reglab/statecodes huggingface dataset:
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart E - LABORATORY › Section 250.525 - Designated Blood Donor Program

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Each hospital shall establish and operate a designated blood donor program
				which allows a recipient of blood to designate a donor of his choicefor purpose
				of receiving red blood cells. Policies and procedures which are followed in the
				operation of the program must be approved and reviewed at least annually by the
				medical staff or its designated subcommittee. The program must be consistent
				with the requirements of this Section.
b) The program shall allow designated blood
				donations when at least the following conditions are met:
1) The recipient, or a representative of the
				recipient, has solicited the donor or donors;
2) The designated donor or donors have
				consented to the donation;
3) The
				designated donor or donors meet the qualifications for donor selection adopted
				by the Department of Public Health under the Blood Labeling Act (See 77 Ill.
				Adm.
				460.130 );
4) The blood of the designated donor or
				donors is compatible with the medical needs of the recipient (See 77 Ill. Adm.
				Code
				460.140 ); and
5) The blood of the designated donor or
				donors can be obtained in sufficient time to meet the medical needs of the
				recipient.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart F - RADIOLOGICAL SERVICES › Section 250.620 - Radioactive Material

Current through Register Vol. 48, No. 28, July 12, 2024
Radioactive material, whether for diagnostic or therapeutic
				  purposes, shall be received, handled, used, and disposed of pursuant to the
				  Radiation Protection Act of 1990 and the regulations promulgated
				  thereunder.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart F - RADIOLOGICAL SERVICES › Section 250.630 - General Policies and Procedures Manual

Current through Register Vol. 48, No. 28, July 12, 2024
Each radiological department or department in charge of an
				  identified distinct radiological service shall prepare and maintain a policies
				  and procedures manual. It shall be reviewed and updated annually. It shall
				  include but not be limited to provisions for the following identified
				  requirements:
a) The hospital shall
				establish and enforce safety policies that will protect both patient and
				radiological worker from excessive or stray radiation in accordance with the
				Radiation Protection Act of 1990 and the regulations promulgated
				thereunder.
b) Personnel Monitoring
				shall be performed pursuant to 32 Ill. Adm. Code
				340.210 and
				340.520.
1) Procedures for personnel monitoring shall
				be maintained for each individual working in the area of radiation where there
				is a reasonable possibility an individual will exceed 10% of annual
				limit.
2) Personnel monitoring
				records resulting from the use of film badges or dosimeters must be maintained.
				Readings must be on at least a quarterly basis.
3) Upon termination of employment, each
				worker shall be provided with a summary of the worker's exposure
				record.
4) Permanent records of
				exposure on all monitored personnel shall be maintained for review by surveyors
				for licensing.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart G - EMERGENCY SERVICES › Section 250.710 - Classification of Emergency Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each hospital
, except long-term
				acute care hospitals and rehabilitation hospitals identified in Section
				1.3 of
the Hospital
				Emergency Service
Act
and in subsection (c) of this Section
				(Section 1 of the Hospital Emergency Service Act), shall provide emergency
				services according to one of the following categories:
1) Comprehensive Emergency Treatment Services
A) At least one licensed physician shall be
				in the emergency department at all times.
B) Physician specialists who represent the
				major specialties and sub-specialties, such as plastic surgery, dermatology and
				ophthalmology, shall be available within minutes.
C) Ancillary services, including laboratory
				and x-ray, shall be staffed at all times. The pharmacy shall be staffed or on
				call at all times.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart G - EMERGENCY SERVICES › Section 250.725 - Notification of Emergency Personnel

Current through Register Vol. 48, No. 28, July 12, 2024
a) For purposes of this Section:
1) "Emergency Services Provider Agency" means
				any entity which used vehicles, personnel and equipment for the prehospital or
				interhospital transportation and care of patients requiring emergency care of
				life support services in conformance with the provisions of the Emergency
				Medical Services (EMS) Systems Act (Ill. Rev. Stat. 1987, ch. 1111/2, pars.
				5501 et seq., as amended ).
2)
				"Paramedic" means an emergency medical technician-paramedic certified by the
				Department pursuant to Section
				4.13
				of the Emergency Medical Services (EMS) Systems Act (Ill. Rev. Stat. 1987, ch.
				1111/2, par. 5504.13, as amended ).
3) "Ambulance Personnel" means any person
				employed by an emergency services provider agency who is or was involved in the
				prehospital or interhospital transportation and care of a patient requiring
				emergency care or life support services as an ambulance crew member, including
				the vehicle driver.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart G - EMERGENCY SERVICES › Section 250.740 - Disaster and Mass Casualty Program

