TITLE 77: PUBLIC HEALTH
CHAPTER I: DEPARTMENT OF PUBLIC HEALTH
SUBCHAPTER b: HOSPITAL AND AMBULATORY CARE FACILITIES
PART 205 AMBULATORY SURGICAL TREATMENT CENTER LICENSING REQUIREMENTS
SECTION 205.520 PREOPERATIVE CARE


 

Section 205.520  Preoperative Care

 

a)         If a patient is medically evaluated, examined and referred from a private physician's office, hospital, or clinic, specific health information, if available, shall be made part of the patient's clinical record at the time the patient is registered and admitted to the ambulatory surgical treatment center.

 

b)         An up-to-date medical history and complete physical examination shall be obtained before beginning any medical procedure.  The history and examination shall be documented in the patient's medical record.  Upon admission, each patient shall have a pre-surgical assessment completed by a physician or other qualified practitioner.  If patient records are available, changes in the patient's condition since completion of the most recently documented medical history and physical assessment, including any allergies to drugs and biologicals, shall be documented.  A preanesthetic evaluation shall be completed specifically identifying any patient sensitivity or contraindications to anesthesia.

 

c)         The laboratory examinations required on all admissions shall be determined by the qualified consulting committee and shall be consistent with the scope and nature of the ambulatory surgical treatment center.  The required list or lists of tests shall be in written form and shall be available to all members of the medical staff.

 

d)         Prior to procedures performed to terminate pregnancy, the physician shall establish the diagnosis of pregnancy by appropriate clinical evaluation and testing.  In addition, the patient's blood Rh factor shall be determined.

 

e)         A written statement indicating informed consent and a signed authorization by the patient for the performance of the specific surgical procedure shall be procured and made part of the patient's clinical record.

 

f)         Surgical procedures shall not be performed on patients having medical, surgical or psychiatric conditions or complications as specified by the qualified consulting committee in the ASTC's written policies.

 

g)         Prior to admission to the facility for a surgical procedure, the patient shall be informed of the following:

 

1)         Patients who receive general anesthesia, intravenous sedation, spinal or epidural anesthesia, or any other specific anesthesia technique designated by the qualified consulting committee shall not attempt to drive a motor vehicle immediately upon discharge from the facility.

 

2)         Patients shall arrange prior to admission for safe transportation upon discharge from the facility.

 

(Source:  Amended at 38 Ill. Reg. 19208, effective September 9, 2014)