SB 1577 — HOSPITAL LICENSE-SAFE PATIENT

*LRB09709867RPM50024b* SB1577 97THEngrossed GENERALLRB097 ASSEMBLY09867 StateRPM of50024 Illinoisb andAN 2012ACT SB1577concerning Introducedhealth 2/9/2011,facilities. by Sen.

Linda Holmes SYNOPSIS AS INTRODUCED:

ILCS 85/6.25 Amends the Hospital Licensing Act.

In the list of provisions to be incorporated into hospital policies regarding the risk of injury to patients and nurses and other health care workers associated with the lifting, transferring, repositioning, or movement of a patient, includes (1) the primacy of maintaining patient dignity, self-determination, and choice and (2) consideration of the feasibility of incorporating patient handling equipment or the physical space and construction design needed to incorporate that equipment in conjunction with federal handling equipment or the physical space and construction design needed to incorporate that equipment and federal guidelines known as Access to Medical Care for Individuals With Mobility Disabilities.

Makes other changes.

Effective on January 1, 2012.

LRB097 09867 RPM 50024 b A BILL FOR SB1577 LRB097 09867 RPM 50024 b AN ACT concerning health facilities.

"Safe lifting equipment and accessories" means mechanical equipment designed to lift, move, reposition, and transfer patients, including, but not limited to, fixed and portable ceiling lifts, sit-to-stand lifts, slide sheets and boards, slings, and repositioning and turning sheets.

"Safe lifting team" means at least 2 individuals who are trained in the use of both safe lifting techniques and safe lifting equipment and accessories, including the responsibility for knowing the location and condition of such SB1577 Engrossed - 2 - LRB097 09867 RPM 50024 b equipment and accessories.

(1) TheAnalysis primacyof the risk of maintaininginjury to patients and nurses and other health care workers posted by the patient dignity,handling self-determination,needs of the patient populations served by the hospital and choice.the physical environment in which the patient handling and movement occurs.

SB1577(2) -Education 2and -training LRB097of 09867nurses RPMand 50024other bdirect (1.5)patient (1)care Analysisproviders ofin the riskidentification, assessment, and control of risks of injury to patients and nurses and other health care workers documentedduring posted by the patient handling needsand ofon thesafe patientlifting populationspolicies served by the hospital and thetechniques physical environment in which the patient handling and movementcurrent occurs.lifting equipment.

(2)(3) EducationEvaluation of directalternative patientways careto workersreduce nursesrisks inassociated thewith identification,patient assessment,handling, andincluding controlevaluation of risksequipment of injury to patients and nursesthe andenvironment. other health care workers during patient handling.

(3)(4) EvaluationRestriction, ofto alternativethe waysextent tofeasible reducewith risksexisting associatedequipment withand aids, of manual patient handling,handling includingor evaluationmovement of equipmentall andor themost environmentof ina lightpatient's ofweight applicableexcept federalfor guidelines.emergency, life-threatening, or otherwise exceptional circumstances.

(4)SB1577 Restriction,Engrossed to- the3 extent- feasibleLRB097 with09867 federally-requiredRPM existing50024 equipmentb and(5) aids,Collaboration ofwith manualand patientan lifting,annual handling,report orto movement of all or most of a patient's weight unless the patientnurse orstaffing patient'scommittee. legal representative provides informed consent and a trained safe-lifting team and policy is present and available except for emergency, life-threatening, or otherwise exceptional circumstances.

(5)(6) CollaborationProcedures withfor anda annurse annualto reportrefuse to perform or be involved in patient handling or movement that the nursingnurse administratorsin good faith believes will expose a patient or nurse staffingor committee.other health care worker to an unacceptable risk of injury.

(6) Procedures for a nurse to refuse to perform or be involved in patient handling or movement that the nurse in good faith believes will expose a patient or nurse or other SB1577 - 3 - LRB097 09867 RPM 50024 b health care worker to an unacceptable risk of injury, but only when a trained safe-lifting team and policy and safe equipment are present and available.

(9) ConsiderationFostering ofand themaintaining feasibility of incorporating patient handlingsafety, equipmentdignity, orself-determination, the physical space and constructionchoice, designincluding needed to incorporate that equipment in conjunction with federal handling equipment or the physicalfollowing spacepolicies, andstrategies, construction design needed to incorporate that equipment and federalprocedures: guidelines known as Access to Medical Care for Individuals With Mobility Disabilities or subsequently enacted federal regulations or subsequently adopted federal guidelines, incorporated by reference, when developing architectural plans for SB1577 - 4 - LRB097 09867 RPM 50024 b construction or remodeling of a hospital or unit of a hospital in which patient handling and movement occurs.

(A) the existence and availability of a trained safe lifting team;

(B) a policy of advising patients of a range of transfer and lift options, including adjustable SB1577 Engrossed - 4 - LRB097 09867 RPM 50024 b diagnostic and treatment equipment, mechanical lifts, and provision of a trained safe lifting team;

(C) the right of a competent patient, or guardian of a patient adjudicated incompetent, to choose among the range of transfer and lift options, subject to the provisions of subparagraph (E) of this paragraph (9);

(D) procedures for documenting, upon admission and as status changes, a mobility assessment and plan for lifting, transferring, repositioning, or movement of a patient, including the choice of the patient or patient's guardian among the range of transfer and lift options;

and (E) incorporation of such safe lifting procedures, techniques, and equipment as are consistent with applicable federal law.

7-2-10.) Section 99.

Effective date.

This Act takes effect January 1, 2012.