HB 2604

  • Illinois House Bill
  • 101st Regular Session
  • Introduced in House
  • House
  • Senate
  • Governor

Safe Patient Limits

Abstract

Creates the Safe Patient Limits Act. Provides the maximum number of patients that may be assigned to a registered nurse in specified situations. Provides that nothing shall preclude a facility from assigning fewer patients to a registered nurse than the limits provided in Act. Provides that nothing in the Act precludes the use of patient acuity systems consistent with the Nurse Staffing by Patient Acuity Act; however, the maximum patient assignments in the Act may not be exceeded, regardless of the use and application of any patient acuity system. Provides that the Department of Public Health shall adopt rules governing the implementation and operation of the Act. Provides that all facilities shall adopt written policies and procedures for training and orientation of nursing staff and that no registered nurse shall be assigned to a nursing unit or clinical area unless that nurse has, among other things, demonstrated competence in providing care in that area. Provides that the written policies and procedures for the training and orientation of nursing staff shall require that all temporary personnel receive the same amount and type of training and orientation that is required for permanent staff. Provides that the Act's provisions are severable. House Committee Amendment No. 2 Adds reference to: 210 ILCS 85/10.10 225 ILCS 65/50-15.15 new Replaces everything after the enacting clause with the provisions of the introduced bill with the following changes. Defines "registered nurse", "direct care registered professional nurse", and "rapid response team". Excludes specified facilities from the definition of "facility". Adds LTAC hospitals and ambulatory surgical treatment centers to the definition of "facility". Makes changes to the definition of "nursing care". Provides that in all units with critical care or intensive care patients, the maximum patient assignment of critical care patients to a registered nurse is 2. Provides that at least one direct care registered professional nurse shall be assigned to triage patients, shall be immediately available at all times to triage patients when they arrive in the emergency department, and shall perform triage functions only. Provides that in all units with acute rehabilitation patients the maximum patient assignment of acute rehabilitation patients to a registered nurse is 4 (rather than 3). Provides that in all units with conscious sedation patients, the maximum patient assignment of conscious sedation patients to a registered nurse is one. Provides that in all units with pediatric patients, the maximum patient assignment of pediatric patients to a registered nurse is 3 (instead of 4) and in all units with observational patients, the maximum patient assignment of observational patients to a registered nurse is 3 (instead of 4). Provides that a rapid response team nurse shall not be given direct care patient assignments while assigned as a nurse responsible for responding to a rapid response team request. Provides specified requirements for the Act's implementation by a facility. Provides that a facility shall plan for routine fluctuations in its patient census. Provides that if a health care emergency causes a change in the number of patients in a clinical care unit or patient care area, a facility must be able to demonstrate that immediate and diligent efforts were made to maintain required staffing levels. Establishes recordkeeping requirements. Provides that any method, software, or tool used to create or evaluate a staffing plan adopted by a facility shall be established in coordination with direct care registered professional nurses and shall be transparent in all respects. Requires the Department of Public Health to establish procedures to ensure that the documentation submitted is available for public inspection in its entirety. Provides specified nurse rights and protections. Amends the Hospital Licensing Act. Provides that a hospital shall not mandate that a registered professional nurse delegate nursing interventions. Amends the Nurse Practice Act. Provides that the exercise of professional judgment by a direct care registered professional nurse in the performance of his or her scope of practice shall be provided in the exclusive interests of the patient. Makes other changes. Home Rule Note, House Committee Amendment No. 2 (Dept. of Commerce & Economic Opportunity) This bill does not pre-empt home rule authority. State Mandates Fiscal Note, House Committee Amendment No. 2 (Dept. of Commerce & Economic Opportunity) This bill does not create a State mandate. Fiscal Note, House Committee Amendment No. 2 (Dept. of Public Health) This bill would not pose any fiscal impact to the Department of Public Health.

