reglab/statecodes huggingface dataset:
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 15 - ASSESSMENT, TRIAGE, TREATMENT AND TRANSPORT OF TIME SENSITIVE EMERGENCIES › Section 15-3 - General Operation Requirements for EMS Agencies

Current through July 13, 2024
(a) The Division adopts the standards listed
				in this subsection. These standards shall control except as otherwise provided
				in this chapter. The adoption of these standards does not include later
				amendments or editions of the incorporated matters and shall not be interpreted
				as adding to or subtracting from the scope of practice for EMS providers. EMS
				agencies and EMS providers shall incorporate these standards into their local
				system design to the extent possible.
(i) The
				triage decision scheme for trauma patients shall be U. S. Dep't of Health and
				Human Servs., Ctrs. for Disease Control and Prevention,
Guidelines for
				Field Triage of Injured Patients
(2012). Copies are available from the
				Division upon request, and may be obtained through the CDC at:
http://www.cdc.gov/mmwr/pdf/rr/rr6101.pdf
.
(ii) The basis for the development of local
				systems of cardiac care shall be Am. Heart Ass'n,
2015 Guidelines for
				CPR and ECC
(2015). Copies are available from the Division upon
				request, and may be obtained through the AHA at:
				https://eccguidelines.heart.org/index.php/circulation/cpr-ecc-guidelines-2/.
(iii) The basis for the development of local
				systems of stroke care and evidence based prehospital care protocols shall be:
(A) Am. Heart Ass'n & Am. Stroke Ass'n,
Guidelines for the Early Management of Patients with Acute Ischemic
				Stroke
(2013); copies are available from the Division upon request, and
				may be obtained through the AHA at:
				http://stroke.ahajournals.Org/content/44/3/870.full.pdf+htmland; and
(B) Am. Heart Ass'n & Am. Stroke Ass'n,
2015 AHA/ASA Focused Update of the 2013 Guidelines for the Early
				Management of Patients with Acute Ischemic Stroke Regarding Endovascular
				Treatment
(2015); copies are available from the Division upon request,
				and may be obtained through the AHA at:
				http://stroke.ahajovimals.org/content/early/2015/06/26/STR.0000000000000074.full.pdf+html.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 15 - ASSESSMENT, TRIAGE, TREATMENT AND TRANSPORT OF TIME SENSITIVE EMERGENCIES › Section 15-4 - Assessment, Triage, Treatment and Transport of the Trauma Patient by EMS Providers

Current through July 13, 2024
(a) Assessment of the Trauma Patient.
(i) An initial assessment shall be performed
				to identify patients with major hemorrhage, hemodynamic instability,
				penetrating torso trauma, or signs of traumatic brain injury who may require
				immediate management of life-threatening injuries or rapid surgical
				intervention.
(ii) After the
				initial assessment is complete and immediately identifiable life threatening
				injuries or conditions have been addressed, a secondary assessment to identify
				other injuries shall be performed unless a patient's condition and the
				requirement to continue treating an injury or condition prohibits the
				completion of an entire secondary assessment.
(iii) Continuous monitoring for deterioration
				over time, including serial vital signs and repeated neurologic status
				assessment, shall be performed.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 15 - ASSESSMENT, TRIAGE, TREATMENT AND TRANSPORT OF TIME SENSITIVE EMERGENCIES › Section 15-5 - Assessment, Triage, Treatment and Transport of the Heart Attack Patient by EMS Providers

Current through July 13, 2024
(a) Assessment of the Heart Attack Patient.
(i) EMS providers shall maintain a high index
				of suspicion that a patient may be suffering a myocardial infarction or acute
				coronary syndrome when the patient presents with signs or symptoms that
				include, but are not limited to:
(A) A prior
				history of myocardial infarction, acute coronary syndrome, or other cardiac
				related health problems;
(B) Chest
				pain;
(C) Pain or discomfort in
				other areas of the body (e.g. arm, jaw or epigastrium) of suspected cardiac
				origin;
(D) Shortness of
				breath;
(E) Sweating;
(F) Nausea or vomiting;
(G) Dizziness;
(H) Atypical or unusual symptoms,
				particularly in women, the elderly, and diabetic patients;
(I) Congestive heart failure (CHF);
(J) Syncope or shock.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 15 - ASSESSMENT, TRIAGE, TREATMENT AND TRANSPORT OF TIME SENSITIVE EMERGENCIES › Section 15-6 - Assessment, Triage, Treatment and Transport of the Stroke Patient by EMS Providers

