Illinois General Assembly - Full Text of HB1684
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Full Text of HB1684  97th General Assembly


Rep. Lou Lang

Filed: 3/31/2011





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2    AMENDMENT NO. ______. Amend House Bill 1684 by replacing
3everything after the enacting clause with the following:
4    "Section 5. The Hospital Licensing Act is amended by
5changing Section 6.25 as follows:
6    (210 ILCS 85/6.25)
7    Sec. 6.25. Safe patient handling policy.
8    (a) In this Section:
9    "Health care worker" means an individual providing direct
10patient care services who may be required to lift, transfer,
11reposition, or move a patient.
12    "Nurse" means an advanced practice nurse, a registered
13nurse, or a licensed practical nurse licensed under the Nurse
14Practice Act.
15    "Safe lifting equipment and accessories" means mechanical
16equipment designed to lift, move, reposition, and transfer



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1patients, including, but not limited to, fixed and portable
2ceiling lifts, sit-to-stand lifts, slide sheets and boards,
3slings, and repositioning and turning sheets.
4    "Safe lifting team" means at least 2 individuals who are
5trained in the use of both safe lifting techniques and safe
6lifting equipment and accessories, including the
7responsibility for knowing the location and condition of such
8equipment and accessories.
9    (b) A hospital must adopt and ensure implementation of a
10policy to identify, assess, and develop strategies to control
11risk of injury to patients and nurses and other health care
12workers associated with the lifting, transferring,
13repositioning, or movement of a patient. The policy shall
14establish a process that, at a minimum, includes all of the
16        (1) Analysis of the risk of injury to patients and
17    nurses and other health care workers posted by the patient
18    handling needs of the patient populations served by the
19    hospital and the physical environment in which the patient
20    handling and movement occurs.
21        (2) Education and training of nurses and other direct
22    patient care providers in the identification, assessment,
23    and control of risks of injury to patients and nurses and
24    other health care workers during patient handling and on
25    safe lifting policies and techniques and current lifting
26    equipment.



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1        (3) Evaluation of alternative ways to reduce risks
2    associated with patient handling, including evaluation of
3    equipment and the environment.
4        (4) Restriction, to the extent feasible with existing
5    equipment and aids, of manual patient handling or movement
6    of all or most of a patient's weight except for emergency,
7    life-threatening, or otherwise exceptional circumstances.
8        (5) Collaboration with and an annual report to the
9    nurse staffing committee.
10        (6) Procedures for a nurse to refuse to perform or be
11    involved in patient handling or movement that the nurse in
12    good faith believes will expose a patient or nurse or other
13    health care worker to an unacceptable risk of injury.
14        (7) Submission of an annual report to the hospital's
15    governing body or quality assurance committee on
16    activities related to the identification, assessment, and
17    development of strategies to control risk of injury to
18    patients and nurses and other health care workers
19    associated with the lifting, transferring, repositioning,
20    or movement of a patient.
21        (8) In developing architectural plans for construction
22    or remodeling of a hospital or unit of a hospital in which
23    patient handling and movement occurs, consideration of the
24    feasibility of incorporating patient handling equipment or
25    the physical space and construction design needed to
26    incorporate that equipment.



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1        (9) Fostering and maintaining patient safety, dignity,
2    self-determination, and choice, including the following
3    policies, strategies, and procedures:
4            (A) the existence and availability of a trained
5        safe lifting team;
6            (B) a policy of advising patients of a range of
7        transfer and lift options, including adjustable
8        diagnostic and treatment equipment, mechanical lifts,
9        and provision of a trained safe lifting team;
10            (C) the right of a competent patient, or guardian
11        of a patient adjudicated incompetent, to choose among
12        the range of transfer and lift options, subject to the
13        provisions of subparagraph (E) of this paragraph (9);
14            (D) procedures for documenting, upon admission and
15        as status changes, a mobility assessment and plan for
16        lifting, transferring, repositioning, or movement of a
17        patient, including the choice of the patient or
18        patient's guardian among the range of transfer and lift
19        options; and
20            (E) incorporation of such safe lifting procedures,
21        techniques, and equipment as are consistent with
22        applicable federal law.
23(Source: P.A. 96-389, eff. 1-1-10; 96-1000, eff. 7-2-10.)".