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1 | AN ACT concerning health.
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2 | Be it enacted by the People of the State of Illinois,
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3 | represented in the General Assembly:
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4 | Section 1. Short title. This Act may be cited as the MRSA | ||||||||||||||||||||||||
5 | Screening, Prevention, and Reporting Act for State Residential | ||||||||||||||||||||||||
6 | Facilities. | ||||||||||||||||||||||||
7 | Section 5. Definition. In this Act, "State residential | ||||||||||||||||||||||||
8 | facility" or "facility" means: any Department of Human Services | ||||||||||||||||||||||||
9 | operated residential facility, including any State mental | ||||||||||||||||||||||||
10 | health hospital, State developmental center, or State | ||||||||||||||||||||||||
11 | residential school for the deaf and visually impaired; any | ||||||||||||||||||||||||
12 | Department of Veterans' Affairs operated veterans home; any | ||||||||||||||||||||||||
13 | Department of Corrections operated correctional center, work | ||||||||||||||||||||||||
14 | camp or boot camp, or adult transition center; and any | ||||||||||||||||||||||||
15 | Department of Juvenile Justice operated juvenile center or boot | ||||||||||||||||||||||||
16 | camp.
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17 | Section 10. MRSA control program. In order to improve the | ||||||||||||||||||||||||
18 | prevention of infections due to methicillin-resistant | ||||||||||||||||||||||||
19 | Staphylococcus aureus ("MRSA"), every State residential | ||||||||||||||||||||||||
20 | facility shall establish an MRSA control program that includes | ||||||||||||||||||||||||
21 | the following features: | ||||||||||||||||||||||||
22 | (1) Screening and surveillance. |
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1 | (A) All residents, patients, students, or inmates | ||||||
2 | of the facility undergoing intake medical screening | ||||||
3 | and physical examinations shall be carefully evaluated | ||||||
4 | for skin infections. This screening shall include | ||||||
5 | culturing of skin abscesses, boils, "spider bites", or | ||||||
6 | other suspicious skin conditions. | ||||||
7 | (B) Recently hospitalized residents, patients, | ||||||
8 | students, or inmates of the facility shall be screened | ||||||
9 | for infections immediately upon return to the facility | ||||||
10 | and shall be instructed to report any new onset skin | ||||||
11 | infection or fever.
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12 | (C) Residents, patients, students, or inmates of | ||||||
13 | the facility with risk factors such as diabetes, | ||||||
14 | immunocompromised conditions, open wounds, recent | ||||||
15 | surgery, indwelling catheters, implantable devices, | ||||||
16 | chronic skin conditions, or paraplegia with decubiti | ||||||
17 | shall be evaluated for skin infections during routine | ||||||
18 | medical evaluations. | ||||||
19 | (D) All residents, patients, students, or inmates | ||||||
20 | of the facility with skin infections shall be referred | ||||||
21 | to health services for evaluation. | ||||||
22 | (E) Facility health care providers shall consider | ||||||
23 | MRSA infection in the differential diagnosis for all | ||||||
24 | residents, patients, students, or inmates presenting | ||||||
25 | with a skin or soft tissue infection or any other | ||||||
26 | clinical presentation consistent with a staphylococcal |
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1 | infection. | ||||||
2 | (F) Appropriate bacterial cultures shall be | ||||||
3 | obtained in all cases of suspected MRSA infection. | ||||||
4 | (G) No resident, patient, student, or inmate of the | ||||||
5 | facility with a skin or soft tissue infection shall be | ||||||
6 | transferred to another facility until fully evaluated | ||||||
7 | and appropriately treated except when required for | ||||||
8 | reasons of appropriate security or care. Residents, | ||||||
9 | patients, students, or inmates with MRSA infections | ||||||
10 | requiring transfer shall have draining wounds dressed | ||||||
11 | the day of transfer to contain the draining. Escort | ||||||
12 | personnel shall be notified of the resident, patient, | ||||||
13 | student, or inmate's condition and educated on | ||||||
14 | infection control measures. The clinical director of | ||||||
15 | the sending facility or his or her designee shall | ||||||
16 | notify the receiving institution's clinical director | ||||||
17 | or health services administrator of pending transfers | ||||||
18 | of individuals with MRSA. | ||||||
19 | (2) Reporting. | ||||||
20 | (A) All confirmed MRSA infections shall be | ||||||
21 | documented in the resident, patient, student, or | ||||||
22 | inmate's medical record. | ||||||
23 | (B) All confirmed MRSA infections shall be | ||||||
24 | reported to the director of the department operating | ||||||
25 | the facility and to the Department of Public Health. | ||||||
26 | The report shall indicate whether the MRSA infection |
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1 | was present on intake or contracted at the facility, if | ||||||
2 | known. | ||||||
3 | (3) Prevention. | ||||||
4 | (A) Education. Employees, residents, patients, | ||||||
5 | students, and inmates of the facility shall be provided | ||||||
6 | with information on the transmission, prevention, | ||||||
7 | treatment, and containment of MRSA infections. | ||||||
8 | (B) Hand Hygiene program: Each facility shall | ||||||
9 | develop and implement a hand hygiene program for | ||||||
10 | employees, residents, patients, students, and inmates | ||||||
11 | of the facility that includes adequate hand-washing | ||||||
12 | equipment and supplies and regular training on | ||||||
13 | effective hand hygiene techniques and education on the | ||||||
