Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.1000 - Definitions

Current through Register Vol. 48, No. 28, July 12, 2024
For the purposes of this Part:
Act - the Emergency Medical Services (EMS) Systems Act.
Advanced Life Support Services
or ALS Services
- an advanced level of pre-hospital and inter-hospital emergency care
				and non-emergency medical services that includes basic life support care,
				cardiac monitoring, cardiac defibrillation, electrocardiography, intravenous
				therapy, administration of medications, drugs and solutions, use of adjunctive
				medical devices, trauma care, and other authorized techniques and procedures as
				outlined in the provisions of the National EMS Education Standards relating to
				Advanced Life Support and any modifications to that curriculum specified
				in
this Part and in the Emergency Medical Services, Trauma Center,
				Comprehensive Stroke Center, Primary Stroke Center and Acute Stroke Ready
				Hospital Code. (Section
				3.10 of the Act)
Advanced Practice Registered Nurse or APRN - has the meanings
				ascribed in Section 50-10 of the Nurse Practice Act.
Ambulance - any publicly or privately owned on-road
				vehicle that is specifically designed, constructed or modified and equipped,
				and is intended to be used for, and is maintained or operated for the emergency
				transportation of persons who are sick, injured, wounded or otherwise
				incapacitated or helpless, or the non-emergency medical transportation of
				persons who require the presence of medical personnel to monitor the
				individual's condition or medical apparatus being used on such
				individuals.
(Section
				3.85 of the Act)
Associate Hospital - a hospital participating in an approved
				EMS System in accordance with the EMS System Program Plan; fulfilling the same
				clinical and communications requirements as the Resource Hospital; having a
				basic or comprehensive emergency department with 24-hour physician coverage;
				and having a functioning intensive care unit and/or a cardiac care unit.
Auxiliary Nursing Personnel - unlicensed direct care staff or
				unlicensed staff providing direct patient care or unlicensed staff providing
				care directly to patients.
Basic Life Support Services
or BLS
- a
				basic level of pre-hospital and inter-hospital emergency care and non-emergency
				medical care that includes medical monitoring, clinical observation, airway
				management, cardiopulmonary resuscitation (CPR), control of shock and bleeding
				and splinting of fractures, as outlined in the provisions of the National EMS
				Education Standards relating to Basic Life Support and any modifications to
				that curriculum specified in
the Emergency Medical Services and Trauma
				Center Code. (Section
				3.10 of the Act)
Communicable Disease - has the meaning set forth in the Control
				of Communicable Diseases Code.
Comprehensive Emergency Treatment Services - emergency
				treatment services provided in accordance with Section
				518.2020 of this Part.
Contagious Disease - has the meaning set forth in the Control
				of Communicable Diseases Code.
Department - the Illinois Department of Public
				Health.
(Section
				3.5 of the Act)
Diagnostic Imaging Specialist - a person who possesses the
				knowledge, training and experience to apply the principles of radiological
				physics to diagnostic x-ray applications. The diagnostic imaging specialist
				shall be approved and registered by the Illinois Emergency Management Agency -
				Division of Nuclear Safety pursuant to 32 Ill. Adm. Code 410.
Director - the Director of the Illinois Department of
				Public Health
or the Director's designee. (Section
				3.5 of the Act)
Drugs - the term "drugs" means and includes:
articles recognized in the official United States
				Pharmacopoeia-National Formulary, or any supplement to it, 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 to affect
				the structure or any function of the body of man or other animals, 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 of any articles specified above, but does not include devices or
				their components, parts or accessories.
Emergency - a medical condition of recent onset and
				severity that would lead a prudent
layperson
, possessing an
				average knowledge of medicine and health, to believe that urgent or unscheduled
				medical care is required.
(Section
				3.5 of the Act)
Emergency Medical Services System
or 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 Region Plan adopted for the EMS Region in which the
				system is located.
(Section
				3.20 of the Act)
Emergency Medical Technician-Basic or EMT-B - a person
				who has successfully completed a course of instruction in basic life support as
				prescribed by the Department, is currently licensed by the Department in
				accordance with standards prescribed by
the
Act and
the Emergency Medical Services, Trauma Center, Comprehensive Stroke Center,
				Primary Stroke Center and Acute Stroke Ready Hospital Code
and
				practices within an EMS System
. (Section
				3.50 of the Act)
Emergency Medical Technician-Intermediate or EMT-I - a
				person who has successfully completed a course of instruction in intermediate
				life support as prescribed by
the
Act and
the
				Emergency Medical Services, Trauma Center, Comprehensive Stroke Center, Primary
				Stroke Center and Acute Stroke Ready Hospital Code
and practices within
				an Intermediate or Advanced Life Support EMS System.
