Ill. Admin. Code tit. 77, § 245.40 - Staffing and Staff Responsibilities
a) Home
Health Administrator or Agency Manager. The administrator or agency manager
shall have the following responsibilities:
1)
Ensure that the agency is in compliance with all applicable federal, State and
local laws;
2) Be familiar with the
applicable rules of the Department and maintain them within the
agency;
3) Familiarize all
employees as well as providers through contractual purchase of services with
the Act and the rules of the Department and make copies available for their
use;
4) Ensure that reports and
records as required by the Department are completed, maintained and
submitted;
5) Maintain ongoing
liaison with the governing body, staff members and the community;
6) Maintain a current organizational chart to
show lines of authority down to the patient or client level;
7) Manage business affairs and the overall
operation of the agency;
8)
Maintain personnel records, administrative records and all policies and
procedures of the agency;
9) Employ
qualified personnel in accordance with job descriptions;
10) Provide orientation of new staff,
regularly scheduled in-service education programs and opportunities for
continuing education for the staff;
11) Designate in writing the qualified staff
member to act in the absence of the administrator;
12) Provide and maintain an office with a
working telephone that is staffed during the agency's business hours.
A) The office shall be adequately equipped
for an efficient work environment.
B) The office shall be maintained to protect
the confidentiality of patient and client records (physical or
electronic).
C) The office shall
provide a safe working environment that complies with local ordinances and
regulations related to fire safety.
13) Adopt and enforce a written policy
identifying the agency's operating hours and including, at a minimum,
provisions that ensure clients and patients are provided information regarding
the procedures for accessing care from the agency or another health care
provider outside of the agency's operating hours.
b) Home Health Aide
1) When home health aide services are
offered, the services shall be under the supervision of an RN in accordance
with the plan of treatment. The RN shall assign the home health aide to a
particular patient. The RN or the appropriate therapist (e.g., physical,
occupational or speech therapist) shall prepare written instructions for
patient care.
2) Duties of the home
health aide may include:
A) Performing simple
procedures as an extension of therapeutic services;
B) Skilled personal care and personal care,
as defined in this Part;
C) Patient
ambulation and exercise;
D)
Household services essential to health care at home;
E) Assisting with medications that are
ordinarily self-administered;
F)
Reporting changes in the patient's or client's condition and needs to the RN or
the appropriate therapist; and
G)
Completing appropriate records.
3) For home health agencies, the supervising
RN or appropriate therapist shall make a supervisory visit to the patient's
residence at least every two weeks either when the home health aide is present
to observe and assist, or when the home health aide is absent.
A) If an area of concern in aide services is
noted by the supervising RN or other appropriately skilled professional, then
the supervising individual shall make an on-site visit to the location where
the patient is receiving care in order to observe and assess the aide while the
aide is performing care no later than the next supervisory visit.
B) A supervising RN or other appropriately
skilled professional shall make an annual on-site visit to the location where a
patient is receiving care in order to observe and assess each aide while the
aide is performing care.
C) The
purpose of the supervisory visits is to assess relationships and determine that
the aide furnishes care in a safe and effective manner by following the
patient's plan, demonstrating competency with assigned tasks, complying with
infection prevention and control policies and procedures, reporting changes in
the patient's condition, honoring the patient's rights, and maintaining open
communication.
4) For
home nursing agencies, the supervising RN shall make a supervisory visit to the
patient's/client's residence at least every 60 days when the home health aide
is present to observe and assist, or when the home health aide is absent.
A) If an area of concern is noted by the
supervising RN in the care provided by the home health aide, then the
supervising individual shall make an on-site visit to the location where the
patient is receiving care in order to observe and assess the aide while the
aide is performing care no later than the next supervisory visit.
B) A supervising RN shall make an annual
on-site visit to the location where a patient is receiving care in order to
observe and assess each aide while the aide is performing care.
