reglab/statecodes huggingface dataset:
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.2070 - Pharmacy Service

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
			 freestanding emergency center shall provide a pharmacy or drug and medicine
			 service (service) for the care and treatment of patients.
b) A pharmacy or drug and medicine service
			 policy and procedure manual shall identify the service and manner of
			 operation.
c) The service shall be
			 under the direction of a pharmacist employed by the FEC on a full-time,
			 part-time or consulting basis. Responsibilities of the pharmacist shall be
			 identified in the policy and procedure manual or other document.
d) A pharmacist shall staff the pharmacy
			 during all hours when the pharmacy is open. At all other times, the pharmacy
			 shall be locked. A pharmacist or pharmaceutical service shall be on call when
			 the pharmacy is not open.
e) When a
			 pharmacist is absent from the FEC, a registered professional nurse may have
			 access to the pharmacy. The nurse, after contacting the on call pharmacist, may
			 obtain a single dose, manufacturer's original package, or container of a drug
			 or medication prepackaged under the supervision of a pharmacist necessary to
			 administer to a patient in carrying out treatment and medication orders of a
			 prescriber. A signed receipt for the drugs and medicines removed shall be left
			 for the pharmacist.
f) Vending
			 machines for the storage and supply of drugs used in the facility shall be
			 stocked only under the supervision of a pharmacist. They shall be securely
			 locked, and shall provide a record of what was supplied and to whom. The drugs
			 contained in the vending machines may be released only by a registered
			 professional nurse, licensed practical nurse if the FEC's policy allows,
			 physician or pharmacist.
g) All
			 drugs and medicines shall be stored and dispensed in accordance with applicable
			 State laws and rules and federal laws.
h) Pharmacy Personnel
1) A pharmacist shall be available or on call
			 at all times.
2) The number of
			 registered pharmacists and other supportive personnel provided shall be
			 consistent with the size and activity of the service.
3) Pharmacy apprentices, if employed, shall
			 be under the direct and personal supervision of a pharmacist.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.2080 - Housekeeping Service

Current through Register Vol. 48, No. 28, July 12, 2024
a) The FEC
			 shall have an organized housekeeping department or service, under competent
			 supervision.
b) The director of
			 housekeeping services shall be qualified for the position by education,
			 training, and experience.
1) The number of
			 supervisory and support personnel shall be related to the size and complexity
			 of the facility and to the scope of the services provided.
2) To guide personnel in providing a hygienic
			 environment for patients and staff, specific housekeeping procedures shall be
			 developed and available for all departments and services. Procedures shall
			 identify techniques and products used and shall include, but not be limited to,
			 the following:
A) the use, cleaning, and care
			 of equipment;
B) the selection,
			 measurement, and proper use of housekeeping and cleaning supplies, their
			 storage, and transportation;
C) the
			 maintenance of cleaning schedules, including frequency of cleaning of
			 observation/treatment and major procedure rooms;
D) techniques for evaluation of cleaning
			 effectiveness;
E) personal hygiene
			 and handwashing.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.2090 - Insect and Rodent Control

Current through Register Vol. 48, No. 28, July 12, 2024
Any condition on the freestanding emergency center site
				conducive to harboring or breeding insects, rodents or other vermin shall be
				prohibited.
a) All outside doors,
			 windows and other openings shall be effectively screened, except in
			 air-conditioned buildings where doors and windows are normally kept closed and
			 are opened for minimal use, automatically operated doors or infrequently used
			 fire exits. Screens shall be kept in good repair and shall have no fewer than
			 16 meshes per inch. All screen doors shall open outward where building design
			 permits and be equipped with self-closing devices. Fire and panic laws shall be
			 considered in screen installation and maintenance.
b) Other methods of preventing the entrance
			 of insects, such as blast-fans, electrocution screens, fly traps, sprays, etc.,
			 may be used only as a supplement to the use of screens. Fly strips, paper,
			 swatters, insecticide sprays and powders, fly traps, etc., shall be used only
			 in such a manner and place that dead, injured, or affected insects, or the
			 spray or powder itself, cannot fall on or otherwise come in contact with any
			 food or food product, sterile/clean equipment and supplies or patient treatment
			 areas.
c) All rooms shall be free
			 from insects, rodents or other vermin.
d) Any chemical substance of a poisonous
			 nature used to control or eliminate various types of vermin shall be properly
			 colored or labeled to identify it as a poison. Identification, storage and use
			 shall be in accordance with local, State and federal laws.
e) If pest control services are contracted
			 with an outside firm, that firm shall be a Pest Control Business that is
			 licensed by the Department. If services are provided by FEC personnel, and
			 restricted-use pesticides are applied, the person responsible for the
			 application shall be an institutional multi-housing pest control operator who
			 is certified by the Department.
f)
			 The FEC shall maintain an up-to-date list of all pest control products used,
			 areas where they are used, and areas where specific formulations shall not be
			 used. This document shall be readily available, in case of accidental
			 poisoning.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.2100 - Laundry Service

