reglab/statecodes huggingface dataset:
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart J - SURGICAL AND RECOVERY ROOM SERVICES › Section 250.1230 - Policies & Procedures

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				The department of surgery shall have effective policies and procedures
				regarding surgical privileges, maintenance of the operating rooms, and
				evaluation of the surgical patient. These shall be available within the
				department.
b)
The use of
				latex gloves by
hospital staff
is prohibited. If a crisis
				exists that interrupts
a hospital's
ability to reliably source
				nonlatex gloves,
hospital staff
may use latex gloves upon a
				patient. However, during the crisis,
hospital staff
shall
				prioritize, to the extent feasible, using nonlatex gloves for the treatment of
				any patient with self-identified allergy to latex; and any patient upon whom
				the latex gloves are to be used who is unconscious or otherwise physically
				unable to communicate and whose medical history lacks sufficient information to
				indicate whether or not the patient has a latex allergy.
(Sections
				10(c) and 15 of the Latex Glove Ban Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart J - SURGICAL AND RECOVERY ROOM SERVICES › Section 250.1240 - Surgical Privileges

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Surgical privileges shall be delineated for each member of the medical staff
				(i.e., a Doctor of Medicine, M.D.; Doctor of Osteopathy, D.O.; Doctor of
				Podiatric Medicine, D.P.M.; or Doctor of Dental Surgery, D.D.S.) who has been
				granted surgical privileges in accordance with the competence of each such
				member of the medical staff. A file specifying the surgical privileges of each
				of these members shall be available in the operating room and in the files of
				the Hospital Administration Department.
b) Policies and procedures shall identify
				which surgical procedures necessitate a second hospital-credentialed physician
				to assist in the surgical procedure.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart J - SURGICAL AND RECOVERY ROOM SERVICES › Section 250.1250 - Surgical Emergency Care

Current through Register Vol. 48, No. 28, July 12, 2024
a) An
				on-call schedule of physicians shall be established and posted at each patient
				care unit or other area where surgical patients are admitted or the
				communications center of the hospital to ensure that there is 24-hour emergency
				care.
b) An emergency surgical case
				is defined as any case in which, in the opinion of the attending physician or
				surgeon, the risk of a delay endangers the patient's life, limb or organs. The
				declaration of an emergency shall be appropriately noted in the patient's
				chart.
c) In the event of the
				declaration of an emergency case, any of the requirements regarding the
				preoperative assessment of the patient and informed consents may be waived by
				the attending physician or surgeon and noted in the medical record.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart J - SURGICAL AND RECOVERY ROOM SERVICES › Section 250.1260 - Operating Room Register and Records

Current through Register Vol. 48, No. 28, July 12, 2024
a) An operating room log or register,
				including those created by electronic means, shall be provided and maintained
				on a current basis. If the register is created by electronic means, then
				safeguards to protect the integrity and confidentiality of these records must
				be in place. The operating room log or register shall contain the date of the
				operation, name and number of patient, names of surgeons and surgical
				assistants, name of anesthetist, type of anesthesia given and pre- and
				post-operative diagnosis, type of surgical procedure, operating room number and
				the presence or absence of complications in surgery.
b) The medical staff shall establish
				procedures to ensure that preoperative and postoperative medical records are
				completed in a timely and accurate manner. A properly executed consent for the
				proposed surgical or diagnostic procedure, including a consent for anesthesia
				services, shall be in the patient's chart prior to surgery. Except in an
				emergency, a complete history and physical work-up shall be recorded in the
				chart of every patient prior to surgery.
c) The medical record of the patient shall be
				available in the operating suite and post-anesthesia area.
d) An operative report describing techniques
				and findings shall be written or dictated immediately following surgery and
				signed by the surgeon as soon after transcription as possible.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart J - SURGICAL AND RECOVERY ROOM SERVICES › Section 250.1270 - Surgical Patients

Current through Register Vol. 48, No. 28, July 12, 2024
a) Patients
				undergoing major surgical procedures shall be observed both pre-operatively and
				post-operatively by a competent nurse specifically assigned to the duty. Such
				observations shall be documented in the patient's record.
b) The chart of the patient shall accompany
				the patient to the operating suite, to the recovery area and be returned with
				the patient to the patient care unit.
c) All tissue/specimens removed at surgery,
				except those exempted by Section
				250.510(g)(1),
				shall be placed in a container properly labeled and submitted for pathological
				examination.
d) An operative report
				describing techniques and findings shall be written or dictated immediately
				following surgery and signed by the surgeon.
e) All infections of clean surgical cases
				shall be recorded and reported to administration and to the hospital's
				Infection Control Committee. The Infection Control Committee shall determine a
				procedure for the surveillance of such cases.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart J - SURGICAL AND RECOVERY ROOM SERVICES › Section 250.1280 - Equipment

