Sen. Linda Holmes
Filed: 4/1/2011
 
 


 




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1
AMENDMENT TO SENATE BILL 1577




2 AMENDMENT NO. ______. Amend Senate Bill 1577 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 
15following:
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.)".