Current through Register Vol. 48, No. 28, July 12, 2024
a) Laundry
			 service shall be provided by an organized laundry service under competent
			 supervision or by contract with another entity.
1) If laundry services are provided by an
			 outside entity, a written contract shall be available and shall specify that
			 the laundry meets the same standards required in this Section. The linens shall
			 be transported in sanitary vehicles. Clean and soiled linens shall not be
			 transported in the same vehicle at the same time.
2) Equipment and construction shall be as
			 required in Section
			 518.2180.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.2120 - Maintenance

Current through Register Vol. 48, No. 28, July 12, 2024
The freestanding emergency center shall have an organized
				engineering and/or maintenance department under competent supervision. The
				requirements of NFPA 99 shall apply in addition to the following:
a) Maintenance services shall be under the
			 supervision of a qualified engineer or persons who have had commensurate
			 experience in the maintenance of public or private plants, preferably health
			 care facilities.
b) Personnel
			 engaged in maintenance activities shall receive orientation and follow-up
			 training, including training in principles of asepsis, cross-infection control,
			 and safe practices.
c) The FEC
			 shall have an effective, organized, detailed preventive maintenance program.
			 Written instructions for operating and maintaining equipment and the various
			 mechanical, electrical, and other systems contained in the FEC shall be
			 available to maintenance personnel.
d) Maintenance and repairs shall be carried
			 out in accordance with applicable codes and requirements of local
			 jurisdictions, and applicable rules of the State Fire Marshal and the
			 Department.
e) Space and equipment
			 shall be provided for the managerial activities of the supervisor of
			 maintenance for repair work and for storage of maintenance materials. Paints
			 and oils shall not be stored in patient areas.
f) The FEC structure and its component parts
			 shall be kept in good repair and shall be maintained with consideration for the
			 safety and comfort of the occupants of the building. Mechanical and electrical
			 equipment shall be maintained in good repair and operating condition at all
			 times.
g) Roads, walks, and parking
			 areas shall be properly maintained.
h) Grounds and buildings shall be maintained
			 as follows:
1) In a clean condition free of
			 safety hazards;
2) In a manner that
			 will prevent standing water, flooding or leakage; and
3) Free of excessive noise, odors, pollens,
			 dusts, or other environmental pollutants and such nuisances as may adversely
			 affect the health or welfare of patients.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.2130 - Fire Safety

Current through Register Vol. 48, No. 28, July 12, 2024
a) Buildings
			 and equipment shall be maintained so as to prevent fire and other hazards to
			 personal safety.
b) Exits,
			 stairways, doors, and corridors shall be kept free of obstructions.
c) Flammable and combustible liquids shall be
			 labeled, stored, handled and used in compliance with NFPA 30 .
d) Flammable and non-flammable gases shall be
			 labeled, handled, and used in compliance with NFPA 99. Separate storage for
			 flammable and oxidizing gases shall be provided.
e) A master fire plan, developed to suit the
			 needs of the facility, and acceptable to the Department, shall be
			 maintained.
f) Fire regulations
			 listing the fire stations, procedures and staff emergency duties by title or
			 position shall be posted conspicuously on each floor at appropriate locations,
			 and shall be available in each unit, section and department.
g) Employees shall be trained in procedures
			 to be followed in the master fire plan.
h) Fire drills shall be conducted at
			 irregular intervals at least l2 times per year. A record shall be kept of the
			 staff performance and results, and indicated corrective measures shall be
			 made.
i) Portable fire
			 extinguishers, provided in accordance with NFPA l0, shall be inspected at least
			 annually, recharged or repaired as needed and labeled with the dates of the
			 last inspection.
j) Sprinkler
			 systems, fire hoses, fire detection and alarm devices, and other equipment for
			 use in the fire safety program shall be connected and maintained in a fully
			 functional condition at all times.
k) Fire detection and protection systems
			 shall be inspected no less frequently than twice a year by a recognized,
			 competent authority. A written report of the inspection shall be kept on file
			 at the FEC for at least three years following the date of inspection.
l) The FEC shall maintain a procedure for
			 reporting to a designated administrative officer, on a standard form adopted
			 for the purpose, all accidents to patients, employees or visitors. The report
			 shall include all pertinent information and shall be kept on file for no fewer
			 than six years after the occurrence is reported.
m) The FEC shall maintain a procedure to
			 investigate fires. The FEC shall notify the Department of all fires within 24
			 hours after the occurrence. A written report of the investigation containing
			 all pertinent information shall be made and a copy forwarded to the Department.
			 The report shall remain on file for no fewer than six years.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.2140 - Water Supply

