Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart J - SURGICAL AND RECOVERY ROOM SERVICES › Section 250.1305 - Visitors in Operating Room

Current through Register Vol. 48, No. 28, July 12, 2024
a) No
				lay visitor shall be given access to the operating rooms during
				surgery.
b) Only individuals in the
				categories authorized herein and individuals authorized in accordance with
				hospital policy shall be allowed access to the operating rooms during surgery.
				Individuals authorized herein shall be members of the medical staff, persons
				covered by Section
				250.310(a)(14),
				persons employed by the hospital and assigned to the operating room, and
				persons participating in residency or clinical training programs approved by
				the Department of Financial and Professional Regulation under the Medical
				Practice Act of 1987.
c) Where
				hospital policy approved by the Governing Board permits other persons to be in
				attendance in the operating room during surgery, the policy shall provide for
				the screening of such persons to ensure the necessity of their presence, such
				as documentation that they have appropriate licensure, qualifications or
				competence and that the person performing the procedure, the patient's
				attending physician and the chairman of the department of surgery in
				departmentalized hospitals have agreed to allow such access. These individuals
				shall follow the requirements set forth in Section
				250.1300.
d) The presence of a parent or guardian, or
				other designated individual selected by a child's parent or guardian, may be
				allowed in the operating room during the induction of anesthesia on an
				individual who is 12 years of age or younger and for a mentally disabled adult,
				at the discretion of the hospital if the hospital has first adopted a policy on
				the matter, approved by the Governing Board. The policy shall include, but not
				be limited to, the following conditions:
1)
				Written consent of the parent, guardian or other designated individual, the
				anesthesia provider, and the physician performing the surgery;
2) Notation in the patient's medical record
				of the presence of the additional person in the operating room during the
				induction of anesthesia;
3)
				Application of safeguards against the introduction of infection or other
				hazards by the parent, guardian or other designated individual, including
				orientation, education and training of the person prior to performance of the
				procedure; this shall include, at a minimum, specifics regarding the procedure
				and what can be expected, basic infection control practices expected of the
				person, and instruction that the person must leave the operating room after the
				induction of anesthesia is completed;
4) Requirements that the parent, guardian, or
				other designated individual wear a mask, cover all head and facial hair and don
				hospital laundered scrub attire or a single-use coverall suit designed to
				totally cover outside apparel;
5)
				Provision of at least one additional staff person in the operating room
				assigned to oversee, supervise and assist the parent, guardian or other
				designated individual for the period of time the parent, guardian or other
				designated individual is present; and
6) If, at any point during the induction of
				the anesthesia, the physician performing the surgery or the attending
				anesthesia provider determines that the parent, guardian or other designated
				individual poses a threat to the safe completion of the induction of the
				anesthesia, he or she may require the parent, guardian or other designated
				individual to leave the operating room.