Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart I - NURSING SERVICE AND ADMINISTRATION › Section 250.1120 - Staffing Levels

Current through Register Vol. 48, No. 28, July 12, 2024
a) As used in
				this Section, the following definitions apply:
"Nursing care" - care that falls within the scope of practice
				  set forth in the Nursing and Advanced Practice Nursing Act or is otherwise
				  encompassed within recognized professional standards of nursing practice,
				  including assessment, nursing diagnosis, planning, intervention, evaluation,
				  and patient advocacy. (Section 10 of the Hospital Report Card Act [210 ILCS 86
				  ])
"Staffing levels" - the numerical nurse to patient ratio by
				  licensed nurse classification within a nursing department or unit. (Section 10
				  of the Hospital Report Card Act)
"Unit" - a functional division or area of a hospital in which
				  nursing care is provided. (Section 10 of the Hospital Report Card Act)
b) The number of registered
				professional nurses, licensed practical nurses, and other nursing personnel
				assigned to each patient care unit shall be consistent with the types of
				nursing care needed by the patients and the capabilities of the staff. Patients
				on each unit shall be evaluated near the end of each change of shift by
				criteria developed by the nursing service. There shall be staffing schedules
				reflecting actual nursing personnel required for the hospital and for each
				patient unit. Staffing patterns shall reflect consideration of nursing goals,
				standards of nursing practice, and the needs of the patients. (Section 15 of
				the Hospital Report Card Act)
c)
				Current nursing staff schedules shall be available upon request at each patient
				care unit. Each schedule shall list the daily assigned nursing personnel and
				average daily census for the unit. The actual nurse staffing assignment roster
				for each patient care unit shall be available upon request at the patient care
				unit for the effective date of that roster. Upon the roster's expiration, the
				hospital shall retain the roster for 5 years from the date of its expiration.
				(Section 15 of the Hospital Report Card Act)
d) All records required under this Section
				and Section 15 of the Hospital Report Card Act, including anticipated staffing
				schedules and the methods to determine and adjust staffing levels, shall be
				made available to the public upon request. (Section 15 of the Hospital Report
				Card Act)
e) All records required
				under this Section and Section 15 of the Hospital Report Card Act shall be
				maintained by the facility for no less than 5 years. (Section 15 of the
				Hospital Report Card Act)
f) A
				hospital covered by the Hospital Report Card Act shall not penalize,
				discriminate, or retaliate in any manner against an employee with respect to
				compensation or the terms, conditions, or privileges of employment who in good
				faith, individually or in conjunction with another person or persons, reports
				violations of the Hospital Licensing Act or the Hospital Report Card Act
				pursuant to Sections 35 and 40 of the Hospital Report Card Act. (Section 35 of
				the Hospital Report Card Act)