Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 205 - AMBULATORY SURGICAL TREATMENT CENTER LICENSING REQUIREMENTS › Subpart D - EQUIPMENT, SUPPLIES, AND FACILITY MAINTENANCE › Section 205.420 - Sanitary Facility

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				ambulatory surgical treatment center shall ensure maintenance of a safe and
				sanitary facility by developing and adhering to an infection control program
				that is based on nationally recognized infection control guidelines, including
				the Centers for Disease Control and Prevention publication "Guidelines for
				Isolation Precautions: Preventing Transmission of Infectious Agents in
				Healthcare Settings" or "Guide to Infection Prevention in Outpatient Settings:
				Minimum Expectations for Safe Care", and by maintaining all equipment in good
				working order. Written procedures shall include provision for maintaining a
				clean and sanitary facility, including appropriate environmental cleaning,
				garbage and refuse removal, insect and rodent control, maintenance of water,
				heat, ventilation and air conditioning, and electrical service.
b) Any blood, blood components, organs,
				semen, or other human tissue showing exposure to human immunodeficiency virus
				(HIV) as evidenced by two reactive ELISA test results (according to the package
				insert - product circular), or exposure to any other identified causative agent
				of Acquired Immunodeficiency Syndrome (AIDS), and any blood, blood components,
				organs, semen, or other human tissue originating from a patient diagnosed with
				HIV infection or AIDS as defined in 77 Ill. Adm. Code
				693.20,
				shall be disposed of by the facility in accordance with subsection (c), or
				delivered in accordance with subsection (d) to a research facility for HIV or
				AIDS research.
c) Any blood, blood
				components, organs, semen or other human tissue, and any other materials or
				paraphernalia exposed to, or contaminated by, the blood, blood components,
				organs, semen or other human tissue shall be completely incinerated, sterilized
				or sealed to render the materials innocuous before disposal or removal from the
				premises.
1) Materials shall be incinerated
				in accordance with the requirements of the Pollution Control Board concerning
				the operation of an incinerator.
2)
				Materials shall be sterilized by autoclaving in accordance with the
				recommendations of the manufacturer of the autoclave. The effectiveness of the
				autoclave shall be verified and documented at least weekly with a biological
				spore assay containing B. stearothermophilus.
3) Incinerated or sterilized materials shall
				be disposed of through routine waste disposal methods.
4) Materials that have not been incinerated
				or sterilized shall be disposed of by a waste hauler with a permit from the
				Illinois Environmental Protection Agency under rules of the Pollution Control
				Board. These materials shall be sealed, transported and stored in biohazard
				containers. The containers shall be marked "Biohazard", bear the universal
				biohazard symbol, and be orange, orange and black, or red. The containers shall
				be rigid and puncture resistant, such as a secondary metal or plastic can with
				a lid that can be opened by a step-on pedal. The containers shall be lined with
				one or two high density polyethylene or polypropylene plastic bags with a total
				thickness of at least 2.5 mil. or equivalent material. The containers shall be
				sealed before being removed from the facility.