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each hospital shall, through joint effort
				of governing board, administrator, medical staff, and hospital personnel, have
				and maintain a disaster and mass casualty program. Such program shall, in all
				instances, be worked out in cooperation with the other hospitals of the area
				and with official and non-official agencies concerned. This program shall
				include the possibility of disaster involving loss of the hospital or serious
				impairment of its facilities.
b) In
				instances where hospitals are participating in an areawide plan for hospital
				emergency services, the plan shall include responsibilities to be shared for a
				disaster and mass casualty program.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart G - EMERGENCY SERVICES › Section 250.750 - Medical Forensic Services for Sexual Assault Survivors

Current through Register Vol. 48, No. 28, July 12, 2024
a) All hospitals
				providing emergency services shall render care to victims of sexual assault.
				The care shall be in accordance with 77 Ill. Adm. Code
				545.55
				(Treatment and Transfer of Pediatric Sexual Assault Survivors), 77 Ill. Adm.
				Code
				545.60
				(Treatment of Sexual Assault Survivors), 77 Ill. Adm. Code
				545.63
				(Treatment Hospital with Pediatric Transfer), and 77 Ill. Adm. Code
				545.65
				(Transfer of Sexual Assault Survivors).
b) A hospital may fulfill its obligation to
				provide medical forensic services to sexual assault victims by participating in
				an are a wide plan for emergency service in accordance with 77 Ill. Adm. Code
				545.50
				(Are a wide Sexual Assault Treatment Plans).
c) Pursuant to, but not limited to, Sections
				7 and 7.5 of the Sexual Assault Survivors Emergency Treatment Act, a hospital
				shall not seek payment from a sexual assault survivor who presents at a
				hospital for medical forensic services. If the Department becomes aware that a
				sexual assault survivor has been billed for treatment, the Department will
				refer the matter to the Office of the Attorney General for
				enforcement.
d) The hospital shall
				provide a sexual assault survivor with a sexual assault services voucher. For
				the purposes of this Section, a sexual assault services voucher is
a
				document generated by a hospital at the time the sexual assault survivor
				receives outpatient medical forensic services that may be used to seek payment
				for any ambulance services, medical forensic services, laboratory services,
				pharmacy services, and follow-up healthcare provided as a result of the sexual
				assault
. (Section 1a of the Sexual Assault Survivors Emergency
				Treatment Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart H - RESTORATIVE AND REHABILITATION SERVICES › Section 250.810 - Applicability of Other Parts of These Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
All other Parts of these requirements are applicable with the
				  exception of Subparts O, Q and S and as otherwise amended and modified by this
				  Part.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart H - RESTORATIVE AND REHABILITATION SERVICES › Section 250.820 - General

Current through Register Vol. 48, No. 28, July 12, 2024
In setting forth the regulations for Restorative and
				  Rehabilitation Services, it is recognized that there are several "levels," or
				  degrees of comprehensiveness, that can be provided by a facility. Just what
				  level is to be provided should be a function of such factors as: perceived
				  need; hospital size and location; financial feasibility; and services available
				  elsewhere within the community. It is important that each hospital select in
				  writing the level of restorative or rehabilitation services which it will
				  provide in accord with license. Those levels not provided directly by the
				  hospital must be made accessible to every patient through formal referral
				  mechanisms or contractual arrangements.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart H - RESTORATIVE AND REHABILITATION SERVICES › Section 250.830 - Classifications of Restorative and Rehabilitation Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) Basic rehabilitation (restorative)
				services - This level must be provided by all hospitals and includes at least
				restorative nursing, medical management and administrative services;
b) Physical rehabilitation services - In
				addition to basic restorative services, this level must include the provision
				for at least physical therapy and social services. It is recommended that
				occupational therapy and speech therapy be available.
c) Comprehensive physical rehabilitation
				services - This level of services must be provided in a distinct, clearly
				defined, special unit, of an acute care hospital, or in a special referral
				hospital. This scope of services provided must include, but is not limited to,
				the services of members of the medical staff, rehabilitation nursing, physical
				therapy, occupational therapy, speech therapy, social services, psychology,
				vocational counseling and nutritional counseling. It is recommended that
				correctional therapy be available.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart H - RESTORATIVE AND REHABILITATION SERVICES › Section 250.840 - General Requirements for all Classifications