Current through July 13, 2024
(a) Assessment of the Stroke Patient.
(i) Adult patients exhibiting signs and
				symptoms of a stroke or transient ischemic attack (TIA) shall be assessed with
				a validated stroke screening scale such as the Miami Emergency Neurologic
				Deficit (MEND) checklist or the Cincinnati Stroke Scale.
(ii) EMS providers shall maintain a high
				index of suspicion that the patient is experiencing a stroke or TIA when the
				patient is exhibiting signs and symptoms that include, but are not limited to:
(A) Neurologic deficits, such as facial
				droop, localized weakness, gait disturbance, slurred speech or altered
				mentation;
(B) Hemiparesis or
				hemiplegia;
(C) A dysconjugate,
				forced, or crossed gaze accompanied by a low level of consciousness (LOC),
				including an inability to follow commands, complete tasks, or make a
				discernible effort to respond;
(D)
				Severe headache, neck pain or stiffness, or difficulty seeing.
(iii) In assessing a patient
				exhibiting signs and symptoms of a stroke EMS providers shall:
(A) Utilize the FAST exam to rapidly evaluate
				patients;
(B) Perform a blood
				glucose analysis;
(C) Attempt to
				determine the time of onset of symptoms.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 16 - LICENSING OF PERSONNEL › Section 16-1 - Definitions

Current through July 13, 2024
(a) As used in these Rules, the following
				definitions apply:
(i) "Abuse" means
				inappropriate or offensive physical, sexual or verbal contact or interaction
				with another person. Abuse includes, but is not limited to, the following:
(A) Physical abuse, which includes conduct by
				a licensee which causes, by physical contact, physical injury, or serious or
				protracted impairment of the physical, mental, or emotional condition of a
				patient, or which causes the likelihood of such injury or impairment. Such
				conduct includes, but is not limited to, slapping, hitting, kicking, biting,
				chocking, smothering, shoving, dragging, pinching, punching, shaking, sitting
				upon, burning, cutting, strangling, striking, using corporal punishment, or
				throwing objects at a patient. Physical abuse does not include reasonable
				emergency interventions necessary to protect the safety of any
				person.
(B) Psychological abuse,
				which includes verbal or non-verbal conduct by a licensee, directed to a
				patient, which insults, denigrates, humiliates, shocks, mocks, threatens,
				harasses, or alarms the patient. Psychological abuse does not include verbal or
				nonverbal conduct which has medical or therapeutic purpose or justification;
				and
(C) Offensive sexual contact or
				interaction, which may include, but is not limited to, engaging in, or
				facilitating sexual contact, exposure, performances, photography or any other
				form of sexual image collection or dissemination, irrespective of the patient's
				consent or receptiveness to the conduct.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 16 - LICENSING OF PERSONNEL › Section 16-2 - License Required

Current through July 13, 2024
(a) Unless appropriately licensed by the
				Division or as otherwise provided by law, a person may not:
(i) Profess or represent himself to be an
				Emergency Medical Responder (EMR), Emergency Medical Technician (EMT), Advanced
				Emergency Medical Technician (AEMT), Intermediate Emergency Medical Technician
				(IEMT), or Paramedic; or
(ii)
				Practice as or assume the duties incident to an EMR, EMT, AEMT, IEMT, or
				Paramedic.
(iii) Act in the
				capacity of an attendant or represent that they are licensed to do so without
				obtaining a license as specified under Subsection (a) of this Section and
				affiliating with an ambulance service licensed under Chapter 2, of these Rules.
				As used in this section, "attendant" means a person licensed under this Chapter
				who is employed by or a member of a licensed ambulance service, and is
				responsible for the provision of care to a patient.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 16 - LICENSING OF PERSONNEL › Section 16-3 - Eligibility for Licensure

