59 Ill. Adm. Code 115.240
Medical Services and Medications
Section 115
Section 115.240Â Medical Services
and Medications
When medical services and/or
medications are provided, or their administration is supervised, by employees
of the licensed CILA agency, the licensed CILA agency shall certify that they
are provided or their administration is supervised in accordance with the Mental
Health and Developmental Disabilities Administrative Act [20 ILCS 1705] and the
Illinois Nurse Practice Act [225 ILCS 65]. The licensed CILA agency must comply
with 59 Ill. Adm. Code 116. The CILA agency shall additionally document:
a)Â Â Â Â Â Â Â Â A licensed physician (MD or DO) shall be responsible for
medical services, including prescription of medications.
b)Â Â Â Â Â Â Â Â A physician shall perform an examination of the individual
prior to the initiation of psychotropic medications.
c)Â Â Â Â Â Â Â Â Screening, using the AIMS (Abnormal Involuntary Movement
Skills), for and documentation of abnormal involuntary movements, including
tardive dyskinesia, in individuals receiving prescribed psychotropics shall be
completed at least every six months by the prescribing clinician or employees
trained in performing this type of assessment.
d)Â Â Â Â Â Â Â Â A physician shall review the medications prescribed and shall
see the individual at least every six months, and more frequently if required
by a psychiatrist. Physician documentation within the individual's record shall
include, but is not limited to, the following:
1)Â Â Â Â Â Â Â Â Rationale for continuing current medications and/or initiating
new medications; and
2)Â Â Â Â Â Â Â Â Medication side effects.
e)Â Â Â Â Â Â Â Â A licensed medical professional must evaluate the ability of
the individual to self-administer medication. Ability to self-administer
medication must be reassessed at least annually. Individuals with
developmental disabilities must be evaluated using Department approved
screening and assessment tools, in accordance with 59 Ill. Adm. Code 116.
f)Â Â Â Â Â Â Â Â A medical professional who is licensed to prescribe
medications will either review psychotropic medications or be available for
consultation when psychotropic medications have been prescribed.
g)Â Â Â Â Â Â Â Â All medications shall be labeled.
h)Â Â Â Â Â Â Â Â A physician or pharmacist shall make available to the CILA
agency's nurse and administrative staff, and to the individual and family,
information on expected consequences, potential benefits, and side effects of
any prescribed medication.