Current through Register Vol. 48, No. 28, July 12, 2024
The Department's rules titled Public Area Sanitary Practice
				Code shall apply, except when they differ from this Part.
a) Water supplies of FECs shall be operated
			 in conformance with the following requirements:
1) All water used in operation of the FEC
			 facility shall be provided from a public water supply or from an alternative
			 source. The source of water supply shall be approved by the
			 Department.
2) The construction,
			 maintenance, and operation of any treatment process that might change the
			 physical, chemical, or bacterial characteristics of the water shall be approved
			 by the Department.
3) Hot water
			 shall be available at sinks and lavatories at all times. Water shall be
			 adequate in volume and pressure for all medical purposes.
4) The water system shall be operated with a
			 hot water system adequate for all medical purposes.
5) The hot water supply shall be regulated by
			 thermostatic or other control devices, which shall be either locked or located
			 in places not accessible to patients or the general public so that the hot
			 water used by patients and by the public is maintained at an even temperature
			 that cannot cause personal injury.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.2160 - Submission of Architectural Plans

Current through Register Vol. 48, No. 28, July 12, 2024
a)
			 New Construction, Addition, or Major Alteration
1) When construction is contemplated, either
			 for new buildings or additions or alterations to existing buildings coming
			 within the scope of this Part, design development drawings and outline
			 specifications shall be submitted to the Department for review. Approval of
			 design development drawings and specifications shall be obtained from the
			 Department prior to starting final working drawings and specifications. The
			 Department will provide comments or approval within 30 working days after
			 receipt of the drawings and specifications and the submission being deemed
			 complete.
2) Final Drawings
A) The final working drawings and
			 specifications shall be submitted to the Department for review and approval
			 prior to beginning of construction. For final approval to remain valid,
			 contracts shall be signed within one year after the approval date. Alternate
			 methods of design development and construction may be acceptable subject to the
			 approval of the Department. The Department will provide comments or approval
			 within 30 working days after receipt of the final drawings and the submission
			 being deemed complete.
B) The
			 Department shall be notified upon the award of construction
			 contracts.
3) Any
			 contract modifications that affect or change the function, design, or purpose
			 of a facility shall be submitted to the Department for approval prior to
			 authorizing the modifications. The Department will provide comments or approval
			 within 60 working days after receipt of the drawings and
			 specifications.
4) Upon 90% of
			 completion, the pre-occupancy certification package shall be submitted to the
			 Department.
5) As-built drawings
			 shall be maintained by the freestanding emergency center.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.2170 - Preparation of Drawings and Specifications - Submission Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
Drawings and specifications shall be prepared by or under the
				immediate supervision of an architect registered in the State of Illinois. The
				requirements contained in this Section have been established for the guidance
				of the FEC and the architect to provide a standard method of preparation of
				drawings and specifications.
a) First
			 Stage Submission - Design Development Drawings and Outline Specifications
1) The preliminary sketch plans shall
			 indicate in detail the assignment of all spaces and the size of areas and
			 rooms, and shall indicate in outline the fixed and movable equipment and
			 furniture.
A) The plans shall be drawn at a
			 scale sufficiently large to clearly present the proposed design and not exceed
			 30 x 42 inches.
B) The drawings
			 shall include:
i) A plan of each floor,
			 including the basement or ground floor;
ii) Roof plan;
iii) Plan showing roads, parking areas,
			 sidewalks, etc., and elevations of all facades;
iv) Sections through the building;
v) All adjacent areas clearly labeled if
			 addition or alteration; and
vi)
			 Fire and smoke separation diagrams.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.2190 - Finishes

