59 Ill. Adm. Code 116.100
Quality Assurance
Section 116
Section 116.100Â Quality
Assurance
a)Â Â Â Â Â Â Â Â A registered professional nurse, advanced practice nurse,
licensed practical nurse, pharmacist or physician shall review the following
for all individuals:
1)Â Â Â Â Â Â Â Â medication orders;
2)Â Â Â Â Â Â Â Â medication labels and medications listed on the MAR to ensure
that they match physician orders; and
3)Â Â Â Â Â Â Â Â MARs (for persons who are not self-medicating) to ensure that
they are completed appropriately for:
A)Â Â Â Â Â Â Â medication administered as prescribed;
B)Â Â Â Â Â Â Â refusal by the individual; and
C)Â Â Â Â Â Â Â full signatures provided for all initials used.
b)Â Â Â Â Â Â Â Â Reviews, as described in subsection (a), shall occur at least
quarterly, but may be done more frequently at the discretion of the registered
professional nurse and/or advanced practice nurse.
c)Â Â Â Â Â Â Â Â At least annually, the agency, inclusive of the Nurse-Trainer,
shall summarize and analyze all medication errors to identify patterns and
trends and establish corresponding corrective action. The analysis and
corrective action must be documented and that documentation shall be retained
by the agency for at least five years.
d)Â Â Â Â Â Â Â All quality assurance records shall be confidential and may
only be disclosed in accordance with Article VIII, Part 21, of the Code of
Civil Procedure [735 ILCS 5/8-2101 through 8-2105].