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 205.540 POSTOPERATIVE CARE


 

Section 205.540  Postoperative Care

 

a)         All patients' postoperative conditions shall be observed and assessed in the facility for a period of time sufficient to ensure that the patient is awake, physiologically stable, manifests no immediate postoperative complications, and is ready to return to home or to a similar environment. Overnight stays are not permissible.  Before discharge from the facility, each patient shall be evaluated by a qualified practitioner for proper anesthesia recovery.  No patient shall be required to leave the facility in less than one hour following the procedure or procedures.  Each post-surgical patient's overall condition shall be assessed and documented in the medical record by a qualified practitioner, showing that the patient is ready for discharge or in need of further treatment or monitoring.

 

b)         Rh factor sensitization prophylaxis shall be provided to all Rh negative patients following procedures performed to terminate pregnancy, in accordance with standard medical procedures.

 

c)         Patients in whom a complication is known or suspected to have occurred during or after the performance of a surgical procedure shall be informed of the complication, and arrangements shall be made for treatment of the complication.  If the patient is admitted to a hospital, a summary of care given in the ambulatory surgical treatment center concerning the suspected complication or complications shall accompany the patient.

 

d)         To ensure availability of follow-up care at a hospital, the ambulatory surgical treatment center shall provide written documentation of one of the following:

 

1)         A transfer agreement with a hospital within approximately 15-30 minutes travel time of the facility;

 

2)         A statement that the medical director of the facility has full admitting privileges at a hospital within approximately 15-30 minutes travel time and that he/she will assume responsibility for all facility patients requiring follow-up care; or

 

3)         A statement that each staff physician, dentist, or podiatrist has admitting privileges in a hospital within 15-30 minutes travel time of the facility.

 

e)         Written instructions shall be issued to all patients in accordance with the standards approved by the consulting committee and shall include the following:

 

1)         Symptoms of complications associated with procedures performed;

 

2)         Limitations and restrictions of activities of the patient;

 

3)         Specific telephone number to be used by the patient, at any time, if any complication or question arises; and  

 

4)         A date for a follow-up or return visit after the performance of the surgical procedure, which shall be scheduled within six weeks.

 

f)         Patients shall be discharged only on the written signed order of a physician.  The name, or relationship to the patient, of the person accompanying the patient upon discharge from the facility shall be noted in the patient's medical record.

 

g)         Information on availability of family planning services shall be provided, when desired by the patient, to all patients undergoing a pregnancy termination procedure.  When, in the physician's opinion, it is in the best interests of the patient and with the patient's consent, family planning services may be initiated prior to the discharge of the patient.

 

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