Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart O - RESIDENT'S RIGHTS › Section 350.3220 - Medical and Personal Care Program

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. However, the
				facility is not liable for the negligence of any such personal
				physician
. (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)
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. However, the
				facility is not liable for the negligence of any such personal
				physician
.
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 board appointed by the Director.
(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
registered nurse staff
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,
				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.