Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart A - GENERAL PROVISIONS › Section 250.100 - Definitions

Current through Register Vol. 48, No. 28, July 12, 2024
Act - the Hospital Licensing Act [210 ILCS 85].
Advanced Practice Registered Nurse - a person licensed to
				  practice under Article 65 of the Nurse Practice Act.
Advanced Practice Provider - an advanced practice registered
				  nurse or a physician assistant.
Allied Health Personnel - persons other than medical staff
				  members, licensed or registered by the State of Illinois or recognized by an
				  organization acceptable to the Department and recognized to function within
				  their licensed, registered or recognized capacity by the medical staff and the
				  governing authority of the hospital.
Dentist - any person licensed to practice dentistry as
				  provided in the Illinois Dental Practice Act.
Department - the Illinois Department of Public Health.
Dietetic Service Director - a person who:
is a dietitian;
is a graduate of a dietetic and nutrition school or program
				  authorized by the Accreditation Council for Education in Nutrition and
				  Dietetics, the Academy of Nutrition and Dietetics, or the American Clinical
				  Board of Nutrition;
is a graduate, prior to July 1, 1990, of a
				  Department-approved course that provided 90 or more hours of classroom
				  instruction in food service supervision and has had experience as a supervisor
				  in a health care institution which included consultation from a
				  dietitian;
has successfully completed an Association of Nutrition &
				  Foodservice Professionals approved Certified Dietary Manager or Certified Food
				  Protection Professional course;
is certified as a Certified Dietary Manager or Certified Food
				  Protection Professional by the Association of Nutrition & Foodservice
				  Professionals; or
has training and experience in food service supervision and
				  management in a military service equivalent in content to the programs in the
				  second, third or fourth paragraph of this definition.
Dietitian- a person who is a registered dietitian or
				  registered dietitian nutritionist as defined in the Dietitian Nutritionist
				  Practice Act.
Drugs - the term "drugs" means and includes:
articles recognized in the official United States
				  Pharmacopoeia, official National Formulary, or any supplement to either of them
				  and being intended for and having for their main use the diagnosis, cure,
				  mitigation, treatment or prevention of disease in man or other animals;
all other articles intended for and having for their main use
				  the diagnosis, cure, mitigation, treatment or prevention of disease in man or
				  other animals;
articles (other than food) having for their main use and
				  intended to affect the structure or any function of the body of man or other
				  animals; and
articles having for their main use and intended for use as a
				  component or any articles specified in this definition, but does not include
				  devices or their components, parts or accessories.
Federally designated organ procurement agency - the
				  organ procurement agency designated by the Secretary of the U.S. Department of
				  Health and Human Services for the service area in which a hospital is located;
				  except that in the case of a hospital located in a county adjacent to Wisconsin
				  which currently contracts with an organ procurement agency located in Wisconsin
				  that is not the organ procurement agency designated by the U.S. Secretary of
				  Health and Human Services for the service area in which the hospital is
				  located, if the hospital applies for a waiver pursuant to
				  42 U.S.C.
				  1320b-8(a), it may designate an organ
				  procurement agency located in Wisconsin to be thereafter deemed its federally
				  designated organ procurement agency for the purposes of
the
Act.
(Section 3(F) of the Act)
Follow-up healthcare - healthcare services related to
				  a sexual assault, including laboratory services and pharmacy services, rendered
				  within 180 days after the initial visit for medical forensic services
.
				  (Section 1a of the Sexual Assault Survivors Emergency Treatment Act)
Hospital - the term "hospital" shall have the meaning
				  ascribed in Section 3(A) of the Act.
Hospitalization - the reception or care of any person in any
				  hospital either as an inpatient or as an outpatient.
House Staff Member - an individual who is a graduate of a
				  medical, dental, osteopathic, or podiatric school; who is licensed as
				  appropriate; who is appointed to the hospital's medical, osteopathic, dental,
				  or podiatric graduate training program that is approved or recognized in
				  accordance with the statutory requirements applicable to the practitioner; and
				  who is participating in patient care under the direction of licensed
				  practitioners who have clinical privileges in the hospital and are members of
				  the hospital's medical staff.
Licensed Practical Nurse - a person with a valid Illinois
				  license to practice as a practical nurse under the Nurse Practice Act.