Current through Register Vol. 48, No. 28, July 12, 2024
a) The operating
				suite is to be equipped with the appropriate and necessary equipment and
				instruments for the surgical or diagnostic procedures performed.
b) The surgical suite shall have appropriate
				resuscitation equipment immediately available at all times.
c) A dedicated emergency call system must be
				present in each operating room for the purpose of alerting operating suite
				personnel to an emergency or life-saving situation.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart J - SURGICAL AND RECOVERY ROOM SERVICES › Section 250.1290 - Safety

Current through Register Vol. 48, No. 28, July 12, 2024
a) Policies and
				procedures shall be established concerning the safety and welfare of patients
				treated in the surgical suite, and safety training shall be provided to
				personnel.
b) Policies and
				procedures shall be established for the control, storage, and safe use of
				anesthetics, oxygen and other medicinal gases. Refer: Section
				250.1410(e).
c) Suitable facilities must be provided for
				the safe and convenient preparation of drugs and medications, including ample
				light, running water, sufficient work area, refrigeration and a secure and
				locked cabinet for the storage of schedule drugs.
d) Policies and procedures shall be
				established addressing principles of sterility and asepsis in the surgical
				suite.
e) Rigid adherence to
				accepted standards of sterility and asepsis is mandatory in the Surgical
				Department.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart J - SURGICAL AND RECOVERY ROOM SERVICES › Section 250.1300 - Operating Room

Current through Register Vol. 48, No. 28, July 12, 2024
a) The surgical
				area shall be a controlled traffic area. A control point shall be established
				to monitor the flow of patients, personnel, and materials.
b) The surgical area is composed of
				restricted, semi-restricted, monitored unrestricted, and transition areas.
1) Restricted area: Traffic shall be
				restricted to authorized personnel and patients. No street clothing shall be
				worn in the restricted area. Health care workers shall wear hospital laundered
				scrub attire. Head and facial hair shall be contained within protective
				covering. Cloth head coverings shall be laundered by the hospital. Additional
				garments shall be completely contained or covered within the scrub attire.
				Masks shall be worn in restricted areas where open sterile supplies and
				equipment are present or scrubbed persons are located. Patients shall wear
				attire appropriate for their surgical procedure and shall wear hair
				covering.
2) Semi-restricted area:
				Traffic shall be restricted to authorized personnel and patients. No street
				clothing shall be worn in the semi-restricted area. Health care workers shall
				wear hospital laundered scrub attire. Head and facial hair shall be contained
				within protective covering. Cloth head coverings shall be laundered by the
				hospital. Additional garments shall be completely contained or covered within
				the scrub attire. Masks are not required in this area. Patients shall wear
				attire appropriate for their surgical procedure and shall wear hair
				covering.
3) Transition area:
				Traffic shall be permitted to allow movement of personnel from unrestricted to
				semi-restricted areas or restricted areas. Personnel may enter in street
				clothing and shall exit into the semi-restricted or restricted area in surgical
				attire.
4) Monitored unrestricted
				area: Permitted traffic includes authorized personnel, patients, and their
				families. Health care workers in scrub attire may use this area as a transition
				area for the purpose of patient management and hospital business.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart J - SURGICAL AND RECOVERY ROOM SERVICES › Section 250.1310 - Cleaning

Current through Register Vol. 48, No. 28, July 12, 2024
a) Procedures for
				cleaning the operating rooms after each case may be more but not less stringent
				than the following:
1) The operating room and
				its contents shall be thoroughly cleaned after each case.
2) Furniture and equipment shall be washed
				with an approved disinfecting solution. Gloves, syringes, instruments, and all
				wastes shall be soaked in an approved disinfecting solution.
3) Specimen material for laboratory
				examination or research shall be placed in a closed container and the exterior
				of the container shall then be washed with an approved disinfecting
				solution.
4) Nurses, surgeons, and
				anesthetists shall remove gowns and gloves at the door immediately before
				leaving the room.
5) All linen
				shall be bagged in the operating room. There shall be specific procedures for
				the identification and handling of surgery linen.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart J - SURGICAL AND RECOVERY ROOM SERVICES › Section 250.1320 - Postanesthesia Care Units

