Section 730.400  Medical Services

a)         Medical staff available to clients at ICRE-Wood consist of:

1)         A Medical Consultant,

2)         Low Vision Consultants, and

3)         Nursing staff who will provide basic medical care.

b)         Visits with the consultant are scheduled through a member of the nursing staff.

c)         Clients should report all accidents to the nurse.  Clients must have medical insurance, Public Aid medical card, or have signed a release to authorize medical treatment at a no-charge medical facility.

d)         Clients should report to the nurse any illness which results in absence from scheduled activities.  The nurse will then advise staff of clients who are too ill to attend class and/or meals.

e)         No prescription or non-prescription medications will be dispensed by any ICRE-Wood staff member except a registered professional nurse and only under a physician's orders.  Upon admission to ICRE-Wood, the client must notify the nurse on duty of all prescription medications being taken.  A nurse will dispense the medication to the client until such time as the client has shown the ability to identify specific medications prescribed and the proper procedures for using them.  Registered professional nurses will monitor the client's self-medication until the client has demonstrated a knowledge of drug, dose, time, and side effects.  Clients who are diabetic and not already proficient in self-medication will be instructed on self-administration.

f)         HIV Testing.  In compliance with the AIDS Confidentiality Act (AIDS Act) [410 ILCS 305] and rules of the DPH (77 Ill. Adm. Code 697), a client may not be tested for human immunodeficiency virus (HIV) unless:

1)         the client or legally authorized representative consents in writing, or

2)         a DHS school employee has had an accidental direct skin or mucous membrane contact with the student's blood or body fluids which is of a nature that may transmit HIV, as determined by a physician in his or her medical judgement.

g)         Test Information and Counseling.  In compliance with the AIDS Act, if an HIV test is ordered by an ICRE-Wood physician, whether or not written, informed consent of the client or legally authorized representative has been given, the physician shall provide the client with:

1)         the meaning of test results;

2)         additional conformity testing, when appropriate; and

3)         referrals for further information or counseling.

h)         Disclosure of Test Results.  The person performing the test or the Superintendent, only if ICRE-Wood is authorized to obtain the test results, may only disclose results to the following people, who may not redisclose the results, except as authorized by the AIDS Act:

1)         the client or his or her legally authorized representative;

2)         anyone designated in an express release executed by the client or legally authorized representative;

3)         an employee who has had accidental contact as described in subsection (f) of this Section;

4)         the DPH (any redisclosure by a DPH employee in violation of the AIDS Confidentiality Act will result in disciplinary action taken by DPH); and

5)         any employee who (any redisclosure by a DHS employee in violation of the AIDS Confidentiality Act will result in disciplinary action taken by DHS):

A)        provides the client with medical services or such care as may involve contact with blood or body fluids of a client; and

B)        has a need to know such information  (e.g., a health care provider who has been involved in accidental direct skin or mucous membrane contact with the blood or bodily fluids of an individual with AIDS).

(Source:  Amended at 17 Ill. Reg. 20419, effective November 15, 1993)