C) The purpose of the supervisory visits is
to assess relationships and determine that the aide furnishes care in a safe
and effective manner by following the patient's plan, demonstrating competency
with assigned tasks, complying with infection prevention and control policies
and procedures, reporting changes in the patient's condition, honoring
patient's rights, and maintaining open communication.
c) Home Services or In-Home
Services Worker
1) As defined in this Part and
under the Act, home services or in-home services means assistance with
activities of daily living, housekeeping, personal laundry, and companionship
provided to an individual in his or her personal residence, which are intended
to enable that individual to remain safely and comfortably in his or her own
personal residence. Home services or in-home services does not include services
that would be required to be performed by an individual licensed under the
Nurse Practice Act. (Section 2.09 of the Act) Home services are
focused on providing assistance that is not medical in nature, but is based
upon assisting the client in meeting the demands of living independently and
maintaining a personal residence, such as companionship, cleaning, laundry,
shopping, meal preparation, dressing, and bathing.
2) Home services or in-home services workers
shall provide services only in accordance with this Part.
3) Duties of home services or in-home
services workers may include the following:
A)
Observation of client functioning and reporting changes to their supervisor or
employer or to a person designated by the client;
B) Assistance with household chores,
including cooking and meal preparation, cleaning and laundry;
C) Assistance in completing activities such
as shopping and appointments outside of the home;
D) Companionship;
E) Completion of appropriate records
documenting service provision; and
F) Assistance with activities of daily living
and personal care.
4) To
delineate the types of services that can be provided by a home services worker,
the following are examples of acceptable tasks and also limitations when a more
medical model of assistance would be needed to meet the higher needs of the
client.
A) Skin Care. A home services worker
may perform general skin care assistance. Except for the application of simple
bandages as first aid, skin care may be performed by a home services worker
only when skin is unbroken, and when any chronic skin problems are not active.
The skin care provided by a home services worker shall be preventative rather
than therapeutic in nature, and may include the application of non-medicated
lotions and solutions, or of lotions and solutions not requiring a prescription
from a health care professional. Skilled skin care shall be provided only by an
agency licensed as a home health or home nursing services agency. Skilled skin
care includes wound care, dressing changes, application of prescription
medications, skilled observation and reporting.
i) The client or client's representative
shall be able to provide ongoing feedback and advocate for their needs,
including indications of potential harm and discomfort, to the home services
worker;
ii) The home services
worker shall have completed training in first aid for a lay person;
and
iii) The agency shall have
conducted a competency evaluation of the home services worker's ability to
employ the methods required to implement first aid effectively and
safely.
B) Ambulation. A
home services worker may assist clients with ambulation. Clients in the process
of being trained to use adaptive equipment for ambulation, such as walkers,
canes or wheelchairs, require supervision by an agency licensed to provide home
health or home nursing services during the period of training. Once the
prescribing health care professional or the health care provider responsible
for training the client and/or home services worker is comfortable with
releasing the client to work on the client's own with the adaptive equipment, a
home services worker may assist with ambulation.
i) The client or client's representative
shall be able to provide ongoing feedback to the home services worker including
indications of potential harm and discomfort, and advocate for their
needs;
ii) The home services worker
shall have completed training in the methods required to assist clients with
adaptive equipment for ambulation; and
iii) The agency shall have conducted a
competency evaluation of the home services worker's ability to employ the
methods required to assist those clients who require the use of adaptive
equipment for ambulation effectively and safely.
C) Bathing. A home services worker may assist
clients with bathing. When a client has skilled skin care needs or skilled
dressings that will need attention before, during, or after bathing, the client
shall be in the care of an agency licensed as a home health agency or a home
nursing agency to meet those specific needs. Home services workers may assist
individuals in all types of bathing (e.g. tub, shower, sponge, bed) only when
the following requirements are met:
i) The
client or client's representative shall be able to provide ongoing feedback to
the home services worker including indications of potential harm and
discomfort, and advocate for their needs;
ii) The home services worker shall have
completed training in the particular methods required to perform the
client-specific bath, including the observations of indications of potential
harm or discomfort;
iii) The agency
shall have conducted a competency evaluation of the home services worker's
ability to employ the methods required to perform the bath; and.
iv) The agency shall conduct annual training
and competency evaluation for skills to perform all types of bathing
effectively and safely.