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Provision and use of Phase 1 Postanesthesia Care Unit (Phase 1 PACU)
1) For the purposes of this Section, Phase 1
				of postanesthesia care is the phase immediately following surgery, usually in a
				recovery room, after which the patient is returned to his or her
				room.
2) Postanesthesia care units
				shall be provided by all hospitals in which surgery is performed. They shall be
				in a separate room where patients who have undergone surgical procedures can be
				immediately observed and receive specialized care by selected and trained
				personnel and where, when necessary, prompt emergency care can be
				initiated.
3) The services of the
				Phase 1 PACU may be used for postpartum care if the delivery room or place of
				delivery is in proximity to the Phase 1 PACU. Only clean (non-infected or
				non-infectious) postpartum patients may be admitted to the Phase 1 PACU and
				may, after appropriate observation, be returned to the maternity
				department.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart J - SURGICAL AND RECOVERY ROOM SERVICES › Section 250.1325 - Surgical Smoke Plume Evacuation System Equipment and Policies

Current through Register Vol. 48, No. 28, July 12, 2024
a)
To protect patients and health
				care workers from the hazards of surgical smoke plume, hospitals shall adopt
				policies to ensure the elimination of surgical smoke plume by use of a surgical
				smoke plume evacuation system for each procedure that generates surgical smoke
				plume from the use of energy-based devices, including, but not limited to,
				electrosurgery and lasers.
(Section 6.32(b) of the Act)
1) The facility's surgical department shall
				perform a risk assessment to identify all procedures that are performed with
				energy-based surgical devices (e.g. lasers, electrosurgical instruments, and
				ultrasonic devices) that generate a surgical smoke plume and will require the
				use of a surgical smoke plume evacuation system.
2) All surgical team members shall be trained
				on the methods for mitigating the hazards and minimizing exposure to surgical
				smoke plume, positioning and operating surgical smoke plume evacuation pursuant
				to the manufacturer's instructions, and the requirements in facility policies
				and procedures for management of surgical smoke plume.
3) Staff shall wear appropriate respiratory
				protection when needed as secondary protection against residual smoke in
				accordance with the hospital's respiratory protection plan.
4) To protect against potential smoke
				hazards, the facility's policy and procedure shall minimally include:
A) During utilization of the smoke evacuator,
				the suction nozzle inlet shall be positioned as close to the surgical site as
				possible to maximize capture of airborne contaminants.
B) The smoke evacuator shall be "ON"
				(activated) at all times when airborne particles are produced during all
				surgical or other procedures
C) New
				tubing shall be used before each procedure and the smoke evacuator filter shall
				be replaced as recommended by the manufacturer. Consider all tubing, filters
				and absorbers as infectious waste and dispose of appropriately in accordance
				with OSHA bloodborne pathogens standards.
D) Inspection of smoke evacuator systems
				regularly, including inspection immediately prior to use, to ensure proper
				functioning.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart L - RECORDS AND REPORTS › Section 250.1510 - Medical Records

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Facilities
1) The hospital shall maintain
				medical record facilities with adequate supplies and equipment.
2) Medical records shall be stored safely.
				Medical records shall be handled so as to assure safety from water seepage or
				fire damage and are to be safeguarded from unauthorized use.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart M - FOOD SERVICE › Section 250.1610 - Dietary Department Administration

Current through Register Vol. 48, No. 28, July 12, 2024
a) Organization
There shall be an organized department of dietetics, and a
				  well-defined plan of operation designed to meet the needs of the patients
				  whether the services are centralized, decentralized, or provided under
				  contractual agreement.
b)
				Staffing: Dietetic Service Director
The dietetic department shall have a full-time dietetic
				  service director, preferably a dietitian, whose responsibilities shall include,
				  but are not limited to, the following:
1) developing written policies and procedures
				to include but not necessarily be limited to:
A) responsibilities and authority for the
				operation;
B) standards of
				nutritional care for all regular and therapeutic diets including supplemental
				feedings;
C) medically prescribed
				diet orders and alterations in diets or diet schedules such as holding trays,
				late trays, and times for accepting diet changes;
D) patient tray identification;
E) food preparation, storage and
				service;
F) personal
				hygiene;
G) sanitation and
				safety;
H) ancillary dietetic
				services including food storage preparation and service in kitchens and dining
				areas on patient care units; formula supply; vending operation; and ice
				making;
I)
				conferences--departmental and interdepartmental, clinical, executive and/or
				administrative;
J) training
				programs for personnel; and
K)
				patient education programs.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart M - FOOD SERVICE › Section 250.1620 - Facilities

