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Multiple Choice

For chart orders of non-controlled substances, how long must a copy be kept on file?

Chart orders for non-controlled substances must be kept on file for three years from the date of the last entry. This retention period ensures there is a sufficient record trail for audits, patient safety, and ongoing care, since the chart can be referenced long after the order was written. By contrast, chart orders involving controlled substances require a longer retention period—seven years—reflecting tighter regulatory controls. So three years is the standard for non-controlled substances, while seven years applies to controlled substances.

Chart orders for non-controlled substances must be kept on file for three years from the date of the last entry. This retention period ensures there is a sufficient record trail for audits, patient safety, and ongoing care, since the chart can be referenced long after the order was written. By contrast, chart orders involving controlled substances require a longer retention period—seven years—reflecting tighter regulatory controls. So three years is the standard for non-controlled substances, while seven years applies to controlled substances.