Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 696 - CONTROL OF TUBERCULOSIS CODE › Subpart B - TUBERCULOSIS PREVENTION AND CONTROL MEASURES › Section 696.130 - Responsibilities of Health Care Settings

Current through Register Vol. 48, No. 28, July 12, 2024
a) TB Risk Assessment. Every health care
				setting shall conduct initial and ongoing evaluation of the risk for
				transmission of M. tuberculosis, regardless of whether patients with suspected
				or confirmed active TB disease are expected to be encountered in the setting.
				The TB risk assessment shall address administrative, environmental and
				respiratory-protection controls needed for the health care setting and shall be
				reviewed at least annually.
b)
				Written Plans. A written TB infection control plan shall be developed that
				includes: protocols for the screening and management of latent TB infection
				among health care workers and clients; protocols for the screening, diagnosis
				and management of active TB disease among health care workers and clients; data
				collection; evaluation of data; reporting of persons with suspected or
				confirmed active TB disease to the local TB control authority; and a health
				care worker education program. All components of the plan shall reflect
				compliance with this Part. The plan shall include the name of the person or
				persons responsible for the TB prevention and control program at each health
				care setting; procedures to protect health care workers and clients from
				contracting tuberculosis; and a referral mechanism to ensure that transmission
				of TB is prevented and treatment is completed for clients with TB who leave the
				health care settings. The written plan shall be updated at least annually. (See
				the Guidelines for Health-Care Settings.)
c) TB Prevention and Control Program. A
				program shall be executed in accordance with the written TB infection control
				plan.
d) Health Care Worker
				Education. All health care workers shall be trained upon hiring and
				periodically thereafter to ensure employee knowledge relevant to the employee's
				work responsibilities and the level of risk in the health care setting. (See
				the Guidelines for Health-Care Settings.)
e) Collaboration. Health care settings shall
				consult with the local TB control authority, as necessary, to determine their
				respective responsibilities in the screening, diagnosis and management of
				latent TB infection and active TB disease, reporting of active TB disease and
				the education of health care workers.
f) Records. Records shall be maintained on TB
				screening test results; TB diagnostic evaluation results (including whether the
				tuberculosis was drug-resistant); other information about any persons exposed
				to tuberculosis; and the current written plan as required in subsection (b) of
				this Section. Individual and aggregate data shall be analyzed periodically to
				identify the health care setting's level of risk and changes in the risk of TB
				transmission. All records required in this subsection shall be made available
				for inspection by the Department or the local TB control authority upon
				request.