Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart D - HEALTH SERVICES › Section 340.1505 - Medical, Nursing and Restorative Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) Comprehensive resident care plan. A
				facility, with the participation of the resident and the resident's guardian or
				representative, as applicable, must develop and implement a comprehensive care
				plan for each resident that includes measurable objectives and timetables to
				meet the resident's medical, nursing, and mental and psychosocial needs that
				are identified in the resident's comprehensive assessment, which allow the
				resident to attain or maintain the highest practicable level of independent
				functioning, and provide for discharge planning to the least restrictive
				setting based on the resident's care needs. The assessment shall be developed
				with the active participation of the resident and the resident's guardian or
				representative, as applicable. (Section 3-202.2a of the Act)
b) The facility shall provide the necessary
				care and services to attain or maintain the highest practicable physical,
				mental, and psychosocial well-being of the resident, in accordance with each
				resident's comprehensive resident care plan. Adequate and properly supervised
				nursing care shall be provided to each resident to meet the total nursing care
				needs of the resident.
1) The licensed nurse
				in charge of the restorative/rehabilitative nursing program shall have
				successfully completed a course or other training program that includes at
				least 60 hours of classroom/lab training in restorative/rehabilitative nursing
				as evidenced by a transcript, certificate, diploma, or other written
				documentation from an accredited school or recognized accrediting agency such
				as a State or National organization of nursing or a state licensing authority.
				This person may be the Director of Nursing Services, Assistant Director of
				Nursing Services or another nurse designated by the Director of Nursing
				Services to be in charge of the restorative/rehabilitative nursing
				program.
2) All nursing personnel
				shall assist and encourage residents so that a resident who enters the facility
				without a limited range of motion does not experience reduction in range of
				motion unless the resident's clinical condition demonstrates that a reduction
				in range of motion is unavoidable. All nursing personnel shall assist and
				encourage residents so that a resident with a limited range of motion receives
				appropriate treatment and services to increase range of motion and/or prevent
				further decrease in range of motion.
3) All nursing personnel shall assist and
				encourage residents so that a resident who is incontinent of bowel and/or
				bladder receives the appropriate treatment and services to prevent urinary
				tract infections and to restore as much normal bladder function as possible.
				All nursing personnel shall assist residents so that a resident who enters the
				facility without an indwelling catheter is not catherized unless the resident's
				clinical condition demonstrates that catheterization was necessary.
4) All nursing personnel shall assist and
				encourage residents so that a resident's abilities in activities of daily
				living do not diminish unless circumstances of the individual's clinical
				condition demonstrate that diminution was unavoidable. This includes the
				resident's abilities to bathe, dress, and groom; transfer and ambulate; toilet;
				eat; and use speech, language or other functional communication systems. A
				resident who is unable to carry out activities of daily living shall receive
				the services necessary to maintain good nutrition, grooming, and personal
				hygiene.
5) All nursing personnel
				shall assist and encourage residents with ambulation and safe transfer
				activities as necessary in an effort to help them retain or maintain their
				highest practicable level of functioning.