Medical Staff - an organized body composed of the following
				  individuals granted the privilege by the governing authority of the hospital to
				  practice in the hospital: persons who are graduates of a college or school
				  approved or recognized by the Illinois Department of Financial and Professional
				  Regulation, and who are currently licensed by the Illinois Department of
				  Financial and Professional Regulation to practice medicine in all its branches;
				  practice dental surgery; or, practice podiatric medicine in Illinois,
				  regardless of the title of the degree awarded by the approving college or
				  school.
Medicines - drugs or chemicals or preparations of drugs or
				  chemicals in suitable form intended for and having for their main use the
				  prevention, treatment, relief, or cure of diseases in humans or animals when
				  used either internally or externally.
Nurse - a registered nurse or licensed practical nurse as
				  defined in the Nurse Practice Act.
Nursing Administrator (or Chief Nursing Officer or Director
				  of Nursing) - a registered professional nurse who is employed full-time within
				  the hospital as director of the nursing administration pursuant to Section
				  250.910.
Nursing Staff - registered nurses, licensed practical nurses,
				  nursing assistants and others who render patient care under the supervision of
				  a registered professional nurse.
Patient Care Unit or Nursing Care Unit - an organized unit in
				  which nursing services are provided on a continuous basis. This unit is a
				  clearly defined administrative and geographic area to which specific nursing
				  staff is assigned.
Pharmacist - a person who is licensed as a pharmacist under
				  the Pharmacy Practice Act.
"Pharmacy - a location where pharmacist care is
				  provided by a pharmacist and where drugs and medicines are dispensed, sold,
				  offered or displayed for sale at retail; where prescriptions of physicians,
				  dentists, advanced practice registered nurses, physician assistants, podiatric
				  physicians, or optometrists, within the limits of their licenses, are
				  compounded, filled or dispensed; and which has a sign bearing the word or words
				  "Pharmacist", Druggist", " Pharmacy", Pharmaceutical Care", or similar terms or
				  where the characteristic prescription sign (Rx) or similar design is
				  exhibited.
(Section 3 of the Pharmacy Practice Act). Any room or
				  designated area where drugs and medicines are dispensed (including repackaging
				  for distribution) shall be considered to be a pharmacy and shall be required to
				  be licensed by the Illinois Department of Financial and Professional
				  Regulation.
Pharmacy practice - includes the following services as
				  defined in the Pharmacy Practice Act:
the interpretation and the provision of assistance in
				  the monitoring, evaluation, and implementation of prescription drug
				  orders;
the dispensing of prescription drug
				  orders;
participation in drug in drug and device
				  selection;
drug administration limited to administration of
				  oral, topical, injectable, and inhalation as follows:
in the context of patient education on the proper use
				  or delivery of medications;
pursuant to a valid prescription or standing order by
				  a physician licensed to practice medicine in all its branches, upon completion
				  of appropriate training, including how to address contraindications and adverse
				  reaction
pursuant to Pharmacy Practice Act rules (68 Ill. Adm. Code
				  1330),
with notification to the patient's physician and appropriate
				  record retention, or pursuant to hospital pharmacy and therapeutics committee
				  policies and procedure:
vaccination of patients 7 years of age and
				  older;
following the initial administration of long-acting
				  or extended-release form opioid antagonists by a physician licensed to practice
				  medicine in all its branches, administration of injections of long-action or
				  extended-release form opioid antagonists;
administration of injections of
				  alpha-hydroxyprogesterone caproate;
administration of injections of long-term
				  antiphyschotic medications
(appropriate training must be conducted by
				  an
Accreditation Counsel of Pharmaceutical Education accredited
				  provider);
drug regimen review;
drug or drug-related research;
the provision of patient counseling;
the practice of telepharmacy;
the provision of those acts or services necessary to
				  provide pharmacist care;
medication therapy management; and
the responsibility for compounding and labeling of
				  drugs and devices (except labeling by a manufacturer, repackager, or
				  distributor of non-prescription drugs and commercially package legend drugs and
				  devices), proper and safe storage of drugs and devices, and maintenance of
				  required records as defined
in the Pharmacy Practice Act. (Section 3
				  of the Pharmacy Practice Act)
Physical Rehabilitation Facility - a licensed specialty
				  hospital or clearly defined special unit or program of an acute care hospital
				  providing physical rehabilitation services either through the facility's own
				  staff members or when appropriate, through the mechanism of formal affiliations
				  and consultations.