Bill Sponsors (24)

Votes


Actions


Nov 03, 2020

House

Added Co-Sponsor Rep. Lakesia Collins

Jun 23, 2020

House

Rule 19(b) / Re-referred to Rules Committee

Feb 25, 2020

House

Added Co-Sponsor Rep. Anna Moeller

Feb 18, 2020

House

Added Co-Sponsor Rep. Emanuel Chris Welch

Feb 11, 2020

House

Added Co-Sponsor Rep. Lindsey LaPointe

Feb 06, 2020

House

Added Co-Sponsor Rep. Yehiel M. Kalish

Feb 05, 2020

House

Added Chief Co-Sponsor Rep. Carol Ammons

House

Chief Co-Sponsor Changed to Rep. Carol Ammons

House

Added Co-Sponsor Rep. Rita Mayfield

Feb 04, 2020

House

Approved for Consideration Rules Committee; 004-000-000

House

Placed on Calendar 2nd Reading - Short Debate

Jan 14, 2020

House

Added Co-Sponsor Rep. Will Guzzardi

Sep 25, 2019

House

Added Co-Sponsor Rep. Anthony DeLuca

May 31, 2019

House

Rule 19(a) / Re-referred to Rules Committee

May 16, 2019

House

Added Co-Sponsor Rep. Daniel Didech

House

Added Co-Sponsor Rep. Martin J. Moylan

May 07, 2019

House

Final Action Deadline Extended-9(b) May 31, 2019

House

Placed on Calendar 2nd Reading - Short Debate

House

Approved for Consideration Rules Committee; 004-000-000

May 06, 2019

House

Added Co-Sponsor Rep. Mary Edly-Allen

May 01, 2019

House

Added Co-Sponsor Rep. Elizabeth Hernandez

Apr 26, 2019

House

Added Co-Sponsor Rep. Diane Pappas

Apr 12, 2019

House

Rule 19(a) / Re-referred to Rules Committee

House

House Committee Amendment No. 2 Fiscal Note Filed as Amended

Apr 11, 2019

House

House Committee Amendment No. 2 State Mandates Fiscal Note Filed as Amended

House

House Committee Amendment No. 2 Home Rule Note Filed as Amended

Apr 10, 2019

House

Held on Calendar Order of Second Reading - Short Debate

House

Second Reading - Short Debate

Apr 04, 2019

House

Added Co-Sponsor Rep. Stephanie A. Kifowit

Apr 03, 2019

House

Added Co-Sponsor Rep. Lawrence Walsh, Jr.

Apr 01, 2019

House

House Committee Amendment No. 2 Home Rule Note Requested as Amended by Rep. Tom Demmer

House

House Committee Amendment No. 2 State Mandates Fiscal Note Requested as Amended by Rep. Tom Demmer

House

House Committee Amendment No. 2 Fiscal Note Requested as Amended by Rep. Tom Demmer

Mar 29, 2019

House

Placed on Calendar 2nd Reading - Short Debate

House

Added Co-Sponsor Rep. La Shawn K. Ford

Mar 27, 2019

House

House Committee Amendment No. 2 Adopted in Labor & Commerce Committee; by Voice Vote

House

House Committee Amendment No. 1 Tabled Pursuant to Rule 40

House

Do Pass as Amended / Short Debate Labor & Commerce Committee; 017-008-000

House

House Committee Amendment No. 2 Rules Refers to Labor & Commerce Committee

Mar 26, 2019

House

House Committee Amendment No. 2 Filed with Clerk by Rep. Fred Crespo

House

House Committee Amendment No. 2 Referred to Rules Committee

Mar 20, 2019

House

House Committee Amendment No. 1 Rules Refers to Labor & Commerce Committee

Mar 19, 2019

House

House Committee Amendment No. 1 Referred to Rules Committee

House

Added Chief Co-Sponsor Rep. Theresa Mah

House

House Committee Amendment No. 1 Filed with Clerk by Rep. Fred Crespo

Mar 12, 2019

House

Added Chief Co-Sponsor Rep. Debbie Meyers-Martin

Mar 11, 2019

House

Added Co-Sponsor Rep. Delia C. Ramirez

Mar 07, 2019

House

Added Co-Sponsor Rep. Anne Stava-Murray

House

Added Co-Sponsor Rep. Natalie A. Manley

Mar 05, 2019

House

Added Co-Sponsor Rep. Kelly M. Cassidy

Feb 26, 2019

House

Assigned to Labor & Commerce Committee

Feb 14, 2019

House

First Reading

House

Referred to Rules Committee

House

Filed with the Clerk by Rep. Fred Crespo

Bill Text

Bill Text Versions Format
Introduced HTML

Related Documents

Document Format
House Amendment 002
House Amendment 001

Sources

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