Full Text of SB0680 97th General Assembly
SB0680enr 97TH GENERAL ASSEMBLY
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AN ACT concerning regulation.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
The Nursing Home Care Act is amended by changing
Section 3-206.05 as follows:
(210 ILCS 45/3-206.05)
Safe resident handling policy.
(a) In this Section:
"Health care worker" means an individual providing direct
resident care services who may be required to lift, transfer,
reposition, or move a resident.
"Nurse" means an advanced practice nurse, a registered
nurse, or a licensed practical nurse licensed under the Nurse
"Safe lifting equipment and accessories" means mechanical
equipment designed to lift, move, reposition, and transfer
residents, 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 and proficient in the use of both safe lifting
techniques and safe
lifting equipment and accessories.
"Adjustable equipment" means products and devices that may
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be adapted for use by individuals with physical and other
disabilities in order to optimize accessibility. Adjustable
equipment includes, but is not limited to, the following:
(1) Wheelchairs with adjustable footrest height and
seat width and depth.
(2) Height-adjustable, drop-arm commode chairs and
height-adjustable shower gurneys or shower benches to
enable individuals with mobility disabilities to use a
toilet and to shower safely and with increased comfort.
(3) Accessible weight scales that accommodate
(4) Height-adjustable beds that can be lowered to
accommodate individuals with mobility disabilities in
getting in and out of bed and that utilize drop-down side
railings for stability and positioning support.
(5) Universally designed or adaptable call buttons and
motorized bed position and height controls that can be
operated by persons with limited or no reach range, fine
motor ability, or vision.
(6) Height-adjustable platform tables for physical
therapy with drop-down side railings for stability and
(7) Therapeutic rehabilitation and exercise machines
with foot straps to secure the user's feet to the pedals
and with cuffs or splints to augment the user's grip
strength on handles.
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(b) A facility must adopt and ensure implementation of 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
(1) 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.
and other direct
resident care providers
in the identification, assessment,
and control of risks of injury to residents and nurses and
other health care workers during resident handling
safe lifting policies and techniques and current lifting
(3) Evaluation of alternative ways to reduce risks
associated with resident handling, including evaluation of
equipment and the environment.
(4) 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.
(5) Procedures for a nurse to refuse to perform or be
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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.
(6) 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.
(7) In developing architectural plans for construction
or remodeling of a facility or unit of a facility in which
resident handling and movement occurs, consideration of
the feasibility of incorporating resident handling
equipment or the physical space and construction design
needed to incorporate that equipment.
(8) Fostering and maintaining resident safety,
dignity, self-determination, and choice, including the
following policies, strategies, and procedures:
(A) The existence and availability of a trained
safe lifting team.
(B) A policy of advising residents of a range of
transfer and lift options, including adjustable
diagnostic and treatment equipment, mechanical lifts,
and provision of a trained safe lifting team.
(C) The right of a competent resident, or the
guardian of a resident adjudicated incompetent, to
choose among the range of transfer and lift options
consistent with the procedures set forth under
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subdivision (b)(5) and the policies set forth under
this paragraph (8), subject to the provisions of
subparagraph (E) of this paragraph (8).
(D) Procedures for documenting, upon admission and
as status changes, a mobility assessment and plan for
lifting, transferring, repositioning, or movement of a
resident, including the choice of the resident or the
resident's guardian among the range of transfer and
(E) Incorporation of such safe lifting procedures,
techniques, and equipment as are consistent with
applicable federal law.
(c) Safe lifting teams must receive specialized, in-depth
training that includes, but need not be limited to, the
(1) Types and operation of equipment.
(2) Safe manual lifting and moving techniques.
(3) Ergonomic principles in the assessment of risk both
to nurses and other workers and to residents.
(4) The selection, safe use, location, and condition of
appropriate pieces of equipment individualized to each
resident's medical and physical conditions and
(5) Procedures for advising residents of the full range
of transfer and lift options and for documenting
individualized lifting plans that include resident choice.
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Specialized, in-depth training may rely on federal
standards and guidelines such as the United States Department
of Labor Guidelines for Nursing Homes, supplemented by federal
requirements for barrier removal, independent access, and
means of accommodation optimizing independent movement and
(Source: P.A. 96-389, eff. 1-1-10.)