Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart C - POLICIES › Section 300.610 - Resident Care 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 by a Resident Care Policy Committee consisting of at least the
				administrator, the advisory physician or the medical advisory committee, and
				representatives of nursing and other services in the facility. 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 this
				committee, documented by written, signed and dated minutes of the
				meeting.
b) All of the information
				contained in the policies shall be available to the public, staff and
				residents, and for review by the Department.
c) The written policies shall include, at a
				minimum the following provisions:
1)
				Admission, transfer and discharge of residents, including categories of
				residents accepted and not accepted, residents that will be transferred or
				discharged, transfers within the facility from one room to another, and other
				types of transfers;
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; and
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)