Current through Register Vol. 48, No. 28, July 12, 2024
Regardless of the selected level of services to be provided
				  by each hospital, every hospital shall provide an identifiable, active
				  restorative or rehabilitation program with written goals of assisting each
				  patient to achieve and maintain their optimal level of self-care and
				  independence. The program shall include coordinated health services utilizing
				  the team approach. It shall meet the following requirements:
a) Effective written policies and procedures
				relating to the program organization, function, casefinding, follow-up and
				appropriate referral mechanisms. These policies and procedures shall be
				developed by representatives of all health professions participating in the
				program, particularly as they relate to their specialties.
b) A clear indication of physical,
				philosophical and economic support of the program through:
1) An identifiable program of quality
				assurance involving action by a patient care and/or utilization review
				committee to assist in implementing program services as needed, including
				provision of the time required to achieve restorative or rehabilitation goals.
				The committee shall include physicians and representatives of allied health
				professions within the hospital.
2)
				Access to restorative and rehabilitation services for all patients requiring
				such care regardless of the service to which the patient is assigned. If needed
				levels of rehabilitation service are not available in-house, formal referral
				mechanisms or contractual arrangements to obtain appropriate services must be
				in evidence.
3) A budget that is
				adequate for necessary program personnel, equipment and facilities.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart H - RESTORATIVE AND REHABILITATION SERVICES › Section 250.850 - Specific Requirements for Comprehensive Physical Rehabilitation Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) Treatment shall
				be multidisciplinary, intensive, time-limited, goal-oriented, integrated and
				coordinated.
b) The
				multidisciplinary treatment team shall function under the direction of a
				physiatrist for each patient. The team shall meet on a scheduled basis to
				review evaluations, to set treatment plans and objectives, to review patient
				response to treatment and to plan discharge and follow-up. A physician
				qualified by education and experience in physical rehabilitation may act as
				team leader until a physiatrist is available.
c) The patient, and wherever possible, the
				family or significant others, should be actively involved in planning and
				goal-setting. The patient is actively involved in treatment.
d) Evaluation and treatment planning should
				be geared to the "whole person," with the primary objectives of reducing
				disability and dependence in activities of daily living, concurrent with the
				promotion of optimal personal adjustment in psychological, social, emotional,
				spiritual and economic dimensions.
e) Extensive pre-admission screening must be
				conducted to assess the patient's need for this level of service.
f) In addition to restorative nursing,
				rehabilitation nursing must be provided on a daily basis.
g) Program shall include at least access to
				vocational assessment, training and placement. This is often done in
				conjunction with state-operated vocational rehabilitation services.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart H - RESTORATIVE AND REHABILITATION SERVICES › Section 250.860 - Medical Direction

Current through Register Vol. 48, No. 28, July 12, 2024
a) Basic
				rehabilitation (restorative) services - The attending medical staff member
				shall provide written orders for care, including treatment
				objectives.
b) Physical
				Rehabilitation
1) Facilities identifying
				themselves under this category shall regularly provide medical participation
				through:
A) A qualified physiatrist
B) A physician qualified by training and/or
				experience in physical rehabilitation; or
C) A formally designated group of physicians
				from various specialties usually associated with physical rehabilitation (e.g.
				orthopedics, neurology, neurosurgery, etc.).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart H - RESTORATIVE AND REHABILITATION SERVICES › Section 250.870 - Nursing Care

Current through Register Vol. 48, No. 28, July 12, 2024
a) Facilities
				providing basic rehabilitation (restorative) care shall include rehabilitation
				concepts in their orientation program. Basic restorative care shall be
				evidenced in the patient care plan. (Refer to Subpart I.)
b)
1)
				Facilities providing physical rehabilitation services shall have available a
				person who by education or training may provide consulting services in
				rehabilitation nursing.
2) The
				consultant shall meet on a regular basis with representatives of the nursing
				staff and document staff participation.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart H - RESTORATIVE AND REHABILITATION SERVICES › Section 250.880 - Additional Allied Health Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) Restorative and physical rehabilitation
				programs may include, but are not limited to, any or all of the following
				specialty services:
1) Diagnostic and/or
				treatment services of physicians
2)
				Nursing services
3) Physical
				Therapy services
4) Occupational
				Therapy services
5) Speech Therapy
				Services
6) Social
				services
7) Psychology
				services
8) Vocational
				services
9) Audiology
				services
10) Prosthetic services
				(including biomedical engineering services)
11) Orthotic services (including biomedical
				engineering services)
12)
				Religious/spiritual services
13)
				Recreational Therapy services
14)
				Podiatric services
15) Nutritional
				Counseling services
16) Education
				services
17) Dental
				services
18) Optometric
				services
19) Inhalation Therapy
				services
20) Corrective
				Therapy
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart H - RESTORATIVE AND REHABILITATION SERVICES › Section 250.890 - Animal-Assisted Therapy

