Section 696.130  Responsibilities of High-Risk Congregate Settings and Programs Providing Alcohol and Drug Treatment

a)         Written Plans.  A written plan shall be developed that includes protocols for the screening and management of infection among employees, volunteers and clients; protocols for the screening, diagnosis and management of TB disease among employees, volunteers and clients; data collection; evaluation of data; reporting of persons with signs or symptoms of TB to the local TB control authority; and an employee and volunteer education program.  All components of the plan shall reflect compliance with this Part.  The plan shall include the:  name of the person or persons responsible for the TB prevention and control program at each facility; procedures for the  purpose of protecting employees, volunteers and clients from contracting tuberculosis; and a referral mechanism to ensure prevention of transmission and completion of treatment for clients with TB who leave the facility.  The written plan shall be updated at least annually. (See the incorporated publications, Guidelines for Health-Care Settings and the OSHA Instruction.)

b)         TB Prevention and Control Program.  A program shall be executed in accordance with the written plan.

c)         Employee and Volunteer Education.  Training about TB shall be provided or arranged.  All employees and volunteers shall be trained upon hiring and periodically thereafter to ensure employee knowledge equivalent to the employee's work responsibilities and the level of risk in the facility. OSHA-regulated settings and programs shall comply with the incorporated publications, OSHA Instruction.  (See the incorporated publications, Core Curriculum and Controlling TB in Correctional Facilities.)

d)         Collaboration.  The settings and programs listed above shall consult with the local TB control authority, as necessary, to determine their respective responsibilities in the screening, diagnosis and management of TB infection and disease, reporting of disease, and the education of employees and volunteers.

e)         Records.  Records shall be maintained on TB screening test results; TB diagnostic evaluation results (including whether the tuberculosis was drug-resistant); other information about any persons exposed to tuberculosis; and the current written plan as required in subsection (a) of this Section. Individual and aggregate data should be analyzed periodically to identify the facility's level of risk and changes in the risk of TB transmission. Correctional facilities should maintain a retrievable aggregate record system in accordance with the incorporated publication, Prevention and Control of Tuberculosis in Correctional Facilities.  All records required in this subsection shall be made available for inspection by the Department or the local TB authority upon request.

(Source:  Amended at 32 Ill. Reg. 4010, effective February 29, 2008)