Current through July 13, 2024
(a) An applicant is eligible to be licensed
				as an EMR, EMT, AEMT, IEMT, or Paramedic if the applicant:
(i) Is at least sixteen (16) years of age
				when applying to be licensed as an EMR or is at least eighteen (18) years of
				age when applying to be licensed as an EMT, AEMT, IEMT, or Paramedic;
(ii) Has completed the appropriate course of
				education under Section
				5 of this Chapter;
(iii) Has passed the appropriate examination
				under Section
				6 of this Chapter;
(iv) Has not been convicted of a felony nor
				has a pending felony charge;
(v)
				Has not been convicted of, nor has a pending charge involving a misdemeanor
				that impacts the public trust in the profession or the ability to practice as a
				licensee;
(vi) Has not had the
				applicant's right to practice in a health care profession limited, suspended,
				terminated, or voluntarily surrendered in any jurisdiction.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 16 - LICENSING OF PERSONNEL › Section 16-4 - Application for Licensure

Current through July 13, 2024
(a) To be licensed as an EMR, EMT, AEMT,
				IEMT, or Paramedic, an applicant shall submit to the Division an application
				for licensure in the format prescribed by the Division.
(b) If an applicant desires to be licensed as
				an EMT, AEMT, IEMT, or Paramedic, the applicant shall complete and submit to a
				criminal check as part of the application process.
(i) The criminal background check must:
(A) Be in the format prescribed by the
				Division; and
(B) Contain federal
				and state criminal information.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 16 - LICENSING OF PERSONNEL › Section 16-5 - Education Requirements

Current through July 13, 2024
(a) Except as otherwise provided in these
				rules, the standards for the course of education for an EMR, EMT, AEMT,
				Paramedic, and, to the extent that is practicable, IEMT, are those described in
				the United States Department of Transportation, National Highway Traffic and
				Safety Administration (NHTSA), DOT HS 811 077A, National Emergency Medical
				Services Education Standards (Jan. 2009), available at
				https://www.ems.gov/pdf/education/EMS-Education-for-the-Future-A-Systems-Approach/National_EMS_Education_Standards.pdf
				("NHTSA National EMS Education Standards").
(i) The Division incorporates the NHTSA
				National EMS Education Standards into these rules by this reference.
(ii) The Division has determined that
				incorporation of the full text in these rules would be cumbersome or
				inefficient given the length or nature of these rules.
(iii) The incorporation by reference does not
				include any later amendments or editions of the incorporated matter beyond the
				applicable date noted in subsection (a) of this section.
(iv) The incorporated standard is maintained
				at https://health.wyo.gov/public health/ems/ and is available for public
				inspection and copying at cost from the Division.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 16 - LICENSING OF PERSONNEL › Section 16-6 - Examination Requirements

Current through July 13, 2024
(a) To be eligible for licensure by the
				Division, an applicant shall pass the appropriate examination for the level of
				licensure desired.
(i) If applying for
				licensure as an EMR, the applicant shall pass the appropriate Division
				Licensure Exam. Applicants for licensure as an EMR may take the National
				Registry of Emergency Medical Technicians (NREMT) exam as an alternative to the
				Division Licensure Exam.
(ii) If
				applying for licensure as an IEMT, the applicant shall pass the appropriate
				Division Licensure Exam.
(iii) If
				applying for licensure as an EMT, AEMT, or Paramedic, the applicant shall pass
				the appropriate NREMT exam.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 16 - LICENSING OF PERSONNEL › Section 16-7 - Decision on Application