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Animal-assisted therapy programs may be established in hospitals if the
				boarding and grooming location of the animals is separate and distinct from
				patient care units and the presence of the animals is part of a special program
				established in accordance with this Section.
b) The hospital's Medical Staff and Infection
				Control Committee shall approve an animal-assisted therapy program prior to
				operation of the program.
c) The
				Infection Control Committee and Medical Staff shall develop written policies
				and procedures for operation of the animal-assisted therapy program, including,
				but not limited to, the following. All policies and procedures shall be
				developed in accordance with the Guidelines of the Centers for Disease Control
				and Prevention titled "Guidelines for Environmental Infection Control in
				Health-Care Facilities: Recommendations - Animals in Health Care Facilities"
				(see Section
				250.160
				).
1) Designation of a department within the
				hospital that will be responsible for operation and establishment of the
				animal-assisted therapy program (e.g., Volunteer Services).
2) Development of written goals and
				objectives for the program.
3)
				Policies governing sanitation, infection control and care and grooming of
				animals, including veterinary care.
4) Certification and training requirements
				for animals, animal handlers and hospital staff.
5) Policies for patient screening and
				assessment for participation in animal-assisted therapy.
6) Policies governing areas in the hospital
				where animals are permitted and prohibited, including whether therapy will be
				held in a public area of the hospital or in the patients' rooms.
7) Policies for determining the length of
				therapy sessions.
8) Policies
				governing the types of animals that will be permitted to participate in the
				program.
9) Policies governing
				patient safety and incidents of biting, scratching or other behavior, and
				including reporting requirements and patient care.
10) Policies governing patient consent
				requirements for participation in the program, for both adult and child
				patients.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart I - NURSING SERVICE AND ADMINISTRATION › Section 250.910 - Nursing Services

Current through Register Vol. 48, No. 28, July 12, 2024
The hospital shall provide an organized nursing
				  service.
a) Nursing Services - General
				Provisions
b) The hospital shall
				maintain a staff of nursing personnel organized to provide the nursing care for
				its patients commensurate with the size, scope and nature of the
				hospital.
c) Director of Nursing
				Administration
1) The nursing service shall be
				under the direction of a registered professional nurse who has qualifications
				in nursing administration and who has the ability to organize, coordinate, and
				evaluate the service.
2) The
				Nursing Administrator (Director of Nursing) shall be a registered professional
				nurse who holds a degree in nursing or has documented experience and relevant
				continuing education. He/She shall be employed full-time within the hospital as
				director of the nursing administration.
3) The Nursing Administrator shall be
				accountable to the Chief Executive Officer or designate for developing and
				implementing policies and procedures of the service and for the nursing
				practice.
4) The Nursing
				Administrator should have authority over the selection, promotion and retention
				of nursing personnel based on established job descriptions.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart I - NURSING SERVICE AND ADMINISTRATION › Section 250.920 - Organizational Plan

Current through Register Vol. 48, No. 28, July 12, 2024
a) A written
				organizational plan of nursing services shall be an integral part of the
				overall hospital organizational plan and shall be available to all nursing
				personnel.
b) The nursing service
				organizational plan shall:
1) be reviewed
				annually, revised as necessary and dated to indicate the time of last
				review;
2) indicate the lines of
				communication within and between nursing services;
3) define the relationship of nursing
				services to other services and departments of the hospital, both administrative
				and professional;
4) include a
				written statement which defines the role and responsibility of both the nursing
				service and the education program if the hospital provides clinical facilities
				for the education and training of nursing students.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart I - NURSING SERVICE AND ADMINISTRATION › Section 250.930 - Role in hospital planning

Current through Register Vol. 48, No. 28, July 12, 2024
Planning, decision making, and formulation of policies that
				  affects the operation of the nursing service, the care of patients, or the
				  environment of patients shall include nursing service representatives, and
				  their recommendations shall be considered.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart I - NURSING SERVICE AND ADMINISTRATION › Section 250.940 - Job descriptions

Current through Register Vol. 48, No. 28, July 12, 2024
Job descriptions shall be written for each position
				  classification in the nursing services and shall delineate the functions,
				  responsibilities, and qualification for each classification. Copies of job
				  descriptions shall be available to nursing personnel.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart I - NURSING SERVICE AND ADMINISTRATION › Section 250.950 - Nursing committees

Current through Register Vol. 48, No. 28, July 12, 2024
Nursing committee(s) shall be formally organized within the
				  nursing department to facilitate the establishment and attainment of the goals
				  and objectives of the nursing service. The purpose and function of each
				  standing committee shall be defined in the nursing service organizational
				  plan.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart I - NURSING SERVICE AND ADMINISTRATION › Section 250.960 - Specialized nursing services