Current through Register Vol. 48, No. 28, July 12, 2024
a) Cubicle and
			 window curtains and draperies shall be noncombustible or flame retardant and
			 shall pass both the large- and small-scale tests of NFPA 701.
b) Flame spread and smoke developed ratings
			 of finishes shall be in accordance with NFPA 101.
c) Floor materials shall be easily cleanable
			 and have wear resistance appropriate for the location involved. Floors in
			 toilets, janitor's closets and similar areas shall be water resistant. In all
			 areas frequently subject to wet cleaning methods, floor materials shall not be
			 physically affected by germicidal and cleaning solutions.
d) Wall bases in soiled workrooms and other
			 areas that are frequently subject to wet cleaning methods shall be made
			 integral and coved with the floor, tightly sealed to the wall, and constructed
			 without surface voids that can harbor vermin.
e) All wall finishes shall be washable and,
			 in the immediate area of plumbing fixtures, shall be smooth and moisture
			 resistant. Walls in spaces subject to frequent cleaning shall be of suitable
			 materials.
f) Floor and wall
			 penetrations by pipes, ducts, and conduits shall be tightly sealed to minimize
			 entry of vermin, smoke and fire. Joints of structural elements shall be
			 similarly sealed.
g) Ceilings shall
			 be cleanable and shall have a finished surface that covers all overhead duct
			 work and piping. Finished ceilings may be omitted in mechanical and equipment
			 spaces, shops, general storage areas, and similar spaces, unless required for
			 fire-resistive purposes.
h) The
			 following areas shall have acoustical ceilings:
1) Corridors in patient areas,
2) Nurses' stations, and
3) Waiting areas.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.2200 - Structural Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) In
			 addition to compliance with this Part, all applicable local or State building
			 codes and regulations shall be observed.
b) The buildings and all parts thereof shall
			 be of sufficient strength to support all dead, live, and lateral loads without
			 exceeding the working stresses permitted for the materials of their
			 construction in generally accepted good engineering practice.
c) Special provision shall be made for
			 machines or apparatus loads that would cause a greater load than the specified
			 minimum live load.
d) Consideration
			 shall be given to structural members and connections of structures that may be
			 subject to earthquakes or tornadoes. Floor areas where partition locations are
			 subject to change shall be designed to support for the partition, a uniformly
			 distributed load of 25 p.s.f.
e)
			 Construction shall be in accordance with NFPA 101 and the minimum requirements
			 contained in this Part.
1) Foundations shall
			 rest on natural solid ground and shall be carried to a depth of not less than
			 one foot below the estimated frost line or shall rest on leveled rock or
			 load-bearing piles or caissons when solid ground is not encountered. Footings,
			 piers and foundation walls shall be adequately protected against deterioration
			 from the action of ground water. Test borings shall be taken to establish
			 proper soil-bearing values for the soil at the building site.
2) Assumed live load shall be in accordance
			 with the International Building Code.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.2210 - Mechanical Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a)
			 General Requirements
1) Mechanical systems
			 shall be tested, balanced and operated to demonstrate that these systems are
			 installed and will perform according to the plans and specifications.
2) Upon completion of the mechanical systems,
			 the owner shall obtain a complete set of manufacturers' installation,
			 operating, maintenance and preventive maintenance instructions, and a parts
			 list with numbers and a description for each piece of equipment. The owner
			 shall also obtain instruction in the operational use of the systems and
			 equipment as required.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.2220 - Plumbing and Other Piping Systems

Current through Register Vol. 48, No. 28, July 12, 2024
a) General Requirements
All plumbing systems shall be designed and installed in
				accordance with the Illinois Plumbing Code, except that the number of
				waterclosets, urinals, lavatories, drinking fountains and other fixtures shall
				be as required by this Part.
b) Plumbing Fixtures
1) Plumbing fixtures shall be of
			 nonabsorptive, acid-resistant materials.
2) The water supply spout for lavatories and
			 sinks required for filling pitchers and for medical and nursing staff hand
			 washing shall be mounted so that its discharge point is a minimum perpendicular
			 distance of 5 inches above the rim of the fixture.
3) Hand-washing lavatories used by medical
			 and nursing staff shall be trimmed with valves that can be operated without the
			 use of hands where specifically required in this Part.
A) When blade handles are used for this
			 purpose the blade handles shall not exceed 41/2 inches in length, except that
			 the handles on clinical sinks shall not be less than 6 inches in
			 length.
B) The hand-washing and/or
			 scrub sinks for major procedure rooms shall be trimmed with valves that are
			 asceptically operated (i.e., knee or foot controls) without the use of hands.
			 Wrist blades are not acceptable.
4) Clinical rim flush sinks shall have an
			 integral trap in which the upper portion of a visible trap seal provides a
			 water surface.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.2230 - Electrical Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a)
			 General Requirements
1) All materials
			 including equipment, conductors, controls, and signaling devices shall be
			 installed in compliance with applicable sections of the NFPA 70, including
			 Article 517, and as necessary to provide a complete electrical
			 system.
2) All electrical
			 installations, including alarm, nurses' call and communication systems, shall
			 be tested to demonstrate that the equipment installation and operation conforms
			 to this Part.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.2240 - Building Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a)
			 Location
The freestanding emergency center shall be conveniently
				accessible to the population served. In selecting location, consideration shall
				be given to factors affecting source and quantity of patient load, including
				highway systems, public transportation, industrial plants, and recreational
				areas.
b) Parking
One parking space for each staff member on duty at any one time
				and no fewer than two spaces for each major procedure room and each
				observation/treatment room shall be provided. Handicapped parking spaces shall
				be provided as required in the Illinois Accessibility Code. Additional spaces
				shall be provided for emergency vehicles. Street, public, and shared lot spaces
				shall be exclusive for the use of the emergency facility. All required parking
				spaces shall be conveniently located to the emergency entrance.
c) Administration and Public Areas
1) The ambulance and walk-in entrance shall
			 be located at grade level and be able to accommodate wheelchairs.
A) All entrances shall be covered to permit
			 protected transfer of patients from ambulances, and a ramp for wheelchairs and
			 stretchers shall be provided in addition to steps. Doors to emergency services
			 shall be not less than 4 feet wide.
B) The emergency entrance shall have vision
			 panels to minimize conflict between incoming and outgoing traffic and to allow
			 for observation of the unloading area from the control station.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Table A - Piping Locations for Oxygen, Vacuum and Medical Compressed Air