Current through Register Vol. 48, No. 28, July 12, 2024
a) Appropriate
				facilities shall be provided for receiving; food storage; food preparation;
				tray make-up; food portioning; dining; utensils and dishwashing; record keeping
				and other necessary administrative and clinical functions of the
				service.
b) Dietary areas shall be
				appropriately located, adequate in size, well lighted, properly ventilated, and
				equipped with the proper kinds, sizes and amounts of equipment required to
				carry out the sanitation and safety objectives of the dietetic service program.
				(See the Department's current rule, "Food Service Sanitation" (77 Ill. Adm.
				Code 750) for specific details.)
c)
				Regulations for the construction and maintenance of the physical facilities
				shall be governed by the Department's current rules on "Food Service Sanitation
				(77 Ill. Adm. Code 750).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart M - FOOD SERVICE › Section 250.1630 - Menus and Nutritional Adequacy

Current through Register Vol. 48, No. 28, July 12, 2024
a) Menus shall be prepared at least one week
				in advance. Menus for the current week shall be dated and posted. Menus shall
				be kept on file no less than 30 days.
b) Menus shall be planned, and followed, to
				meet the nutritional needs of patients in accordance with physicians' orders
				and, to the extent medically possible, in accordance with the current
				recommended Dietary Allowances established by the Food and Nutrition Board,
				National Research Council. When changes in the current day's menu are
				necessary, substitutions shall provide equal nutritive value and shall be
				recorded on the original menu.
c)
				Menus shall be different for the same day of consecutive weeks.
d) Supplies of staple foods for a minimum of
				a one week period and supplies of perishable foods for a minimum of a two day
				period shall be maintained on the premises. Supplies shall be appropriate to
				meet the requirements of the menu.
e) Records of all food purchased shall be
				kept on file for less than 30 days.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart M - FOOD SERVICE › Section 250.1640 - Diet Orders

Current through Register Vol. 48, No. 28, July 12, 2024
a) All diets
				shall be ordered by the patient's attending physician and/or a registered
				dietitian with the attending physician's confirmation. Diet orders shall be
				recorded in the patient's medical chart.
b) All diet orders shall be sent to the
				dietetic service department in writing. Each diet order shall have sufficient
				pertinent information to enable the dietetic service to serve the diet as
				prescribed by the physician.
c)
				Appropriate records for patients shall be maintained in the dietetic service
				department. These records shall contain pertinent information that will be
				helpful to the patient's nutritional care.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart M - FOOD SERVICE › Section 250.1650 - Frequency of Meals

Current through Register Vol. 48, No. 28, July 12, 2024
a) To the
				extent medically possible, a minimum of three or their equivalent, shall be
				served daily, at regular hours with no more than a 14 hour span between a
				substantial evening meal and breakfast.
b) To the extent medically possible, bedtime
				nourishment shall be offered to all patients.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart M - FOOD SERVICE › Section 250.1660 - Therapeutic (Modified) Diets

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Diets shall be medically prescribed and recorded in the patient's medical
				chart.
b) Therapeutic (modified)
				diet menus shall be planned in writing and served as ordered with supervision
				or consultation from the dietitian.
c) A current diet manual approved by the
				dietitian and medical staff shall be available for use in the dietetic service
				department and a copy shall be conveniently located at each patient care unit
				for use by physicians, nurses and other appropriate staff. Nutritional
				deficiencies for each type of diet shall be included in the diet manual. Diet
				manuals should be reviewed and updated at least every five years or more
				frequently if necessary.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart M - FOOD SERVICE › Section 250.1670 - Food Preparation and Service

Current through Register Vol. 48, No. 28, July 12, 2024
a) Food shall be prepared in sufficient
				quantities and by appropriate methods that conserve the nutritive value, flavor
				and appearance. They shall be prepared according to standardized recipes and a
				file of such recipes shall be available for use by cooks and other appropriate
				personnel.
b) Foods shall be
				attractively served at the proper temperatures and in a form to meet individual
				needs.
c) Where appropriate,
				patients shall be encouraged to eat in a dining room that is attractive, well
				lighted, and appropriately equipped. In said dining rooms there shall be tables
				available of sufficient height to accommodate wheelchairs, stryker frames
				and/or other similar equipment. Over-bed tables shall be provided for patients
				who eat their meals in bed or in their rooms.
d) Special assistive eating devices shall be
				available and provided as ordered by the physician or his designee.
e) If a patient refuses the food served,
				appropriate substitutes of similar nutritive value shall be offered or other
				appropriate action shall be taken upon the advice of the dietitian.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart M - FOOD SERVICE › Section 250.1680 - Sanitation