Current through Register Vol. 48, No. 28, July 12, 2024
If specialized nursing services are provided for separate
				  clinical departments or patient care units, those services shall be subject to
				  the policies and procedures established pursuant to this
				  Part.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart I - NURSING SERVICE AND ADMINISTRATION › Section 250.970 - Nursing Care Plans

Current through Register Vol. 48, No. 28, July 12, 2024
a) There shall
				be evidence that the nursing service provides safe, efficient, and
				therapeutically effective nursing care through the planning of the care of each
				inpatient, and patient in observation, and the effective implementation of
				nursing care plans.
b) In any case
				where it is determined that a nursing care plan is not necessary, that decision
				shall be documented in the patient's record.
c) The nursing care plan for each patient
				shall be coordinated with their medical management plan and the patient's
				representative.
d) Each nursing
				care plan shall, at minimum, indicate:
1) The
				patient's problems as identified by the nursing staff and what nursing care is
				needed;
2) How it can best be
				accomplished;
3) What methods and
				approaches are believed likely to be most successful; and
4) What modifications are necessary to ensure
				the best results.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart I - NURSING SERVICE AND ADMINISTRATION › Section 250.980 - Nursing Records and Reports

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Nursing records and reports which reflect the progress of each patient and the
				nursing care planned shall be maintained.
b) They shall be pertinent, accurate, and
				concise so that they contribute to the continuity of patient care.
c) Nursing records and reports shall become
				part of each patient's medical record.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart I - NURSING SERVICE AND ADMINISTRATION › Section 250.990 - Unusual Incidents

Current through Register Vol. 48, No. 28, July 12, 2024
a) A
				procedure shall be established to investigate any unusual incidents which occur
				at any time on a patient care unit. (Refer to Subpart B Section
				250.210(g)).
b) The procedure shall include the making and
				disposition of incident reports. Notation of incidents having a direct medical
				effect on a specific patient shall be entered in the medical record of that
				patient. (Refer to Subpart R, Section
				250.2140(c)(5).)
c) Each report shall be analyzed and
				summarized, and corrective action shall be taken if necessary. Summarized
				reports shall be available to the Department of Public Health and shall be
				confidential in accordance with Section 9 of the Licensing Act.
d) Pursuant to Section
				3.2(a)  of the
				Criminal Identification Act, if a patient is not accompanied by a law
				enforcement officer, as soon as treatment allows, a hospital, physician, or
				nurse shall notify the local law enforcement agency that serves the hospital
				when it appears that the patient has any injury sustained as a victim of an
				alleged sexual assault or sustained an injury as a victim of a criminal
				offense.
1) In instances of alleged sexual
				assault, the hospital shall obtain the patient's consent prior to disclosure of
				the patient's identity to law enforcement and prior to any interview with law
				enforcement.
2)
A hospital,
				physician, or nurse shall be forever held harmless from any civil liability for
				their reasonable compliance with the provisions of this
Section
.
(Section
				3.2(a)(2) of
				the Criminal Identification Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart I - NURSING SERVICE AND ADMINISTRATION › Section 250.1000 - Meetings

Current through Register Vol. 48, No. 28, July 12, 2024
a) Meetings of the
				nursing staff shall be held on a regular basis and proceedings of the meetings
				shall be recorded.
b) Meetings may
				be organized consistent with the organizational plan of the nursing
				service.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart I - NURSING SERVICE AND ADMINISTRATION › Section 250.1010 - Education Programs

Current through Register Vol. 48, No. 28, July 12, 2024
a) In an
				attempt to provide the patient with competent nursing personnel, there shall be
				continuing education programs and educational opportunities for nursing
				personnel.
b) The Nursing Service
				Administrator or designee shall design and implement an educational program to
				orient new employees and to keep the nursing staff up-to-date on new and
				expanding programs, techniques, equipment, and concepts of care. The program
				shall be planned, scheduled, documented by a written outline of its contents,
				and evaluated at least annually.
c)
				The scope and duration of the educational program shall be such as to
				effectively prepare new and existing personnel. An orientation program shall be
				provided for each new nursing service employee.
d) The educational program shall be conducted
				using resources internal or external to the hospital. Teaching material and
				suitable reference shall be supplied as needed for each patient care
				unit.
e) There shall be documented
				evidence of the attendance at each meeting.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart I - NURSING SERVICE AND ADMINISTRATION › Section 250.1020 - Licensure

Current through Register Vol. 48, No. 28, July 12, 2024
a) A procedure
				shall be maintained to ensure that nursing personnel for whom licensure is
				required have valid and current licenses in the State of Illinois. There shall
				be a procedure to verify licensure status.
b) The current license and credentials of
				private duty and agency nurses shall be verified prior to assignment. The
				nursing service shall maintain adequate supervision of private duty and agency
				nurses and shall require that they abide by the appropriate policies,
				procedures and maintain standards of the hospital and the nursing
				service.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart I - NURSING SERVICE AND ADMINISTRATION › Section 250.1035 - Domestic Violence Standards