Current through Register Vol. 48, No. 28, July 12, 2024
Location
Oxygen
Vacuum
Compressed Air
Patient Treatment Room
A
A
Examination and Treatment Rooms
D
D
A = One outlet accessible to each bed. One outlet may serve 2
				beds.
D = One outlet.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Table B - Insulation/Building Perimeter

Current through Register Vol. 48, No. 28, July 12, 2024
1) Zones
			 for insulation/building perimeter requirements shall consist of the counties
			 listed here.
Zone 1 includes the following counties:
Boone
Ford
Kane
Lee
Ogle
Tazewell
Bureau
Grundy
Kankakee
Livingston
Peoria
Warren
Carroll
Henderson
Kendall
Marshall
Putnam
Whiteside
Cook
Henry
Knox
McHenry
Rock Island
Will
DeKalb
Iroquois
Lake
McLean
Stark
Winnebago
DuPage
JoDaviess
LaSalle
Mercer
Stephenson
Woodford
Zone 2 includes the following counties:
Adams
Clark
Effingham
Jersey
McDonough
Pike
Bond
Coles
Fayette
Logan
Menard
Sangamon
Brown
Crawford
Fulton
Macon
Montgomery
Schuyler
Calhoun
Cumberland
Greene
Macoupin
Morgan
Scott
Cass
DeWitt
Hancock
Madison
Moultrie
Shelby
Champaign
Douglas
Jasper
Mason
Piatt
Vermilion
Christian
Edgar
Zone 3 includes the following counties:
Alexander
Gallatin
Johnson
Perry
St. Clair
Washington
Clay
Hamilton
Lawrence
Pope
Saline
Wayne
Clinton
Hardin
Marion
Pulaski
Union
White
Edwards
Jackson
Massac
Randolph
Wabash
Williamson
Franklin
Jefferson
Monroe
Richland
2) The
			 following minimum building perimeter insulation R values shall be provided:
Roof
Walls
Floors
Zone 1
R-38
R-17
R-19
Zone 2
R-30
R-17
R-19
Zone 3
R-30
R-12
R-11
3) All
			 windows shall be glazed with double glazed insulating glass. All exterior
			 windows and door frames shall be constructed of non-cold conducting materials
			 such as wood or metal with at thermal break.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Table C - Minimum Efficiency Reporting Values

Current through Register Vol. 48, No. 28, July 12, 2024
Click
				here to view image
Notes:
1. ASHRAE
			 Standard 52.2 tests are to be conducted at one of seven air flow rates.
118 FPM (.60 m/s)
492 FPM (2.50 m/s)
246 FPM (1.25 m/s)
630 FPM (3.20 m/s)
295 FPM (1.50 m/s)
748 FPM (3.80 m/s)
374 FPM (1.90 m/s)
2. The
			 air flow rate at which the filter was tested is included in the MERV rating
			 (MERV 10 @ 2.5 m/s).
3. Filters
			 with an E3 efficiency of less than 20% (MERV 1 through MERV 4) must also be
			 tested for arrestance per ASHRAE Standard 52.1.
4. Final resistance must be at least twice
			 the initial resistance at the test air flow rate, or the values shown in the
			 table above, whichever is greater.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 520 - THE TREATMENT OF CHOKING VICTIMS › Section 520.20 - Definitions

Current through Register Vol. 48, No. 28, July 12, 2024
The following are terms frequently appearing in this
				Part:
"Act" - The Choke-Saving Methods Act (Ill. Rev. Stat. 1991, ch.
				561/2, pars 601 et seq.) [410 ILCS 10 ].
"Activate EMS System" - Contact the emergency medical resource
				in the community by the most effective method, such as phoning 911, the local
				fire department or rescue squad.
"Food Service Establishment" - Any fixed or mobile
				establishment serving food to the public for consumption on the premises. The
				term does not include establishments operated on a temporary basis by
				charitable or non-profit organizations. (Section 2 of the Act)
"Placards" - Posters that depict simple instructions in words
				and illustrations that are not offensive to restaurant patrons for the
				emergency care of choking victims.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 520 - THE TREATMENT OF CHOKING VICTIMS › Section 520.40 - Approved Methods

Current through Register Vol. 48, No. 28, July 12, 2024
The Illinois Department of Public Health has determined that
				the following methods in accordance with the "Standards and Guidelines for
				Cardiopulmonary Resuscitation and Emergency Cardiac Care," American Heart
				Association (1992), no further amendments or editions included, can be used
				safely and effectively in an emergency by laymen to remove food lodged in a
				person's throat. (Published in the Journal of the American Medical Association,
				515 N. State St., Chicago, Illinois 60610.)
a) Emergency Care for Obstructed Airway -
			 Rescuer should approach victim and ask if victim is able to speak.
1) If victim is unable to speak, the EMS
			 system should be activated. The rescuer shall deliver subdiaphragmatic
			 abdominal thrusts (Heimlich Maneuver) until the obstruction is relieved or the
			 victim becomes unconscious.
2) To
			 deliver the subdiaphragmatic abdominal thrusts, the rescuer shall position the
			 victim in front of the rescuer. The rescuer then places his/her arms around the
			 victim's waist and makes a fist with one hand. Place the thumbside of the fist
			 against the victim's abdomen, in the midline slightly above the navel and well
			 below the tip of the xiphoid process. Grasp the fist with the other hand. Press
			 the fist into the victim's abdomen with a quick, upward thrust. Each new thrust
			 shall be a separate and distinct movement. The thrust should be repeated and
			 continued until the object is expelled from the airway or the patient becomes
			 unconscious.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 520 - THE TREATMENT OF CHOKING VICTIMS › Section 520.45 - Training