Current through Register Vol. 48, No. 28, July 12, 2024
The hospital shall comply with the Department's current rule
				  "Food Service Sanitation" (77 Ill. Adm. Code 750), a copy of which shall be
				  available in the dietary department. All dietary employees shall be familiar
				  with and abide by these rules and regulations.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart N - HOUSEKEEPING AND LAUNDRY SERVICES › Section 250.1710 - Housekeeping

Current through Register Vol. 48, No. 28, July 12, 2024
a) There shall be
				an organized housekeeping department, under competent supervision.
b) The director of housekeeping services
				shall be responsible to the chief executive officer either directly or through
				a designated department head. The director 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) In order 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. They shall
				identify techniques and product used and shall include, but not be limited to
				the following:
A) the use, cleaning, and care
				of equipment;
B) the cleaning of
				specialized areas, such as the surgical suite, obstetrical suite, newborn
				nursery, central service, and isolation rooms.
It is recommended that high risk areas be assigned to the
				  same personnel on a routine basis.
C) the selection, measurement, and proper use
				of housekeeping and cleaning supplies, their storage, and
				transportation.
D) the maintenance
				of cleaning schedules;
E)
				techniques for evaluation of cleaning effectiveness;
F) maintaining liaison with the infection
				control committee in order to determine appropriate action based on the results
				of any microbiological evaluations performed; and
G) personal hygiene.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart N - HOUSEKEEPING AND LAUNDRY SERVICES › Section 250.1730 - Insect and Rodent Control

Current through Register Vol. 48, No. 28, July 12, 2024
Any condition on the hospital site conducive to the harborage
				  or breeding of insects, rodents, or other vermin shall be prohibited.
a) All outside doors, windows, and other
				openings except in air-conditioned buildings where doors and windows are
				normally kept closed and opened for minimal use, automatically operated doors
				or infrequently used fire exits shall be effectively screened during the entire
				fly season. Screens shall be kept in good repair and shall have not less than
				sixteen 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 but 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.
c) All rooms,
				particularly those where food is stored, prepared, cooked, or served, and those
				used for washing and/or storage of dishes and utensils 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 and storage shall
				be in accordance with local, state, and federal regulations. Such substances
				shall not be stored with or near any food or food preparation utensils or
				equipment. Extreme care shall be taken during use to prevent any such poisons
				from contaminating any food or food product or patient contact
				material.
e) If pest control
				services are contracted with an outside firm, that firm must be licensed by the
				Department as a Pest Control Business. If services are provided by hospital
				personnel, and restricted-use pesticides are applied, the person responsible
				for the application must be certified by the Department as an
				Institutional-multi-housing pest control operator.
f) There shall be an up-to-date list of all
				pest control products used in the facility, areas where they are used, and
				areas where specific formulations must not be used. This document must be
				readily available, in case of accidental poisoning.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart N - HOUSEKEEPING AND LAUNDRY SERVICES › Section 250.1740 - 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 firm or another hospital, a written contract shall be available. It
				shall specify that the laundry meets the same standards required for an
				in-hospital unit. The linens must be transported in sanitary vehicles. Clean
				and soiled linens must not be transported in the same vehicle at the same
				time.
2) Equipment and construction
				shall be as required in Subpart T and Subpart U.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart N - HOUSEKEEPING AND LAUNDRY SERVICES › Section 250.1750 - Soiled Linen

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each of the
				following classes of laundry shall be separately transported, stored and
				washed:
1) Soiled diapers.
2) Newborn nursery linen.
3) All radioactive contaminated
				linen.
4) Linen from
				pathology.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart N - HOUSEKEEPING AND LAUNDRY SERVICES › Section 250.1760 - Clean Linen