Current through Register Vol. 48, No. 28, July 12, 2024
A hospital licensed under the Act shall comply with the
				  following standards relating to domestic violence (Section 6.01 of the Act)
				  (see Hospital Accreditation Standards (HAS) of the Joint Commission on
				  Accreditation of Healthcare Organizations, Section
				  250.160
				  ):
a) Hospitals shall have policies
				regarding the identification of possible victims of
abuse.
b)
				Hospital policies regarding possible victims of alleged or suspected abuse or
neglect shall address patients' special needs relative to the
				  patient assessment
process, including consent, evidence collection, notification
				  and release of information to authorities, and referrals to community
				  agencies.
c) Nothing in
				this Section requires hospitals to adopt new policies regarding domestic
				violence if their existing hospital policies meet the requirements of this
				Section.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart I - NURSING SERVICE AND ADMINISTRATION › Section 250.1040 - Patient Care Units

Current through Register Vol. 48, No. 28, July 12, 2024
a) Facilities
Patient care units in existence shall comply with patient
				  care unit requirements and recommendations as stated under Subpart U. When
				  major remodeling is undertaken on such patient care units the requirements of
				  Subpart T shall be met.
b)
				Patient's Rooms
All patient rooms shall be in compliance with Subpart T or U
				  of this Part.
c) Isolation
				Room
At least one isolation room shall be provided for each
				  hospital in compliance with Subparts T or U of this Part.
d) Special Care Room for Disturbed Patients
Every hospital shall provide facilities for emergency
				  retention of patients with acute mental illness. Emergency retention is a
				  temporary measure, usually for less than seventy-two hour duration, and is
				  concerned with the immediate protection of the patient or other persons, or
				  with the prevention of conduct on the part of disturbed persons that appear to
				  be dangerous. Emergency retention may be provided in a Special Care Room. The
				  Special Care Room may be used for multiple purposes and may be located in the
				  Emergency Department or in a private room on a patient care nursing unit. (See
				  Subpart S, Section
				  250.2220(c).)
e) Room Furnishings
1) Room furnishings shall be arranged to
				facilitate nursing care and to avoid the transmission of infection.
2) For spacing see Subparts T or U of this
				Part.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart I - NURSING SERVICE AND ADMINISTRATION › Section 250.1050 - Equipment for Bedside Care

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				There shall be sufficient equipment for patient care according to the types of
				patients accepted by the hospital and for emergency needs.
b) Equipment used near patients and staff
				shall be adequately supported or secured and protected to avoid accident and
				injury.
c) Precautions shall be
				taken in the use of equipment. Policies and procedures shall be established
				accordingly.
d) Specific Equipment
1) Utensils: There shall be a sufficient
				number of patient care utensils, wash basins, mouth wash cups, bedpans, emesis
				basins, urinals, and soap dishes. Reusable utensils must be sterilized before
				reissue to another patient. Disposable equipment shall be used for one patient.
				There shall be no resterilization of disposable utensils.
2) Thermometers:
A) There shall be a sufficient number of
				clinical thermometers to permit an individual thermometer for each patient. An
				effective procedure for cleaning thermometers shall be followed. (A laboratory
				tested procedure is recommended.) When electronic thermometers are utilized
				there shall be a sufficient supply of probe cots for each patient to have their
				own. After use, the probe cot shall be discarded. The probe and cord shall be
				cleansed at intervals with an effective agent.
B) A sufficient number of hypothermic or
				electronic thermometers capable of aiding in the diagnosis of hypothermia shall
				be available. The actual number of these types of thermometers for each
				hospital will depend on the numbers and needs of the patients of the hospital.
				(Ill. Rev. Stat. 1985, ch. 1111/2, par. 147.07 )
3) Hot Water Bags: When hot water bags are
				used, they shall be tested for leakage and covered before being placed in beds.
				The temperature of the water should not exceed 110° F (55°
				C).
4) Electrical Appliances and
				Equipment: Electrical equipment shall be inspected before use. It shall be
				maintained in good repair under the provisions of a preventive maintenance
				program of the Engineering and Maintenance Services. (Refer Subpart
				O.)
5) Restraints: Restraints shall
				be available and policies shall be established for their use. (Policy shall
				reflect use of cloth and leather restraints.) (See Section
				250.2280(c).)
6) Oxygen Equipment:
A) Oxygen apparatus shall be provided and
				maintained in good repair. Definite marked storage space shall be provided for
				oxygen equipment.
B) Oxygen tanks
				in use at patient's bedside, or wherever located, shall be adequately secured
				to prevent movement or falling.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart I - NURSING SERVICE AND ADMINISTRATION › Section 250.1060 - Drug Services on Patient Unit

