Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart P - RESIDENT'S RIGHTS › Section 300.3220 - Medical Care

Current through Register Vol. 48, No. 28, July 12, 2024
a) A resident
				shall be permitted to retain the services of his or her own personal physician
				at his or her own expense under an individual or group plan of health
				insurance, or under any public or private assistance program providing such
				coverage. (Section 2-104(a) of the Act)
b) The Department shall not prescribe the
				course of medical treatment provided to an individual resident by the
				resident's physician in a facility. (Section 3-201 of the Act)
c) Every resident shall be permitted to
				obtain from his or her own physician or the physician attached to the facility
				complete and current information concerning his or her medical diagnosis,
				treatment and prognosis in terms and language the resident can reasonably be
				expected to understand. (Section 2-104(a) of the Act)
d) Every resident shall be permitted to
				participate in the planning of his or her total care and medical treatment to
				the extent that his or her condition permits. (Section 2-104(a) of the
				Act)
e) No resident shall be
				subjected to experimental research or treatment without first obtaining his or
				her informed, written consent. The conduct of any experimental research or
				treatment shall be authorized and monitored by an institutional review
				committee appointed by the administrator of the facility where such research
				and treatment is conducted. (Section 2-104(a) of the Act)
f) All medical treatment and procedures shall
				be administered as ordered by a physician. All new physician orders shall be
				reviewed by the facility's director of nursing or charge nurse designee within
				24 hours after such orders have been issued to assure facility compliance with
				such orders. (Section 2-104(b) of the Act)
g) Every woman resident of child-bearing age
				shall receive routine obstetrical and gynecological evaluations as well as
				necessary prenatal care. (Section 2-104(b) of the Act) In addition, women
				residents shall be referred immediately for diagnosis whenever pregnancy is
				suspected.
1) "Routine obstetrical
				evaluations" and "necessary prenatal care" shall include, at a minimum, the
				following:
A) Early diagnosis of
				pregnancy;
B) A comprehensive
				health history, including menstrual history, methods of family planning that
				the patient has used, a detailed record of past pregnancies, and data on the
				current pregnancy that allow the physician to estimate the date of
				delivery;
C) Identification of
				factors in the current pregnancy that help to identify the patient at high
				risk, such as maternal age, vaginal bleeding, edema, urinary infection,
				exposure to radiation and chemicals, ingestion of drugs and alcohol, and use of
				tobacco;
D) A comprehensive
				physical examination, including an evaluation of nutritional status;
				determination of height, weight and blood pressure; examination of the head,
				breasts, heart, lungs, abdomen, pelvis, rectum, and extremities;
E) The following laboratory tests, as early
				in pregnancy as possible. Findings obtained from the history and physical
				examination may determine the need for additional laboratory evaluations:
i) Hemoglobin or hematocrit
				measurement;
ii) Urinalysis,
				including microscopic examination or culture;
iii) Blood group and Rh type
				determination;
iv) Antibody
				screen;
v) Rubella antibody titer
				measurement;
vi) Syphilis
				screen;
vii) Cervical cytology;
				and
viii) Viral hepatitis (HBsAg)
				testing;
F) A risk
				assessment that, based on the findings of the history and physical examination,
				should indicate any risk factors that may require special management, such as
				cardiovascular disease, maternal age more than 35 years, neurologic disorder,
				or congenital abnormalities;
G)
				Return visits, the frequency of which will be determined by the patient's needs
				and risk factors. A woman with an uncomplicated pregnancy shall be seen every
				four weeks for the first 28 weeks of pregnancy, every two to three weeks until
				36 weeks of gestation, and weekly thereafter;
H) Determinations of blood pressure, measured
				fundal height, fetal heart rate, and, in later months, fetal presentation, and
				urinalysis for albumin and glucose. Hemoglobin or hematocrit level shall be
				measured again early in the third trimester. Glucose screening is recommended
				for women who are 30 years of age or older;
I) Evaluation and monitoring of nutritional
				status and habits;
J) Education for
				health promotion and maintenance;
K) Counseling concerning exercise and child
				birth education programs;
L)
				Postpartum review and evaluation four to eight weeks after delivery, including
				determination of weight and blood pressure and assessment of status of breasts,
				abdomen, and external and internal genitalia.