Current through Register Vol. 48, No. 28, July 12, 2024
a) Clean linen
				shall be sorted, handled and transported in such a manner as to prevent cross
				contamination.
b) Clean linen carts
				shall be used only for the purpose of transportation or storage of clean
				linen.
c) Persons processing clean
				linen shall be dressed in clean garments at all times while on duty. They shall
				not handle soiled linen.
d) Clean
				linen received from a commercial laundry shall be completely wrapped in
				convenient size bundles or otherwise protected and be delivered to a designated
				clean area of the hospital.
e)
				Clean linens shall be adequately protected from contamination. Clean linen in
				patient care units shall be stored in clean, ventilated closets, rooms or
				alcoves, used for that purpose only. Corridors shall not be used for storage of
				linen.
f) If clean linen is stored
				in the laundry area, it shall be stored in a room separate from the sorting
				room, laundry room or soiled linen room.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart O - OBSTETRIC AND NEONATAL SERVICE › Section 250.1810 - Applicability of Other Provisions of this Part

Current through Register Vol. 48, No. 28, July 12, 2024
The requirements set forth elsewhere in this Part (excluding
				  Subpart P and Subpart Q), shall apply to the operation of obstetric hospitals
				  and to obstetric and neonatal departments of general
				  hospitals.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart O - OBSTETRIC AND NEONATAL SERVICE › Section 250.1820 - Obstetric and Neonatal Service (Perinatal Service)

Current through Register Vol. 48, No. 28, July 12, 2024
a) Provision of Care
1) All hospitals licensed as general
				hospitals by the Department shall provide for the admission, medical care,
				transfer or discharge of obstetric and neonatal patients.
2) No hospital shall fail to provide
				obstetric or neonatal care without the written consent of the Director or the
				Director's designee.
3) Each
				hospital providing perinatal services shall comply with the perinatal care
				standards in the Regionalized Perinatal Health Care Code.
4)
Every hospital shall ensure that
				it has the proper instruments available for taking a pregnant women's blood
				pressure.
(Section 11.1 a of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart O - OBSTETRIC AND NEONATAL SERVICE › Section 250.1830 - General Requirements for All Obstetric Departments

Current through Register Vol. 48, No. 28, July 12, 2024
a) The temperature and humidity in the
				nurseries and in the delivery suite shall be maintained at a level best suited
				for the protection of mothers and infants as recommended by the Guidelines for
				Perinatal Care. Chilling of the neonate shall be avoided; a non-stable neonate
				shall, immediately after birth, be placed in a radiant heat source that is
				ready to receive the infant and that allows access for resuscitation efforts.
				The radiant heat source shall comply with the recommendations of the Guidelines
				for Perinatal Care. When the neonate has been stabilized, if the mother wishes
				to hold the newborn, a radiant heater or pre-warmed blankets shall be available
				to keep the neonate warm. Stable infants shall be placed, and remain, in direct
				skin-to-skin contact with their mother immediately after delivery to optimally
				support infant breastfeeding and to promote mother/infant bonding. Personnel
				shall be available who are trained to use the equipment to maintain a neutral
				thermal environment for the neonate. For general temperature and humidity
				requirements, see Section
				250.2480(d)(1).
				In general, a temperature between 72 degrees and 76 degrees and relative
				humidity between 35% and 60% are acceptable.
b) Linens and Laundry: Linens shall be
				cleaned and disinfected in compliance with the Guidelines for Perinatal Care.
1) Nursery linens shall be washed separately
				from other hospital linens.
2) No
				new unlaundered garments shall be used in the nursery.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart O - OBSTETRIC AND NEONATAL SERVICE › Section 250.1840 - Discharge of Newborn Infants from Hospital

Current through Register Vol. 48, No. 28, July 12, 2024
a) No hospital, nor anyone connected with any
				hospital, shall place a child for adoption or for foster family care unless the
				hospital is licensed as a child welfare agency.
b) A hospital shall discharge a newborn
				infant only to the following:
1) The
				biological parent;
2) An intended
				mother, pursuant to the Gestational Surrogacy Act;
3) An intended father, pursuant to the
				Gestational Surrogacy Act;
4) An
				adult relative (parent, brother, sister, uncle or aunt) or friend of the mother
				or father;
5) An officer of a court
				of competent jurisdiction or other named person, upon presentation of an order
				from a court that the child be discharged to the officer's custody;
				or
6) A representative of an
				Illinois licensed child welfare agency, or the Illinois Department of Children
				and Family Services, or the Illinois Youth Commission, upon presentation of
				written authorization by the agency to have the child discharged to the
				representative's custody; or a representative of any other social agency who
				presents written authorization by the Department of Children and Family
				Services to have the child discharged to the representative's
				custody.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart O - OBSTETRIC AND NEONATAL SERVICE › Section 250.1845 - Caesarean Birth