14 | importance of hand hygiene. These trainings must be | ||||||
15 | conducted at least twice each year and may be conducted | ||||||
16 | in conjunction with other trainings. | ||||||
17 | (C) Sanitation. Each facility shall develop and | ||||||
18 | implement a sanitation program for cleaning and | ||||||
19 | disinfecting the environment that includes the | ||||||
20 | following: | ||||||
21 | (i) Use of an Environmental Protection Agency | ||||||
22 | (EPA)-registered disinfectant according to the | ||||||
23 | manufacturer's instructions. | ||||||
24 | (ii)
Regularly cleaning or disinfecting | ||||||
25 | washable surfaces in residents', patients', and | ||||||
26 | students' rooms, in inmates' cells, and in shared |
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1 | areas such as showers, fitness areas, and food | ||||||
2 | services areas. | ||||||
3 | (iii)
Cleaning or disinfecting restraining | ||||||
4 | devices after every use. | ||||||
5 | (iv)
Treating all linen (towels, sheets, and | ||||||
6 | similar items) as potentially infectious and | ||||||
7 | following recommendations of the Centers for | ||||||
8 | Disease Control and Prevention for laundering. | ||||||
9 | (D) Personal protective equipment. Employees of | ||||||
10 | the facility shall be provided with personal | ||||||
11 | protective equipment (gloves, eye protection, and | ||||||
12 | gowns) for use when contact with blood, body fluids, or | ||||||
13 | wound drainage is likely. | ||||||
14 | (E) Isolation of residents, patients, students, or | ||||||
15 | inmates with MRSA. Each State residential facility | ||||||
16 | shall develop a plan for isolating MRSA-diagnosed | ||||||
17 | residents, patients, students, or inmates from others | ||||||
18 | when a clinician determines the individual to be a high | ||||||
19 | risk for spreading the contagion. Residents, patients, | ||||||
20 | students, or inmates diagnosed with MRSA shall be | ||||||
21 | examined by a clinician to determine their risk of | ||||||
22 | contagion to others. The determination about whether | ||||||
23 | to isolate residents, patients, students, or inmates | ||||||
24 | with MRSA infections shall include consideration of | ||||||
25 | the degree to which wound drainage can be contained and | ||||||
26 | the ability or willingness of a resident, patient, |
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1 | student, or inmate to comply with infection control | ||||||
2 | instructions. | ||||||
3 | (4) Infection control.
Upon the diagnosis of a single | ||||||
4 | MRSA case at a State residential facility, that facility | ||||||
5 | shall implement surveillance measures to detect additional | ||||||
6 | MRSA cases through the following procedures: | ||||||
7 | (A) The individual diagnosed with MRSA shall be | ||||||
8 | interviewed to identify potential sources of | ||||||
9 | infections and close contacts. The interview should | ||||||
10 | seek to determine the date of onset and activity | ||||||
11 | immediately before and following onset, including | ||||||
12 | recent hospitalizations, housing, work assignments, | ||||||
13 | sharing of personal hygiene items, sexual contact, | ||||||
14 | participation in close-contact sports, or exposure to | ||||||
15 | other residents, patients, students, or inmates with | ||||||
16 | draining wounds or skin infections. | ||||||
17 | (B) Employees, residents, patients, students, or | ||||||
18 | inmates of the facility identified as having contact | ||||||
19 | with the infected individual should be examined for | ||||||
20 | signs and symptoms of infection. | ||||||
21 | (C) State residential facility management shall | ||||||
22 | inform all employees of the facility of the MRSA case | ||||||
23 | and immediately conduct a training program on MRSA and | ||||||
24 | hand hygiene, in addition to the training program | ||||||
25 | required under subdivision (3)(B) of this Section. | ||||||
26 | (D) State residential facility management shall |
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1 | inform all health care providers evaluating residents | ||||||
2 | or inmates of the facility of the MRSA case so they may | ||||||
3 | be on the alert for inmates with skin or soft tissue | ||||||
4 | infections or other evidence of MRSA infections. | ||||||
5 | (E) No resident, patient, student, or inmate with a | ||||||
6 | skin or soft tissue infection shall be transferred to | ||||||
7 | another facility until fully evaluated and | ||||||
8 | appropriately treated except when required for | ||||||
9 | security reasons, medical care, or other special | ||||||
10 | circumstances. Residents, patients, students, or | ||||||
11 | inmates with MRSA infections requiring transfer shall | ||||||
12 | have draining wounds dressed the day of transfer to | ||||||
13 | contain the draining. Escort personnel shall be | ||||||
14 | notified of the resident, patient, student, or | ||||||
15 | inmate's condition and educated on infection control | ||||||
16 | measures. The clinical director of the sending | ||||||
17 | facility or his or her designee shall notify the | ||||||
18 | receiving institution's clinical director or health | ||||||
19 | services administrator of pending transfers of | ||||||
20 | individuals with MRSA. | ||||||
21 | (5) Treatment.
Each department operating a State | ||||||
22 | residential facility shall develop an MRSA treatment | ||||||
23 | protocol and submit it to the Department of Public Health | ||||||
24 | for review. Upon approval of the protocol by the Department | ||||||
25 | of Health, each department operating a State residential | ||||||
26 | facility shall educate all clinical staff at the facility |
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1 | and healthcare vendors for the facility on that protocol.
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2 | Section 99. Effective date. This Act takes effect upon | ||||||
3 | becoming law.
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