번호, 장기요양인정번호를 기재합니다.</SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">- 서비스 제공일자별로 구분하여 기재하되, 세부 서비스별 제공여부를 ○ 또는 ν로 표기합니다.</SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">- 서비스 제공과 관련하여 발생된 특이사항(수급자의 신체상태 및 요구사항, </SPAN><SPAN style="FONT-WEIGHT: bold; FONT-FAMILY: 휴먼명조; mso-hansi-font-family: HCI Poppy; mso-ascii-font-family: HCI Poppy">서비스제공 시간</SPAN><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy"> 등)을 기재합니다.</SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">- 기록지를 작성한 사람(기관 종사자)의 성명을 적고 서명 또는 날인합니다.</SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 100%; MARGIN-RIGHT: 10pt"> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"><SPAN lang=EN-US style="FONT-WEIGHT: bold; FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">5. 시설급여 및 단기보호</SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">- </SPAN><SPAN style="FONT-FAMILY: 휴먼명조; mso-hansi-font-family: HCI Poppy; mso-ascii-font-family: HCI Poppy">장기요양기관 기호, 장기요양기관명, 장기요양등급, 수급자 성명, 주민등록번호, 장기요양인정번호를 기재합니다.</SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">- 서비스 제공일자별로 구분하여 기재하되, 세부 서비스별 제공여부를 ○ 또는 ν로 표기합니다.</SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">- 서비스 제공과 관련하여 발생된 특이사항(수급자의 신체상태 및 요구사항, 입․퇴소시간, 외박관련 사항 등)을 </SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">기재합니다.</SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 130%; MARGIN-RIGHT: 10pt"><SPAN lang=EN-US style="FONT-FAMILY: HCI Poppy; mso-fareast-font-family: 휴먼명조; mso-hansi-font-family: HCI Poppy">- 기록지를 작성한 사람(기관 종사자)의 성명을 적고 서명 또는 날인합니다.</SPAN></P> <P class=바탕글 style="MARGIN-LEFT: 10pt; LAYOUT-GRID-MODE: char; LINE-HEIGHT: 100%; MARGIN-RIGHT: 10pt"></P></TD></TR></TBODY></TABLE></P> <!-- -->
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