D) Dressing. A home services worker may
assist a client with dressing. This may include assistance with ordinary
clothing and application of support stockings of the type that can be purchased
without a prescription from a health care professional. A home services worker
may not assist with applying an elastic bandage that can be purchased only with
a prescription from a health care professional (the application of which
involves wrapping a part of the client's body) or with applying a sequential
compression device that can be purchased only with a prescription from a health
care professional unless the following requirements are met:
i) The client's prescribing health care
professional has issued an order allowing the home service worker to apply the
compression device as a part of daily activities of living;
ii) The client or client's representative
shall be able to provide ongoing feedback to the home services worker including
indications of potential harm and discomfort, and advocate for their
needs;
iii) The home services
worker shall have completed training in the application of the compression
device, including observations of indications of potential harm or discomfort;
and
iv) The agency shall have
conducted a competency evaluation of the home services worker's ability to
employ the methods required to apply the compressional device effectively and
safely.
E) Exercise. A
home services worker may assist a client with exercise. Passive assistance with
exercise that can be performed by a home services worker is limited to
encouraging normal bodily movement, as tolerated, on the part of the client,
and encouragement with a prescribed exercise program. A home services worker
shall not perform passive range of motion.
F) Feeding. A home services worker may
provide assistance with feeding. Home services workers can assist clients with
feeding when the client can independently swallow and be positioned upright.
Assistance by a home services worker does not include syringe, tube feedings,
and intravenous nutrition. Whenever there is a high risk that the client may
choke as a result of the feeding, the client shall be in the care of an agency
licensed as a home health or home nursing agency to fulfill this function. The
home services worker can assist the client by opening a pre-measured thickening
product to be added to liquids as per client request and under direct client
observation when the following requirements are met:
i) The client or client's representative
shall be able to provide ongoing feedback to the home services worker including
indications of potential harm and discomfort, and advocate for their
needs;
ii) The home services worker
shall have completed training in the indications, precautions, and methods
required to use pre-measured thickening products; and
iii) The agency shall have conducted a
competency evaluation of the home services worker's ability to employ the
methods required to use pre-measured thickening products effectively and
safely.
G) Hair Care. As
a part of the broader set of services provided to clients who are receiving
home services, home services workers may assist clients with the maintenance
and appearance of their hair, including shampooing with a non-medicated
shampoo, drying, combing, and styling. Home services workers may use a shampoo
prescribed by the client's health care professional only if the following
requirements are met:
i) The client's
prescribing health care professional has issued an order allowing the home
service worker to apply the prescription shampoo;
ii) The client or client's representative
shall be able to provide ongoing feedback to the home services worker including
indications of potential harm and discomfort, and advocate for their
needs;
iii) The home services
worker shall have completed training in the methods required to apply
prescription shampoo, including the importance of observing any open skin
lesions, and shall document and report these to the agency and client's
emergency contact;
iv) The agency
shall have conducted a competency evaluation of the home services worker's
ability to employ the methods required to apply prescription shampoo
effectively and safely; and
v) The
agency shall conduct annual training and competency evaluation for skills to
apply and observe clients during shampooing.
H) Mouth Care. A home services worker may
assist in and perform mouth care. This may include denture care and basic oral
hygiene, including oral suctioning for mouth care. Mouth care for clients who
are unconscious shall be performed by an agency licensed as a home health
agency or home nursing agency.
I)
Nail Care. A home services worker may assist with nail care. This assistance
may include soaking of nails, pushing back cuticles without utensils, and
filing nails. Assistance by a home services worker shall not include nail
trimming. If a client has a medical condition that might involve peripheral
circulatory problems or loss of sensation, a home services worker may file the
client's nails only if the following requirements are met:
i) The client's health care professional has
issued an order allowing the home service worker to file the client's
nails;
ii) The client or client's
representative shall be able to provide ongoing feedback to the home services
worker, including indications of potential harm or discomfort, and advocate for
their needs;
iii) The home services
worker shall have completed training in the methods required to assist with
nail care, including the importance of observing for and reporting of any
potential signs of injury or harm for a client with peripheral circulatory
conditions; and
iv) The agency
shall have conducted a competency evaluation of the home services worker's
ability to employ the methods required to perform nail care effectively and
safely and to observe and report potential signs of injury or harm.
