Ill. Admin. Code tit. 77, § 635.80 - Written Policies, Protocols and Procedures of Delegate Agencies
a) The delegate
agency must develop written policies, protocols and procedures for family
planning services. Written policies, protocols and procedures under which
physicians, nurse practitioners, certified nurse midwives, physician assistants
and nutritionists provide family planning services must be approved by the
delegate agency's medical director.
b) Policies regarding eligibility for
services shall not exclude anyone on the basis of duration of residency, age,
race, marital status, religion, color, national origin, creed, handicap, sex,
number of pregnancies, method of referral, or contraceptive preference.
Services shall be provided only on a voluntary basis. These documents shall be
updated as needed based on current state of the art in family planning and
Federal and State Regulations. Agency protocols will be subject to intensive
review at site visits by Department staff to determine their completeness and
compliance with this Part.
c)
Written policies, protocols and procedures must include:
1) Intake procedures for new
clients
2) Patient
education
3) Obtaining written
informed consent
4) Schedule and
content of visits
A) Initial
B) Annual
C) Scheduled return visits, specific to type
of method of contraception
D)
Problem visits, specific to type of problem
5) Counseling procedures
6) Referral procedures
7) Follow-up procedures for appointments,
failed appointments, and referrals
8) Maintenance of client records
9) Approved medical orders
10) Maintenance and distribution of
pharmaceuticals
11) Organizational
structure of the unit and functional responsibilities of medical, nursing and
ancillary personnel
12) Medical
Procedures
A) Pap smears and gonorrhea
cultures
B) Intrauterine device
(IUD) insertions
C) Fitting
diaphragms/cervical caps
D)
Treatment of sexually transmitted diseases (STD)
E) Initiating oral contraceptives
F) Laboratory procedures
G) Treatment of minor gynecologic
problems
H) Other medical
procedures performed
13)
Release of patient records
14)
Emergency procedures
Notes
Amended at 14 Ill. Reg. 20783, effective January 1, 1991
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