Section 250.330  Orders for Medications and Treatments

a)         No medication, treatment or diagnostic test shall be administered to a patient except on the written order of a member of the medical staff, a house staff member under the supervision of a member of the medical staff, or allied health personnel with clinical privileges recommended by the hospital medical staff and granted by the hospital governing board, with the exception of influenza and pneumococcal polysaccharide vaccines, which may be administered per medical staff-approved hospital policy that includes an assessment for contraindications.

1)         The staff-approved influenza and pneumococcal immunization policy shall include but not be limited to the following:

A)        Procedures for identifying patients age 65 or older and, at the discretion of the hospital, other patients at risk;

B)        Procedures for offering immunization against influenza virus when available between September 1 and April 1, and against pneumococcal disease upon admission or discharge, to patients age 65 or older, unless contraindicated; and

C)        Procedures for ensuring that patients offered immunization, or their guardians, receive information regarding the risks and benefits of vaccination.

2)         The hospital shall provide a copy of its influenza and pneumococcal immunization policy to the Department upon request. (Section 6.25 of the Act)

b)         Verbal orders shall be signed before the member of the medical staff, the house staff member or allied health personnel with clinical privileges recommended by the hospital medical staff and granted by the hospital governing board leaves the area.  Telephone orders shall be used sparingly and countersigned as soon as practicable pursuant to a hospital policy approved by the medical staff.

c)         Members of the Medical Staff, house staff members or allied health personnel with clinical privileges recommended by the hospital medical staff and granted by the hospital governing board shall give orders for medication and treatment only to the licensed, registered or certified professional persons who are authorized by law to administer or dispense the medication or treatment in the course of practicing their identified specific discipline.

d)         The medical directors of the laboratory, radiology or other diagnostic services may respectively authorize the performance of diagnostic tests and procedures at the request of other than members of the medical staff in accordance with policies approved by the medical staff and governing board.

e)         The medical director of the physical therapy or rehabilitation department may authorize the provision of physical therapy or rehabilitation services or treatments at the request of other than members of the medical staff in accordance with policies approved by the medical staff and governing board.

(Source:  Amended at 34 Ill. Reg. 19158, effective November 23, 2010)