J) Positioning. A home services
worker may assist a client with positioning when the client is able to identify
to the personal care staff, either verbally, non-verbally or through others,
when the position needs to be changed. For clients that are unable to identify
when their position needs to be changed, a home services worker may assist with
client position per subsection
245.210(d)(2)
and as instructed by the service plan, only when skilled skin care, as
previously described, is not required in conjunction with the positioning.
Positioning may include simple alignment in a bed, wheelchair, or other
furniture. A home services worker may assist a client with positioning only if
the following requirements are met:
i) The
home services worker shall have completed training in the methods required to
monitor and observe verbal and non-verbal indications and cues from the client
that re-positioning may be needed, the indications of and procedures for
positioning and repositioning of clients, and the importance of following the
service plan concerning the client's positioning needs, including, when
possible, reminders to clients concerning the importance of
repositioning.
ii) The client or
client's representative shall be able to provide ongoing feedback (including
non-verbal indications and cues) and advocate for their needs, including
indications of potential harm or discomfort by the home services worker during
any repositioning. If the client representative is present when the position
needs to be changed, the client's representative shall be able to assist with
the repositioning, either directly or by providing ongoing feedback, including
indications of potential harm or discomfort, to the home services worker;
and
iii) The agency shall have
conducted a competency evaluation of the home services worker's ability to
employ the methods required to perform repositioning effectively and safely as
needed.
K) Shaving. A
home services worker may assist a client with shaving only with an electric or
a safety razor.
L) Toileting. A
home services worker may assist a client to and from the bathroom; provide
assistance with bed pans, urinals, and commodes; provide pericare; or change
clothing and pads of any kind used for the care of incontinence.
i) A home services worker may empty or change
external urine collection devices, such as catheter bags or suprapubic catheter
bags. In all cases, the insertion and removal of catheters and care of external
catheters is considered skilled personal care and shall not be performed by a
home services worker.
ii) A home
services worker may empty ostomy bags and provide assistance with other
client-directed ostomy care only when there is no need for skilled personal
skin care or for observation or reporting to a nurse. A home services worker
shall not perform digital stimulation, insert suppositories, or give an
enema.
M) Transfers. A
home services worker may assist with transfers, transfers using adaptive
equipment (e.g., wheelchairs, tub seats, and grab bars), transfers using safety
equipment (e.g., gait belts), and transfers using a mechanical or electrical
transfer device only when the client has sufficient balance and strength to
reliably stand and pivot and assist with the transfer either directly or by
providing ongoing feedback, including indications of potential harm or
discomfort, to the home services worker through either verbal or non-verbal
indications and cues, and the following conditions are met:
i) The client or client's representative can
provide ongoing feedback to the home services worker, including indications of
potential harm or discomfort through either verbal or non-verbal indications
and cues, and advocate for their needs;
ii) The home services worker shall have
completed training in transfer techniques and any client-specific adaptive
equipment, safety equipment, and mechanical or electrical transfer devices;
and
iii) The agency shall have
conducted a competency evaluation of the home services worker's ability to
employ the methods required to perform transfers effectively and safely,
including any adaptive equipment, safety equipment, and mechanical or
electrical transfer devices.