Current through Register Vol. 48, No. 28, July 12, 2024
a) Training
			 programs should use the Department's approved methods described in Section
			 520.40.
b) It is recommended that food service
			 establishments voluntarily train employees in the use of the Department's
			 approved methods.
c) Training
			 programs should not include practicing the approved methods on others.
			 Abdominal thrusts may cause injury.
d) Instruction in cardiopulmonary
			 resuscitation and the subdiaphragmatic abdominal thrust is available through
			 the American Heart Association, Illinois Affiliate, Chicago Heart Association
			 and the American Red Cross.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 520 - THE TREATMENT OF CHOKING VICTIMS › Section 520.50 - Posting Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a)
			 Each food service establishment in the State of Illinois shall have posted in a
			 conspicuous location that is visible to both patrons and employees the
			 "Choke-Saving Methods Act placard." (Section 4 of the Act)
b) The placards need not be in the actual
			 dining areas.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 520 - THE TREATMENT OF CHOKING VICTIMS › Section 520.60 - Liability

Current through Register Vol. 48, No. 28, July 12, 2024
a) Except as
			 provided by law, no person shall be obligated to remove, assist in removing, or
			 attempt to remove food from another person's throat. (Section 5 of the
			 Act)
b) No person, who in good
			 faith removes or attempts to remove such food in an emergency occurring at a
			 food service establishment, shall be liable for any civil damages as a result
			 of any acts or omissions by such person in rendering emergency assistance.
			 (Section 5 of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 525 - AUTOMATED EXTERNAL DEFIBRILLATOR CODE › Section 525.100 - Definitions

Current through Register Vol. 48, No. 28, July 12, 2024
Act - the Automated External Defibrillator Act [410 ILCS 4
				].
Automated External Defribillator (AED) - a medical device heart
				monitor and defibrillator that:
Has received approval of its premarket notification, filed
				pursuant to
				21 USC
				360(k), from the United
				States Food and Drug Administration;
Is capable of recognizing the presence or absence of
				ventricular fibrillation and rapid ventricular tachycardia, and is capable of
				determining, without intervention by an operator, whether defibrillation should
				be performed;
Upon determining that defibrillation should be performed,
				either automatically charges and delivers an electrical impulse to an
				individual, or charges and delivers an electrical impulse at the command of the
				operator; and
In the case of a defibrillator that may be operated in either
				an automatic or manual mode, is set to operate in the automatic mode. (Section
				10 of the Act)
Defibrillation - administering an electrical impulse to an
				individual in order to stop ventricular fibrillation or rapid ventricular
				tachycardia. (Section 10 of the Act)
Department - the Department of Public Health. (Section 10 of
				the Act)
Emergency Medical Services (EMS) System or System - an
				organization of hospitals, vehicle service providers and personnel approved by
				the Department in a specific geographic area, which coordinates and provides
				pre-hospital and inter-hospital emergency care and non-emergency medical
				transports at a BLS, ILS and/or ALS level pursuant to a System Program Plan
				submitted to and approved by the Department and pursuant to the EMS Regional
				Plan adopted for the EMS Region in which the System is located. (Section
				3.20 of
				the Emergency Medical Services (EMS) Systems Act)
Person - an individual, partnership, association, corporation,
				limited liability company, or organized group of persons (whether incorporated
				or not). (Section 10 of the Act)
Trained AED user - a person who has successfully completed a
				course of instruction in accordance with the standards of a nationally
				recognized organization such as the American Red Cross or the American Heart
				Association or a course of instruction in accordance with this Part to use an
				automated external defibrillator, or who is licensed to practice medicine in
				all its branches in this State. (Section 10 of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 525 - AUTOMATED EXTERNAL DEFIBRILLATOR CODE › Section 525.200 - Incorporated and Referenced Materials

Current through Register Vol. 48, No. 28, July 12, 2024
a) The following private and professional
			 organization standards are incorporated in this Part:
1) American Heart Association
2015 AHA Guidelines for CPR and ECC
208 South LaSalle St.
Suite 900
Chicago, Illinois 60604-1197
2) American Red Cross
American Red Cross First Aid/CPR/AED for the
Workplace (2006)
311 W. John Gwynn Avenue
Peoria, Illinois 61605-2566
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 525 - AUTOMATED EXTERNAL DEFIBRILLATOR CODE › Section 525.300 - Recognized Training Programs