Current through Register Vol. 48, No. 28, July 12, 2024
a) A hospital
				may permit the father or a support person to be present at a delivery by
				caesarean birth if the program is part of the hospital's Obstetric and Neonatal
				Service Plan. Nothing in this Part shall be construed to require a hospital to
				permit the father or a support person to attend caesarean births. This Part
				does not vest any right upon any lay person to attend a caesarean birth. The
				operating physician shall always have the right to exclude a father or support
				person from a caesarean birth for any reason. For the purposes of this Section,
				a support person is the husband of the mother, the father of the infant, or any
				other person selected by the mother, who is acceptable to the physician and
				meets the requirements of the hospital's policies.
b) The hospital's Obstetric and Neonatal
				Service Plan shall include:
1) Criteria for
				admitting the father or other support person to the delivery by caesarean
				birth;
2) Education, counseling or
				other preparation furnished to the mother and father or to the support person
				attending a caesarean birth; and
3)
				Operating room procedures and assignments for caesarean birth.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart O - OBSTETRIC AND NEONATAL SERVICE › Section 250.1850 - Single Room Postpartum Care of Mother and Infant

Current through Register Vol. 48, No. 28, July 12, 2024
The following requirements apply when postpartum care is
				  provided to a mother and her infant in the same room:
a) The patient's room shall be of sufficient
				size and arrangement for the bedside care of the mother and infant.
b) The patient's room shall be equipped with
				a toilet, a hand-washing lavatory and a supply of clean towels.
c) Equipment and supplies shall include:
1) Separate equipment and supplies for the
				mother and the infant;
2) Separate
				enclosed storage space for the infant's clean linen, equipment and supplies;
				and
3) Adequate covered containers
				for the infant's soiled linen.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart O - OBSTETRIC AND NEONATAL SERVICE › Section 250.1870 - Labor, Delivery, Recovery and Postpartum Care

Current through Register Vol. 48, No. 28, July 12, 2024
a) Hospitals may establish a labor, delivery,
				recovery and postpartum care program in compliance with this Section. The
				labor, delivery, recovery and postpartum care program may include the
				hospital's entire obstetric service or a specific portion of the hospital's
				obstetric service.
b) General
				Description
1) A labor, delivery, recovery
				and postpartum care program provides labor, delivery, recovery and postpartum
				care for a mother in one room. The combination of functions in one room is
				designed to reduce the movement of the mother within the hospital.
2) The labor, delivery, recovery and
				postpartum care program shall be coordinated with other obstetric services of
				the hospital. Facilities for emergency caesarean deliveries shall be available.
				Labor, delivery, recovery and postpartum rooms may be used in hospitals at all
				Level designations, except for caesarean deliveries, based on the hospital's
				program.
3) Rooms used for labor,
				delivery, recovery and postpartum care shall include facilities for care of the
				infant during delivery and after birth.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart P - ENGINEERING AND MAINTENANCE OF THE PHYSICAL PLANT, SITE, EQUIPMENT, AND SYSTEMS - HEATING, COOLING, ELECTRICAL, VENTILATION, PLUMBING, WATER, SEWER, AND SOLID WASTE DISPOSAL › Section 250.1910 - Maintenance

Current through Register Vol. 48, No. 28, July 12, 2024
The hospital shall have an organized engineering and/or
				  maintenance department under competent supervision. The requirements of NFPA
				  99, Health Care Facilities Code, shall apply in addition to the
				  following:
a) The administrator shall
				be responsible for maintenance of the physical plant site, equipment and
				systems and may delegate responsibility to the proper employees. 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 hospitals.
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 hospital 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 hospital shall be available to maintenance
				personnel.
d) Maintenance and
				repairs shall be carried out in accordance with applicable codes, rules,
				regulations, standards and requirements of local jurisdictions, the State Fire
				Marshal, and the Department of Public Health.
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 hospital
				structure and its component parts and facilities shall be kept in good repair
				and 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. (Refer to Subpart T and Subpart U of this Part.)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart P - ENGINEERING AND MAINTENANCE OF THE PHYSICAL PLANT, SITE, EQUIPMENT, AND SYSTEMS - HEATING, COOLING, ELECTRICAL, VENTILATION, PLUMBING, WATER, SEWER, AND SOLID WASTE DISPOSAL › Section 250.1920 - Emergency electric service