N) Medication Reminding. A home services
worker may assist a client with medication reminding only when medications have
been pre-selected by the client, a family member, a nurse, or a pharmacist and
are stored in containers other than the prescription bottles, such as
medication minders. Medication minder containers shall be clearly marked as to
day and time of dosage. Medication reminding includes: inquiries as to whether
medications were taken; verbal prompting to take medications; handing the
appropriately marked medication minder container to the client; and opening the
appropriately marked medication minder container for the client if the client
is physically unable to open the container. These limitations apply to all
prescription and all over-the-counter medications. The home services worker
shall immediately report to the supervisor, or, in the case of a placement
worker, to the client or the client's advocate or designee, any irregularities
noted in the pre-selected medications, such as medications taken too often or
not often enough, or not at the correct time as identified in the written
instructions.
O) Respiratory Care.
A home services worker shall not provide respiratory care except within the
limitations as enumerated in this Section. Respiratory care is skilled personal
care and includes postural drainage; cupping; adjusting oxygen flow within
established parameters; nasal, endotracheal and tracheal suctioning; and
turning off or changing tanks. However, a home services worker may temporarily
remove and replace a cannula or mask from the client's face for the purposes of
shaving or washing a client's face and may provide oral suctioning. A home
services worker may assist the client with changing the oxygen delivery system
from a stationary system to a portable system as directed by the client and the
client's health care professional to enable client transport, or in emergency
situations such as loss of electrical power in the client's home (stationary
systems are electrically powered devices). For the purposes of this Section, a
"stationary system" refers to an oxygen concentrator used for at-home oxygen
therapy and is not intended to be fully mobile. For those home services workers
that are assigned to clients who require continuous supplemental oxygen
therapy, the home services worker may assist the client with changing of the
delivery system from stationary to portable only when the following conditions
are met:
i) The home services worker shall
have completed training in switching client-specific oxygen delivery systems
from stationary to portable and the risks associated with improper adjustment
of O2 flow rates;
ii) The agency
shall have conducted a competency evaluation of the home service's workers
ability to employ the methods required to change the oxygen delivery system
effectively and safely, including any client-specific equipment; and
iii) A home services agency seeking to have a
home services worker assist a client with changing of oxygen delivery systems
shall maintain an individual on staff that has been trained and is able to
conduct training and administer competency evaluation for any home services
worker assisting clients with changing of the delivery system from stationary
to portable.
P) A home
services worker may remind a client to perform client monitoring, including
monitoring of heart rate, blood pressure, oxygen saturation, and temperature
and weight. The home service agency shall not provide the client and/or family
any service to interpret the data or to take clinical action of the monitoring
results. The home services worker may assist the client with the application of
the heart rate, blood pressure, and oxygen saturation device and assist the
client with recording the device reading.
5) In addition to the exclusions prescribed
in subsection (c)(4), home services workers shall not act in the following
capacities:
A) Provide skilled personal care
services to clients as defined in Section
245.20;
B) Become or act as a power of attorney for
clients;
C) Be involved in any
financial transactions of the client outside of contracted services. In these
cases, the home services worker shall follow agency policies in regard to
securing receipts for items purchased and ensuring both client and worker
signatures documenting those expenditures;
D) Perform or provide medication setup for a
client; and
E) Other actions
specifically prohibited by agency policy or other State laws.
6) Supervision of a home services
worker shall include the following (these provisions do not apply to placement
agencies):
A) An individual who is in a
supervisory capacity shall be designated and available to the worker for
responses to questions at all times.
B) On-site supervision shall take place at a
minimum of every 90 days or more often if the plan of service requires it. The
supervisory visits may be made when the home services worker is present so that
the supervisor may observe, or when the home services worker is absent so that
the supervisor may assess relationships and determine whether the service plan
is being met.
i) If an area of concern in the
performance of a home service worker is noted by the supervisor, then the
supervising individual shall make an on-site visit to the location where the
client is receiving services in order to observe and assess the home service
worker while he or she is performing care no later than the next supervisory
visit.
ii) The supervisor shall
make an annual on-site visit to the location where a client is receiving care
in order to observe and assess each home service worker while he or she is
performing care.
iii) The purpose
of the supervisory visits is to assess relationships and determine that the
home service worker furnishes care in a safe and effective manner by following
the client's service plan, demonstrating competency with assigned tasks,
complying with infection prevention and control policies and procedures,
reporting changes in the patient's condition, honoring patient's rights, and
maintaining open communication.