Current through Register Vol. 48, No. 28, July 12, 2024
The Department will recognize programs established to train
				individuals as AED users, in accordance with the following:
a)
The curriculum of any program to
			 train individuals shall include complete training in cardiopulmonary
			 resuscitation (CPR) prepared according to nationally recognized
			 guidelines
(see Section
			 525.200(a)(1)
			 and(2) ). (Section 15 of the Act)
b) The Instructors shall have successfully
			 completed an instructor training course for AED courses listed in Section
			 525.200(a)(1) and
			 (2), or equivalent curriculum that follows
			 nationally recognized guidelines.
c) Instructors shall renew qualification
			 every two years and shall meet the following criteria:
1) Maintain provider status;
2) Teach the number of courses required by
			 the American Red Cross or American Heart Association, or other nationally
			 recognized guidelines; and
3)
			 Complete an update on new information regarding course content.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 525 - AUTOMATED EXTERNAL DEFIBRILLATOR CODE › Section 525.400 - Recognition of Trained AED Users

Current through Register Vol. 48, No. 28, July 12, 2024
a)
			 To be recognized as a trained AED user, an individual shall:
1) Successfully complete a course of
			 instruction in cardiopulmonary resuscitation (CPR) in accordance with the
			 standards of a nationally recognized organization such as the American Red
			 Cross or the American Heart Association that incorporates instruction in the
			 use of an automated external defibrillator (see Section
			 525.200(a)(1) and
			 (2) ); or
2) Successfully complete a course of
			 instruction in accordance with Section
			 525.300(b)
			 of this Part; or
3) Be licensed to
			 practice medicine in all its branches in Illinois in accordance with the
			 Medical Practice Act of 1987. (Section 10 of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 525 - AUTOMATED EXTERNAL DEFIBRILLATOR CODE › Section 525.500 - Reports of AED Use

Current through Register Vol. 48, No. 28, July 12, 2024
AED use is reported in accordance with requirements for data
				collection and submission pursuant to 77 Ill. Adm. Code
				515.350
				(Emergency Medical Services and Trauma Center Code - Data Collection and
				Submission).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 525 - AUTOMATED EXTERNAL DEFIBRILLATOR CODE › Section 525.600 - Maintenance and Oversight of Automated External Defibrillators

Current through Register Vol. 48, No. 28, July 12, 2024
a) A person
			 acquiring an automated external defibrillator shall take reasonable measures to
			 ensure that:
1) The automated external
			 defibrillator is maintained and tested according to the manufacturer's
			 guidelines;
2) Any person
			 considered to be an anticipated rescuer or user will have successfully
			 completed a course of instruction in accordance with the standards of a
			 nationally recognized organization, such as the American Red Cross or the
			 American Heart Association, or a course of instruction in accordance with
			 Section
			 525.400
			 to use an automated external defibrillator and to perform cardiovascular
			 resuscitation (CPR); and
3) Any
			 person who renders out-of-hospital emergency care or treatment to a person in
			 cardiac arrest by using an automated external defibrillator activates the EMS
			 System as soon as possible and reports any clinical use of the automated
			 external defibrillator to the responding emergency medical services personnel.
			 (Section 20(a) of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 527 - PHYSICAL FITNESS FACILITY MEDICAL EMERGENCY PREPAREDNESS CODE › Section 527.200 - Incorporated and Referenced Materials

Current through Register Vol. 48, No. 28, July 12, 2024
a) The following private and professional
			 organization standards are incorporated in this Part:
1) 2005 AHA Guidelines for CPR and ECC
American Heart Association
208 South LaSalle St.
Suite 900
Chicago, Illinois 60604-1197
2) American Red Cross First Aid/CPR/AED for
			 the Workplace (2006)
American Red Cross
311 W. John Gwynn Avenue
Peoria, Illinois 61605-2566
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 527 - PHYSICAL FITNESS FACILITY MEDICAL EMERGENCY PREPAREDNESS CODE › Section 527.300 - Physical Fitness Facility

Current through Register Vol. 48, No. 28, July 12, 2024
a) For
			 the purposes of this Part, the term "physical fitness facility" or "facility"
			 includes any indoor establishment that meets all of the following requirements:
1) In whole or in part, is owned or operated
			 by a park district, municipality, orother unit of local government, including a
			 home rule unit, or by a public or private elementary or secondary school,
			 college, university, or technical or trade school.
2) Is supervised by one or more persons,
			 other than maintenance or security personnel, employed by the unit of local
			 government, school, college, or university for the purpose of directly
			 supervising the physical fitness activitiestaking place at any of the
			 facilities listed in subsection (a)(3). (Section 5.25 of the Act)
3) Includes, but is not limited to, the
			 following indoor facilities: a swimmingpool; stadium; athletic field; football
			 stadium; soccer field; baseball diamond; track and field facility; tennis
			 court; basketball court; volleyball court; aerobics studio; dance studio;
			 boxing gym; martial-arts or self-defense studio; wrestling gym; weight-lifting
			 facility; treadmill or stationary bicycle facility; velodrome; racquetball
			 court; gymnastics facility; or any other indoor establishment focusing
			 primarily on cardiovascular exertion where participants engage in relatively
			 continuous active physical exercise that uses large muscle groups and that
			 substantially increases the heart rate. (Section 5.25 of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 527 - PHYSICAL FITNESS FACILITY MEDICAL EMERGENCY PREPAREDNESS CODE › Section 527.400 - Medical Emergency Plan