Current through Register Vol. 48, No. 28, July 12, 2024
Refer to Subpart R - Pharmacy or Drug and Medicine Service
				  and Subpart C - Medical Staff Section
				  250.330(a).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart I - NURSING SERVICE AND ADMINISTRATION › Section 250.1070 - Care of Patients

Current through Register Vol. 48, No. 28, July 12, 2024
a) All
				persons shall be admitted to the hospital, by a member of the medical staff
				with admitting privileges, an advanced practice registered nurse, or a
				physician assistant with clinical privileges recommended by the medical staff
				and granted by the governing board. All persons admitted to the hospital,
				whether as inpatients or outpatients, shall be under the professional care of a
				member of the medical staff. (See Section
				250.240(b)(1).)
b) The hospital shall provide basic and
				effective care to each patient. Insofar as possible, the hospital shall assign
				patients to accommodations that will provide for adequate segregation with
				regard to sex, age, and medical management. (See Section
				250.240(b)(2).)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart I - NURSING SERVICE AND ADMINISTRATION › Section 250.1075 - Use of Restraints and Seclusion

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each hospital licensed under the Act and
				this Part shall have a written policy to address the use of restraints and
				seclusion in the hospital. Each hospital policy shall include periodic review
				of the use of restraints and seclusion in the hospital. (Section
				6.20 of
				the Act)
b) The hospital's policy
				governing the use of restraints and seclusion shall be
consistent with 42 CFR 482.213(e) and (f). (Section
				  6.20 of
				  the Act)
c) In hospitals,
				restraints or seclusion may only be ordered by a physician licensed to practice
				medicine in all its branches or a registered nurse with supervisory
				responsibilities as authorized by the medical staff. The medical staff of a
				hospital may adopt a policy specifying the requirements for the use of
				restraints or seclusion and identifying whether a registered nurse with
				supervisory responsibilities may order restraints or seclusion in the hospital
				when the patient's treating physician is not available. (Section
				6.20 of
				the Act)
d) Registered nurses
				authorized to order restraints or seclusion shall have appropriate training and
				experience as determined by medical staff policy. The treating physician shall
				be notified when restraints or seclusion is ordered by a registered nurse.
				Nothing in this Section requires that a medical staff authorize a registered
				nurse with supervisory responsibilities to order restraints or seclusion.
				(Section
				6.20 of
				the Act)
e) When hard restraints
				are employed, all nursing and patient care staff assigned to that unit must
				have a restraint key in their possession for the duration of their
				shift.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart I - NURSING SERVICE AND ADMINISTRATION › Section 250.1080 - Admission Procedures Affecting Care

Current through Register Vol. 48, No. 28, July 12, 2024
a) Written policies and procedures for the
				routine admission of patients shall be established.
b) Patients having communicable disease need
				not be denied admission. If admitted, proper isolation procedures shall be
				initiated and enforced.
c) A policy
				for the admission and treatment of patients with communicable disease shall be
				established by the Infection Control Committee of the hospital. The policy
				shall indicate conditions for transfer of those cases which cannot be properly
				cared for at the institution.
d) A
				policy shall be established for the treatment of patients with infectious or
				communicable diseases requiring intensive care or other ancillary
				service.
e) On admission, the
				admitting member of the medical staff shall provide an admission or tentative
				diagnosis which shall become a part of the patient's medical record.
f) The admitting member of the medical staff
				shall provide initial orders for the care of each patient upon
				admission.
g) At all times there
				shall be used as a reliable method of patient identification affixed to the
				patient in an acceptable manner. Particular attention shall be given to the
				identification of infants and young children and others unable to identify
				themselves.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart I - NURSING SERVICE AND ADMINISTRATION › Section 250.1090 - Sterilization and Processing of Supplies

Current through Register Vol. 48, No. 28, July 12, 2024
a) All sterilization and processing of all
				sterile supplies and equipment shall be under competent, qualified supervision.
1) The director or person responsible for
				central services shall be responsible to the chief executive officer either
				directly or through a designated department head. The director of the central
				sterile supply shall be qualified for the position by education, training, and
				experience and shall be a member of the Infection Control Committee. (See
				Section
				250.1100(a).)
2) The number of supervisory and support
				personnel shall be related to the scope of the services provided. New employees
				shall receive initial orientation and on-the-job training, and all employees
				shall participate in a continuing in-service education program, which shall be
				documented.
3) Educational efforts,
				though directed primarily at sterile-supply processing and handling techniques,
				shall also include management concepts, safety, personal hygiene, health
				requirements, and work attire.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart I - NURSING SERVICE AND ADMINISTRATION › Section 250.1100 - Infection Control