C) Supervision does not constitute time or an
activity that can be billed as a service to the client or consumer.
d) Licensed Practical
Nurse
1) The licensed practical nurse may
perform selected acts in accordance with the Nurse Practice Act and under the
direction of an RN, including administering treatments and medications in the
care of the ill, injured or infirm; health maintenance; and illness
prevention.
2) The licensed
practical nurse shall report changes in the patient's condition to the RN, and
these reports shall be documented in the clinical notes.
3) The licensed practical nurse shall prepare
clinical notes for the clinical record.
e) Social Worker. When medical social
services are provided, the social worker or social work assistant under the
supervision of a social worker shall provide the services in accordance with
the plan of treatment. These services shall include the following:
1) Assist the physician or podiatrist and
other members of the health team in understanding significant social and
emotional factors related to the patient's health problems.
2) Assess the social and emotional factors to
estimate the patient's capacity and potential to cope with the problems of
daily living.
3) Help the patient
and family to understand, accept, and follow medical recommendations and
provide services planned to restore the patient to the optimum social and
health adjustment within the patient's capacity.
4) Assist the patient and family with
personal and environmental difficulties that predispose toward illness or
interfere with obtaining maximum benefits from medical care.
5) Use all available resources, such as
family and community agencies, to assist the patient to resume life in the
community or to live within the disability.
6) Observe, record and report social and
emotional changes.
7) Prepare
clinical and progress notes for the clinical record.
8) Supervise the social work assistant, which
shall include the following:
A) A licensed
social worker shall be accessible by telephone to the social work assistant at
all times while the social work assistant is treating patients.
B) On-site supervision shall take place every
four to six visits. The supervisory visits may be made either when the social
work assistant is present so that the supervisor may observe and assist, or
when the social work assistant is absent so that the supervisor may assess
relationships and determine whether goals are being met.
C) Supervision does not constitute
treatment.
D) The supervisory visit
shall include a complete on-site assessment, an on-site review of activities
with appropriate revision of treatment plan, and an assessment of the use of
outside resources.
f) Occupational Therapist and Occupational
Therapy Assistant. When occupational therapy services are required, an
occupational therapist or an occupational therapy assistant under the
supervision of an occupational therapist shall provide the services in
accordance with the plan of treatment and within the licensee's scope of
practice as established by the Illinois Occupational Therapy Practice Act.
These services shall include the following:
1)
Instruct other health team personnel, including, when appropriate, home health
aides and family members in certain phases of occupational therapy in which
they may work with the patient.
2)
Prepare clinical and progress notes for the clinical record.
3) Supervise the occupational therapy
assistant, which shall include the following:
A) A licensed occupational therapist shall be
accessible by telephone to the occupational therapy assistant at all times
while the occupational therapy assistant is treating patients.
B) On-site supervision shall take place every
four to six visits. The supervisory visits may be made either when the
occupational therapy assistant is present so that the supervisor may observe
and assist, or when the occupational therapy assistant is absent so that the
supervisor may assess relationships and determine whether goals are being
met.
C) Supervision does not
constitute treatment.
D) The
supervisory visit shall include a complete on-site functional assessment, an
on-site review of activities with appropriate revision of treatment plan, and
an assessment of the use of outside resources.
g) Physical Therapist and Physical Therapist
Assistant
1) When physical therapy services
are provided, a physical therapist or a physical therapist assistant under the
supervision of a physical therapist shall provide the services in accordance
with the plan of treatment and within the licensee's scope of practice as
established by the Illinois Physical Therapy Act. These services shall include
the following:
A) Instruct other health team
personnel, including, when appropriate, home health aides and family members,
in certain phases of physical therapy with which they may work with the
patient.
B) Instruct the patient
and family in the total physical therapy program.
C) Prepare clinical and progress notes for
the clinical record.