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
			 operator of a facility shall adopt and implement a plan for responding to a
			 medical emergency at the facility. The plan shall encompass the use of an AED
			 and shall provide a timely, proper response to the occurrence of any other
			 sudden, serious, and unexpected sickness or injury that would lead a reasonable
			 person, possessing an average knowledge of medicine and health, to believe that
			 the sick or injured person requires urgent or unscheduled medical care. The
			 plan shall also designate office contacts for the specific facility staff to be
			 notified in a medical emergency. The plan shall be filed with the Department by
			 submitting a copy to the following address:
Illinois Department of Public Health
Division of EMS & Highway Safety
422 S. 5th St. -
				3rd Floor
Springfield IL 62701
b) Facility staff shall ensure that 9-1-1 is
			 called immediately for medical emergencies, including each time an AED is used
			 at the facility. Third party or other authorized users of the facility shall
			 promptly notify the facility operator if the AED is used.
c) The plan shall be updated with the
			 Department after a change in the facility that affects the ability to comply
			 with a medical emergency such as, but not limited to, facility closure for more
			 than 45 days, inoperable AED for more than 45 days, or lack of trained staff
			 for more than 45 days.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 527 - PHYSICAL FITNESS FACILITY MEDICAL EMERGENCY PREPAREDNESS CODE › Section 527.500 - Coordination with Local Emergency Medical Services Systems

Current through Register Vol. 48, No. 28, July 12, 2024
A facility possessing an AED shall notify an agent of the local
				emergency communications or vehicle dispatch center of the existence, location,
				and type of the automated external defibrillator. (Section 20(b) of the
				Automated External Defibrillator Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 527 - PHYSICAL FITNESS FACILITY MEDICAL EMERGENCY PREPAREDNESS CODE › Section 527.600 - Automated External Defibrillators Required

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each facility shall have at least one
			 operable AED on the premises at all times.
b) If the AED becomes inoperable, the
			 facility shall replace or repair the AED within 10 days. Patrons shall be
			 notified when an operable AED is not on the premises. The AED shall be mobile
			 and accessible at all times when the AED is operable.
c) In the case of an outdoor physical fitness
			 facility, the AED must be housed in a building, if any, that is within 300 feet
			 of the outdoor facility where an event or activity is being conducted. If there
			 is such a building within the required distance, the building must provide
			 unimpeded and open access to the housed AED during the time the event or
			 activity is being conducted. The building's entrances shall further provide
			 marked directions to the housed AED. (Section 15(b-10) of the Act)
d) Facilities described in Section 5.25
			 (1.5 ) of the Act must have
			 an AED on site as well as a trained AED user available only during activities
			 or events sponsored and conducted or supervised by a person or persons employed
			 by the unit of local government, school, college, or university. (Section
			 15(b-15) of the Act)
e) If multiple
			 facilities are located on the same floor of a building, one AED can be used for
			 multiple facilities so long as the AED is located not more than 300 feet from
			 each facility and access to the AED is unimpeded from each facility.
f) A physical fitness facility must ensure
			 that there is a trained AED user on staff during staffed business hours. For
			 purposes of the Act and this Part, "trained AED user" has the meaning ascribed
			 to that term in Section 10 of the Automated External Defibrillator Act and
			 Section
			 527.100
			 of this Part.
g) Facility
			 owners/operators may enter into written contracts with third party operators to
			 ensure that a proper number of AEDs and trained AED users are present during
			 all third party sponsored activities that are not otherwise supervised by the
			 owners/operators of the facility.
h) Questions concerning this Part shall be
			 directed to the following address:
Illinois Department of Public Health
Division of EMS & Highway Safety
422 S. 5th St. -
				3rd Floor
Springfield IL 62701
i) Entities requesting a formal Department
			 determination on the application of the Act shall be subject to inspection
			 under Section
			 527.900.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 527 - PHYSICAL FITNESS FACILITY MEDICAL EMERGENCY PREPAREDNESS CODE › Section 527.700 - Maintenance and Testing of Automated External Defibrillators

Current through Register Vol. 48, No. 28, July 12, 2024
a) The AED shall be
			 maintained and tested according to the manufacturer's guidelines.
b) The owner of the AED shall retain a copy
			 of the maintenance and testing manual at the physical fitness facility and
			 shall keep a copy of the manual with the AED.