(Section
				3.50 of the Act)
Emergency Medical Technician-Paramedic or EMT-P - a
				person who has successfully completed a course of instruction in advanced life
				support care as prescribed by the Department, is licensed by the Department in
				accordance with standards prescribed by
the
Act and
the Emergency Medical Services, Trauma Center, Comprehensive Stroke Center,
				Primary Stroke Center and Acute Stroke Ready Hospital Code
and
				practices within an Advanced Life Support EMS System
. (Section
				3.50 of the Act)
EMS System Program Plan - the document approved by the
				Department pursuant to 77 Ill. Adm. Code 515 that describes the EMS System
				program and directs the program's operation.
Freestanding Emergency Center
or FEC or
				Facility
- a facility that provides comprehensive emergency treatment
				services 24 hours per day, on an outpatient basis
and has been issued
				a license by the Department as a Freestanding Emergency Center. (Section
				32.5 of the Act)
Hospital - has the meaning ascribed in Section 3 of the
				Hospital Licensing Act.
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 FEC's medical, osteopathic, dental, or
				podiatric graduate training program, which 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 FEC and are members of the
				FEC's medical staff.
Infectious Disease - has the meaning established in the Control
				of Communicable Diseases Code.
Intermediate Life Support Services
or ILS
				Services
- an intermediate level of pre-hospital and inter-hospital
				emergency care and non-emergency medical care that includes basic life support
				care, plus intravenous cannulation and fluid therapy, invasive airway
				management, trauma care, and other authorized techniques and procedures as
				outlined in the Intermediate Life Support National Curriculum of the United
				States Department of Transportation and any modifications to that curriculum
				specified in
the Emergency Medical Services and Trauma Center Code.
				(Section 3.10 of the Act)
Licensee - the person or entity licensed to operate the FEC
				pursuant to the Act.
Medical Staff - an organized body composed of the following
				individuals granted the privilege by the governing authority of the FEC to
				practice in the FEC: 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 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 thereof in
				suitable form intended for and having for their main use the prevention,
				treatment, relief, or cure of diseases when used either internally or
				externally.
Morbidity - a negative outcome that is the result of the
				original trauma and/or treatment rendered or omitted.
Nursing Staff - registered nurses, licensed practical nurses,
				and others rendering patient care under the supervision of a registered
				professional nurse.
Outpatient - a person who visits an FEC for diagnosis or
				treatment. There are no overnight stays in an FEC.
Owning or Controlling Hospital - the Associate or Resource
				Hospital that wholly owns or controls a freestanding emergency center.
Participating Hospital - a hospital participating in an
				approved EMS System in accordance with the EMS System Program Plan, which is
				not a Resource Hospital or an Associate Hospital.
Patient - a person who visits an FEC and requires medical care
				on an outpatient basis.
Pharmacist - a person who holds a certificate of registration
				as a registered 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 the repackaging for distribution) shall be considered to
				be a pharmacy and shall be required to be licensed by the 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 and device
				selection;
drug administration limited to the 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 procedures:
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 antipsychotic
				medications
(appropriate training must be conducted by an
Accreditation Council 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 packaged 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)
Physician - any person licensed to practice medicine in all of
				its branches under the Medical Practice Act of 1987.
Physician Assistant - has the meaning ascribed in Section 4 of
				the Physician Assistant Practice Act of 1987.
Plan of Correction or POC - the response the facility must
				develop to address/answer deficiencies identified during a survey.
Program Narrative - a written description of the services
				provided at the FEC.
Radiation hazard - the danger to the health of an individual
				arising from exposure to ionizing radiation that exceeds public dose limits as
				defined in 32 Ill. Adm. Code 340.
Registered Nurse or Registered Professional Nurse or RN - a
				person who is licensed as a registered professional nurse under the Nurse
				Practice Act.
Resource Hospital - the hospital with the authority and the
				responsibility for an EMS System as outlined in the Department-approved EMS
				System Program Plan.
Social Worker - a person who is a licensed social worker or a
				licensed clinical social worker under the Clinical Social Work and Social Work
				Practice Act.
Survey - a detailed critical inspection or investigation by the
				Department.
Therapeutic radiological physicist - an individual who has the
				knowledge, training and experience to measure ionizing radiation, evaluate
				safety techniques, advise regarding radiation protection needs and apply the
				principles of radiological physics to clinical radiation therapy. The
				therapeutic radiological physicist shall be approved and registered by the
				Illinois Emergency Management Agency - Division of Nuclear Safety pursuant to
				32 Ill. Adm. Code 410.
Unit - a specific distinctly separated area within the
				FEC.
Working Days - Monday through Friday, except State
				holidays.