Current through Register Vol. 48, No. 28, July 12, 2024
a)
1) It is required that existing hospitals
				provide emergency electric service as detailed under Section
				250.2500(h)
				and Section
				250.2680(h).
2) Inspections and testing of emergency
				generators shall be weekly, with monthly testing under load.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart P - ENGINEERING AND MAINTENANCE OF THE PHYSICAL PLANT, SITE, EQUIPMENT, AND SYSTEMS - HEATING, COOLING, ELECTRICAL, VENTILATION, PLUMBING, WATER, SEWER, AND SOLID WASTE DISPOSAL › Section 250.1930 - Water Supply

Current through Register Vol. 48, No. 28, July 12, 2024
The Rules, of "Sanitary Practice for Drinking Water, Sewage
				  Disposal and Rest Room Facilities" (77 Ill. Adm. Code 895) shall apply, except
				  where those regulations and these requirements differ. For differences and
				  installation requirements, see Subpart T and Subpart U.
a) Water supplies of medical facilities shall
				be operated in conformance with the following requirements:
1) All water used in operation shall be
				provided from a public water supply or from an alternate source. The source of
				water supply shall be approved by the department.
2) The construction, maintenance, and
				operation of any treatment process which 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
				which cannot cause personal injury.
6) For installation requirements, see Subpart
				T and Subpart U of these requirements.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart P - ENGINEERING AND MAINTENANCE OF THE PHYSICAL PLANT, SITE, EQUIPMENT, AND SYSTEMS - HEATING, COOLING, ELECTRICAL, VENTILATION, PLUMBING, WATER, SEWER, AND SOLID WASTE DISPOSAL › Section 250.1940 - Ventilation, Heating, Air Conditioning, and Air Changing Systems

Current through Register Vol. 48, No. 28, July 12, 2024
Ventilation, heating, air conditioning, and air changing
				  systems shall be provided, comply with Subpart T or Subpart U, and
				  shall:
a) be maintained in good repair
				and shall be operated in a manner which will prevent the spread of infection
				and provide for patient comfort;
b)
				be maintained and operated in such manner that air shall not be circulated from
				operating rooms, patient isolation rooms, laboratories in which work is done in
				pathology, virology or bacteriology, autopsy rooms, kitchen and dishwashing
				areas, toilet and bathrooms, janitors' closets, storage rooms, shop areas and
				soiled linen to any other part of the facility;
c) be provided, as needed, with acceptable
				air filtration equipment that is cleaned and serviced at adequate intervals;
				and
d) assure that the relative
				humidity is maintained at a minimum of 50 percent in those areas where
				conductive floors are required.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart P - ENGINEERING AND MAINTENANCE OF THE PHYSICAL PLANT, SITE, EQUIPMENT, AND SYSTEMS - HEATING, COOLING, ELECTRICAL, VENTILATION, PLUMBING, WATER, SEWER, AND SOLID WASTE DISPOSAL › Section 250.1950 - Grounds and Buildings Shall be Maintained

Current through Register Vol. 48, No. 28, July 12, 2024
a)
1) in a
				clean condition free of safety hazards;
2) in such manner as 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 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart P - ENGINEERING AND MAINTENANCE OF THE PHYSICAL PLANT, SITE, EQUIPMENT, AND SYSTEMS - HEATING, COOLING, ELECTRICAL, VENTILATION, PLUMBING, WATER, SEWER, AND SOLID WASTE DISPOSAL › Section 250.1960 - Sewage, Garbage, Solid Waste Handling and Disposal

Current through Register Vol. 48, No. 28, July 12, 2024
a) All sewage and liquid wastes shall be
				disposed of in a municipal sewerage system where such facilities are available.
				When a municipal sewerage system is not available, sewage and liquid wastes
				shall be collected, treated, and disposed of in an independent plant, the
				construction, maintenance, and operation of which are approved by the
				Department or by the Illinois Environmental Protection Agency. For installation
				requirements, see Subpart T and Subpart U of these requirements.
b) Garbage and Solid Wastes Handling and
				Disposal (refer to Section
				250.1720.)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart P - ENGINEERING AND MAINTENANCE OF THE PHYSICAL PLANT, SITE, EQUIPMENT, AND SYSTEMS - HEATING, COOLING, ELECTRICAL, VENTILATION, PLUMBING, WATER, SEWER, AND SOLID WASTE DISPOSAL › Section 250.1970 - Plumbing

Current through Register Vol. 48, No. 28, July 12, 2024
All plumbing shall be designed, installed, and maintained in
				  accordance with the requirements of the Illinois Plumbing Code (77 Ill. Adm.
				  Code 890) except where that Code and these requirements differ. For areas of
				  difference, see Subpart T and Subpart U.