77 Ill. Adm. Code 205.320
Presence of Qualified Physician
Section 205
Section 205.320Â Presence of
Qualified Physician
a)Â Â Â Â Â Â Â Â A qualified physician shall be present at the facility until
all patients are medically discharged, unless the facility possesses a written
transfer agreement with a hospital and a qualified physician certifies that all
remaining patients in the facility meet the criteria in this Section at the
time the last remaining qualified physician departs the facility. The
following criteria shall be met if a qualified physician will not be physically
present at a facility:
1)Â Â Â Â Â Â Â Â The patient is awake, physiologically stable, has experienced
no intraoperative or postoperative complications;
2)Â Â Â Â Â Â Â Â The patient does not require the administration of whole blood
or any blood products;
3)Â Â Â Â Â Â Â Â The patient is three years of age or older;
4)Â Â Â Â Â Â Â Â The patient does not have an active, acute or chronic
infectious condition;
5)Â Â Â Â Â Â Â Â The patient falls within anesthesia class I, II or III, if he
or she is medically stable (anesthesia class I indicates a normal, healthy
patient, anesthesia class II is a patient with mild systemic disease, and
anesthesia class III is a patient with severe systemic disease);
6)Â Â Â Â Â Â Â Â The level of care needed by the patient is consistent with
recovery care for generally healthy patients undergoing surgical procedures
that require nursing care, pain control or observation;
7)Â Â Â Â Â Â Â Â Hospitalization is not required; and
8)Â Â Â Â Â Â Â Â The facility has met all other level of care criteria
established by the qualified consulting committee.
b)Â Â Â Â Â Â Â Â The facility shall provide a sufficient number of properly
trained and supervised staff to meet the needs of each patient. When a
qualified physician is not on-site, the facility shall have at least two RNs on
duty and present at the facility when patients are in a facility. All nursing
staff providing care to patients shall meet the following criteria:
1)Â Â Â Â Â Â Â Â Be certified for advanced cardiac life support (ACLS) and, if
applicable, pediatric advanced cardiac life support (PALS); and
2)Â Â Â Â Â Â Â Â Have a minimum of two years of experience within the last five
years in a post-anesthesia recovery unit or medical/surgical unit of an acute
care hospital or ambulatory surgical treatment center.
c)Â Â Â Â Â Â Â Â A qualified physician shall be on-call and able to be
physically present in the facility within 15 minutes after a request from an
on-duty RN.
d)Â Â Â Â Â Â Â Â Patients shall be discharged only after a written signed order
by a member of the medical staff.
e)Â Â Â Â Â Â Â Â The discharge criteria shall be defined in writing by the
qualified consulting committee.