Physical Rehabilitation Services - a complete, intensive
				  multi-disciplinary process of individualized, time-limited, goal-oriented
				  services, including evaluation, restoration, personal adjustment, and
				  continuous medical care under the supervision and direction of a physician
				  qualified by training and experience in physical rehabilitation. Physical
				  rehabilitation has two major components: inpatient and outpatient care. Both
				  components involve the patient and, whenever possible, the family in
				  establishing treatment goals and discharge plans, and consist of the following
				  scope of services available for inpatient care: physician, rehabilitation
				  nursing, physical therapy, occupational therapy, speech therapy, audiology,
				  prosthetic and orthotic services, as well as rehabilitation counseling, social
				  services, recreational therapy, psychology, pastoral care, and vocational
				  counseling. Basic scope of services for outpatient facilities shall include at
				  least a physician, physical therapy, occupational therapy, speech therapy,
				  vocational services, psychology and social service. The purpose of
				  multi-faceted services is to reduce the disability and dependency in activities
				  of daily living while promoting optimal personal adjustment in dimensions such
				  as psychological, social, economic, spiritual and vocational.
Physician - a person licensed to practice medicine in all of
				  its branches as provided in the Medical Practice Act of 1987.
Physician Assistant - a person authorized to practice under
				  the Physician Assistant Practice Act of 1987.
Podiatrist - a person licensed to practice podiatry under the
				  Podiatric Medical Practice Act of 1987.
Reference Materials - a sample in which the chemical
				  composition and physical properties resemble the specimen to be analyzed on
				  which sufficient analyses have been run to give a reasonably good approximation
				  of the concentration of the constituent being assayed. The reference materials
				  are routinely analyzed along with patient specimens to determine the precision
				  and accuracy of the analytical process used.
Registered Nurse - a person with a valid Illinois license to
				  practice as a registered professional nurse under the Nurse Practice
				  Act.
Rural Emergency Hospital (REH) - an entity that operates for
				  the purpose of providing emergency department services, observation care, and
				  other outpatient medical and health services, in which the annual per patient
				  average length of stay does not exceed 24 hours. The entity must not provide
				  inpatient services, except those furnished in a unit that is a distinct part
				  licensed as a skilled nursing facility to furnish post-REH or post-hospital
				  extended care services pursuant to
				  42 CFR
				  485.502.
Safe Lifting Equipment and Accessories
-
mechanical equipment designed to lift, move, reposition, and transfer
				  patients, including, but not limited to, fixed and portable ceiling lifts,
				  sit-to-stand lifts, slide sheets and boards, slings, and repositioning and
				  turning sheets
. (Section 6.25(a) of the Act)
Safe Lifting Team
-
at least 2
				  individuals who are trained in the use of both safe lifting techniques and safe
				  lifting equipment and accessories, including the responsibility for knowing the
				  location and condition of such equipment and accessories
. (Section
				  6.25(a) of the Act)
Standard Solution - a solution used for calibration in which
				  the concentration is determined solely by dissolving a weighted amount of
				  primary standard material in an appropriate amount of solvent.
Surgical smoke plume - the by-product of the use of
				  energy-based devices on tissue during surgery and containing hazardous
				  materials, including, but not limited to, bioaerosols, smoke, gases, tissue and
				  cellular fragments and particulates, and viruses.
(Section 6.32(a) of
				  the Act)
Surgical smoke plume evacuation system - a dedicated
				  device that is designed to capture, transport, and filter surgical smoke plume
				  at the site of origin and before it can diffuse and pose a risk to the
				  occupants of the operating or treatment room.
(Section 6.32(a) of the
				  Act)
Tissue bank - any facility or program operating in
				  Illinois that is certified by the American Association of Tissue Banks or the
				  Eye Bank Association of America and is involved in procuring, furnishing,
				  donating, or distributing corneas, bones, or other human tissue for the purpose
				  of injecting, transfusing or transplanting any of them into the human body.
				  "Tissue bank" does not include a licensed blood bank. For the purposes
				  of
the
Act, "tissue" does not include organs.
(Section 3(G) of the Act)