Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart B - POLICIES AND FACILITY RECORDS › Section 340.1300 - Facility Policies

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				facility shall have written policies and procedures governing all services
				provided by the facility. The written policies and procedures shall be
				formulated with the involvement of the administrator. The policies shall comply
				with the Act and this Part. The written policies shall be followed in operating
				the facility and shall be reviewed at least annually by the facility's advising
				physician or the medical advisory committee, as evidenced by a dated
				signature.
b) An advisory
				physician, or a medical advisory committee composed of physicians, shall be
				responsible for advising the administrator on the overall medical management of
				the residents and the staff of the facility.
c) All of the information contained in the
				policies shall be available to the public, staff and residents, and for review
				by the Department.
d) The written
				policies shall include, at a minimum, the following provisions:
1) Admission, transfer, and discharge of
				residents, including the types of services offered by the facility that would
				cause residents to be admitted, transferred or discharged, and transfers within
				the facility from one room to another;
2) Resident care services, including
				physician services, emergency services, personal care and nursing services,
				restorative services, activity services, pharmaceutical services, dietary
				services, social services, clinical records, dental services, and diagnostic
				services (including laboratory and x-ray);
3) A policy prohibiting blood transfusions,
				unless the facility is hospital based and appropriate services are available in
				case of an adverse reaction to the transfusions; and
4) A policy to identify, assess, and develop
				strategies to control risk of injury to residents and nurses and other health
				care workers associated with the lifting, transferring, repositioning, or
				movement of a resident. The policy shall establish a process that, at a
				minimum, includes all of the following:
A)
				Analysis of the risk of injury to residents and nurses and other health care
				workers taking into account the resident handling needs of the resident
				populations served by the facility and the physical environment in which the
				resident handling and movement occurs.
B) Education of nurses in the identification,
				assessment, and control of risks of injury to residents and nurses and other
				health care workers during resident handling.
C) Evaluation of alternative ways to reduce
				risks associated with resident handling, including evaluation of equipment and
				the environment.
D) Restriction, to
				the extent feasible with existing equipment and aids, of manual resident
				handling or movement of all or most of a resident's weight, except for
				emergency, life-threatening, or otherwise exceptional circumstances.
E) Procedures for a nurse to refuse to
				perform or be involved in resident handling or movement that the nurse, in good
				faith, believes will expose a resident or nurse or other health care worker to
				an unacceptable risk of injury.
F)
				Development of strategies to control risk of injury to residents and nurses and
				other health care workers associated with the lifting, transferring,
				repositioning, or movement of a resident.
G) Consideration of the feasibility of
				incorporating resident handling equipment or the physical space and
				construction design needed to incorporate that equipment when developing
				architectural plans for construction or remodeling of a facility or unit of a
				facility in which resident handling and movement occurs. (Section 3-206.05 of
				the Act)