Current through Register Vol. 48, No. 28, July 12, 2024
a) A
				hospital shall designate a person or persons as Infection Prevention and
				Control Professionals to develop and implement policies governing control of
				infections, communicable diseases, and Antibiotic Stewardship Programs. The
				Infection Prevention and Control Professionals shall be qualified through
				education, training, experience, or certification. The qualifications shall be
				documented.
b) A multidisciplinary
				Infection Control Committee, composed at least of members of the medical staff
				and nursing staff, the Infection Prevention and Control Professionals, and the
				supervisor of Central Sterile Supply and administration, shall be responsible
				for investigations and recommendations for the prevention and control of
				infections within the hospital. This Committee shall
perform an annual
				facility-wide infection control risk assessment.
(Section 6.23 of the
				Act)
c) Policies and procedures for
				reporting cases of communicable diseases and for the care of patients with
				communicable diseases shall be in accordance with the Control of Communicable
				Diseases Code, the Control of Sexually Transmissible Infections Code and the
				Control of Tuberculosis Code.
d)
				When patients having a communicable disease, or presenting signs and symptoms
				suggestive of that diagnosis, are admitted, proper precautionary measures shall
				be taken to avoid cross-infection to personnel, other patients, or the
				public.
e) The hospital shall
				provide facilities and equipment for the isolation of known or suspected cases
				of infectious disease.
f) Policies
				and procedures for handling infectious cases shall include orders for nursing
				and non-professional staffs providing for proper isolation technique.
g)
A hospital shall develop a policy
				for testing its water supply for Legionella
pneumophila
bacteria.
The policy shall be based on the ASHRAE publications
				"Managing the Risk of Legionellosis Associated with Building Water Systems" and
				"Legionellosis: Risk Management for Building Water Systems", and the Centers
				for Disease Prevention and Control's "Toolkit for Controlling Legionella in
				Common Sources of Exposure".
The policy shall include the frequency
				with which testing is conducted. The policy and the results of any
				tests
and corrective actions taken
shall be made available to
				the Department upon request
. (Section 6.29 of the Act) The policy
				shall include, at a minimum:
1) A procedure to
				conduct a facility risk assessment to identify potential Legionella and other
				waterborne pathogens in the facility water system;
2) A water management program that identifies
				specific testing protocols and acceptable ranges for control measures;
				and
3) A system to document the
				results of testing and corrective actions taken.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart J - SURGICAL AND RECOVERY ROOM SERVICES › Section 250.1210 - Surgery

Current through Register Vol. 48, No. 28, July 12, 2024
a) Where a hospital
				provides surgical services, the service shall be provided in a manner
				sufficient to meet surgical needs of the patients. The surgical
				department/service shall have a defined organization and shall be integrated
				with other departments and services of the hospital and shall be governed by
				written policies and procedures.
b)
				The Director of Surgical Services or his designee shall design and implement an
				education program to orient new physicians, residents, physician assistants,
				and other employees and shall collaborate with the nursing administrator or
				his/her designee to establish orientation and continuing education programs for
				the nursing staff. The programs shall be planned, scheduled, documented by a
				written outline of its contents, and evaluated at least annually.
c) The education program may be conducted
				using resources internal or external to the hospital. Teaching material and
				suitable reference shall be supplied as needed for each patient care
				unit.
d) The surgical services
				shall be directed by a member of the medical staff who is qualified by training
				and experience preferably certified by the American Board of Surgery and
				approved by the medical staff and board of the hospital.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart J - SURGICAL AND RECOVERY ROOM SERVICES › Section 250.1220 - Surgery Staff

Current through Register Vol. 48, No. 28, July 12, 2024
a) A current
				roster of physicians, dentists, and podiatrists shall be maintained in the
				surgical suite and be available to the surgical nursing and medical
				staff.
b) The supervisory nurse of
				direct patient care shall be a registered professional nurse, knowledgeable in
				invasive and diagnostic as well as operating room procedures.
c) A registered nurse, qualified by training
				and experience in operating room nursing, shall be present in the operating
				room and function as the circulating nurse during all invasive or operative
				procedures. As used in this subsection, "circulating nurse" means a registered
				nurse who is responsible for coordinating all nursing care, patient safety
				needs, and the needs of the surgical team in the operating room during an
				invasive or operative procedure. (Section 10.7(2.5) of the Act)