2)
Supervision of the physical therapist assistant shall include the following:
A) A licensed physical therapist shall be
accessible by telephone to the physical therapist assistant at all times while
the physical therapist assistant is treating patients.
B) On-site supervision shall take place every
four to six visits. The supervisory visits may be made either when the physical
therapist assistant is present so that the supervisor may observe and assist,
or when the physical therapist assistant is absent so that the supervisor may
assess relationships and determine whether goals are being met.
C) Supervision does not constitute
treatment.
D) The supervisory visit
shall include a complete on-site functional assessment, an on-site review of
activities with appropriate revision of treatment plan, and an assessment of
the utilization of outside resources.
3) The physical therapist assistant shall:
A) Be directed by and under the supervision
of a licensed physical therapist and within the licensee's scope of practice as
established by the Illinois Physical Therapy Act;
B) Administer the physical therapy program as
established by the physical therapist;
C) Observe patient's progress and response to
treatment, and report to the physical therapist; and
D) Confer with members of the health care
team for planning, modifying and coordinating treatment programs.
h) Registered
Professional Nurse. The RN may perform selected acts in accordance with the
Nurse Practice Act. Skilled nursing services shall be provided by an RN in
accordance with the plan of treatment. The RN shall:
1) Be responsible for the observation,
assessment, nursing diagnosis, counsel, care and health teaching for patients,
and health maintenance and illness prevention for others;
2) Maintain a clinical record for each
patient receiving care;
3) Provide
progress notes to the patient's physician or podiatrist about patients under
care when the patient's conditions change or there are deviations from the plan
of care, or at least every 60 days for a home health agency and every 90 days
for a home nursing agency;
4) In
the case of an RN working as a part of a home health or home nursing agency,
make home health aide assignments, prepare written instructions for the home
health aide, and supervise the home health aide in the home;
5) Direct the activities of the licensed
practical nurse;
6) Administer
medications and treatments as prescribed by the patient's physician or
podiatrist; and
7) Act as the
coordinator of the health care team in order to maintain the proper linkages
within a continuum of care.
i) Speech-Language Pathologist. The
speech-language pathologist may perform selected acts in accordance with the
Illinois Speech-Language Pathology and Audiology Practice Act. When required,
speech therapy services shall be provided by a speech-language pathologist in
accordance with the plan of treatment. The speech-language pathologist shall:
1) Assist the physician in determining and
recommending appropriate speech and hearing services;
2) Evaluate the patient's speech and language
abilities and establish a plan of care;
3) Provide rehabilitation services for speech
and language disorders;
4) Record
and report to the patient's physician the patient's progress in treatment and
any changes in the patient's condition and plan of care;
5) Instruct other health team personnel and
family members in methods of assisting the patient in improving communication
skills; and
6) Prepare clinical and
progress notes for the clinical record.
j) Audiologist. The audiologist may perform
selected acts in accordance with the Illinois Speech-Language Pathology and
Audiology Practice Act. When audiology services are required, an audiologist
shall provide the services in accordance with the plan of treatment. The
audiologist shall:
1) Administer diagnostic
hearing tests to evaluate the patient's audiological abilities;
2) Assess the patient's need for
amplification;
3) Provide
rehabilitative services for hearing disorders;
4) Instruct other health team personnel and
family members in methods of assisting the patient in improving communication
skills; and
5) Record and report to
the patient's physician the patient's response to rehabilitative
intervention.
k) Student
Training Program. When an agency elects to participate with an educational
institution to provide clinical experience for students as part of their
health-related professional training, a written agreement between the agency
and each educational institution shall specify the responsibilities of the
agency and the educational institution. The agreement shall include, at a
minimum, the following provisions:
1) The
agency retains the responsibility for client care;
2) The educational institution retains the
responsibility for student education;
3) Student and faculty performance
expectations;
4) Faculty
supervision of undergraduate students in the clinic and the field;
5) Ratio of faculty to students;
6) Confidentiality regarding patient
information;
7) Required insurance
coverage; and
8) Provisions for the
agency and faculty to jointly evaluate the students' performance and the
training program.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.