Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 112 - TREATMENT AND HABILITATION SERVICES › Section 112.30 - Recipient physical and dental examinations and informed consent for services

Current through Register Vol. 48, No. 28, July 12, 2024
To provide the highest possible quality of humane and
				rehabilitative care and treatment for all recipients in the care of the
				Department and to promote public health and safety, all recipients in
				Department facilities shall receive comprehensive physical and dental
				examinations.
a) Physical examination
1) Each person admitted to the Department in
			 accordance with the Code [405 ILCS 5 ] shall have a thorough physical
			 examination on admission and annually thereafter (see Section 1-119(2) of the
			 Code). Persons with mental illness shall be examined within 24 hours in
			 accordance with the Mental Health Standards (Joint Commission on Accreditation
			 of Healthcare Organizations (JCAHO), One Renaissance Boulevard, Oakbrook
			 Terrace, Illinois 60681, 1995) or the Accreditation Manual for Hospitals (Joint
			 Commission on Accreditation of Healthcare Organizations (JCAHO), One
			 Renaissance Boulevard, Oakbrook Terrace, Illinois 60681, 1996). In accordance
			 with 77 Ill. Adm. Code 350 (Intermediate Care for the Developmentally Disabled
			 Facilities Code) (ICFDD), persons with developmental disabilities shall be
			 examined within 72 hours. This requirement may be waived in the judgment of the
			 admitting physician only if such an examination was done within three days
			 prior to admission and the results are received by the facility and are entered
			 into the recipient's clinical record.
A) The
			 examination shall include an evaluation of the recipient's condition, including
			 height, weight, blood pressure and vital signs, diagnoses, plan of medical
			 treatment, recommendations for care, including personal care needs, treatment
			 orders, permission for participation in activity programs, as appropriate, and
			 any other examinations that are required by the accrediting agencies cited in
			 subsection (a)(1) of this Section, as well as the Standards for Services for
			 People with Developmental Disabilities (Accreditation Council for Services for
			 People with Developmental Disabilities (Council) 8100 Professional Place, Suite
			 204, Landover, Maryland 20785, 1990). The examination shall also include a
			 visual check of the oral cavity, including lips, teeth, gums and tongue.
			 Referral to a dental hygienist or dentist shall be completed if clinically
			 indicated. Plans of medical treatment, recommendations for care and treatment
			 orders shall be recorded in the recipient's individualized services plan as
			 defined in Sections 3-209 and 4-309 of the Code.
B) The presence or absence of communicable or
			 infectious diseases shall be noted by the examining physician with
			 recommendations given for curing or controlling the disease, as applicable.
			 Communicable or infectious diseases shall be reported in accordance with
			 Department of Public Health rules:
i) 77 Ill.
			 Adm. Code 690 (Control of Communicable Diseases Code);
ii) 77 Ill. Adm. Code 693 (Control of
			 Sexually Transmissible Diseases Code); and
iii) 77 Ill. Adm. Code 697 (AIDS
			 Confidentiality and Testing Code).