Current through July 13, 2024
(a) Upon the receipt of a complete
				application for licensure, the Division may take up to forty-five (45) days to
				issue or deny a license. An application is complete when the Division has
				received all required documentation, any requested supplemental information,
				and the results of a criminal background check indicating that there is no
				conviction or pending charge related to Section
				3(a) of this chapter or a
				resolution has been reached with regard to any issues identified in the
				criminal background check.
(b) If
				the Division denies a license, the Division shall send written notice to the
				applicant. The written notice must state the reason for denial.
(c) The Division shall issue a license to an
				applicant if the Division finds the applicant:
(i) Is eligible for licensure; and
(ii) Has submitted a complete application for
				licensure.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 16 - LICENSING OF PERSONNEL › Section 16-8 - License Terms

Current through July 13, 2024
(a) If the Division issues an initial license
				under Section
				7 of this Chapter, the license is valid
				until a date determined by the Division, not to exceed three years and not to
				be less than two years from the date of issuance.
(b) If the Division upgrades or downgrades a
				license under Section
				9 of this Chapter, the upgraded or
				downgraded license is valid until the expiration date of the previous
				license.
(c) If the Division renews
				a license under Section
				10 or issues a recovered license under
				Section 11 of this Chapter,
				the renewed or recovered license is valid until a date determined by the
				Division, not to exceed two years and not to be less than one year from the
				date of issuance.
(d) If the
				Division reinstates a license revoked under Section
				12 of this Chapter, the reinstated license
				retains the original expiration date. A reinstated licensee shall renew the
				license under Section
				10 of this Chapter if the original
				expiration date occurs before the date of reinstatement.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 16 - LICENSING OF PERSONNEL › Section 16-9 - Application to Upgrade or Downgrade a License

Current through July 13, 2024
(a) A licensee is eligible for an upgraded or
				downgraded license if the licensee:
(i) Is
				eligible to be licensed at the level of licensure desired; and
(ii) Is not the subject of an ongoing
				investigation or other administrative action by the Division.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 16 - LICENSING OF PERSONNEL › Section 16-10 - Application to Renew a License

Current through July 13, 2024
(a) A licensee is eligible for the renewal of
				a license if the licensee has completed the appropriate continuing medical
				education requirements under Chapter 8 of these Rules.
(b) To be issued a renewed license, a
				licensee shall submit to the Division a renewal application in the format
				prescribed by the Division. The renewal application must be submitted to the
				Division not less than thirty (30) days but not more than ninety (90) days
				before the licensee's license expires.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 16 - LICENSING OF PERSONNEL › Section 16-11 - Criteria to Recover a License and Recovered License Terms

Current through July 13, 2024
(a) A former licensee is eligible to recover
				a license under the following conditions.
(i)
				If a license has been expired for less than or equal to one (1) year, the
				former licensee must be otherwise eligible for renewal under Section
				10 of this Chapter.
(ii) If a license has been expired for more
				than one (1) year and less than or equal to four (4) years, the former licensee
				must:
(A) Complete a refresher course
				approved by the Division for the appropriate level of licensure; and
(B) Be otherwise eligible for renewal under
				Section 10 of this
				Chapter.
(iii) If a
				license has been expired for more than four (4) years, the former licensee
				must:
(A) Have a comparable license in
				another state or certification through the NREMT; and
(B) Be otherwise eligible for renewal under
				Section 10 of this
				Chapter.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 16 - LICENSING OF PERSONNEL › Section 16-12 - Disciplinary Action

Current through July 13, 2024
(a) The Division may take disciplinary action
				against a licensee or refuse to issue a license for one (1) or more of the
				following acts or conduct:
(i) Inability to
				function with reasonable skill and safety as a licensee including, but not
				limited to, the following reasons:
(A)
				Physical or mental disability;
(B)
				Negligence or incompetence;
(C)
				Substance abuse or dependency;
(D)
				Patient abandonment or abuse;
(E)
				Fraud or deceit;
(F) Violation of
				patient privacy or confidentiality; or
(G) Exceeding the authorized scope of
				practice or representing oneself to be licensed at a higher level of
				licensure;
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 16 - LICENSING OF PERSONNEL › Section 16-13 - Displaying of Licensure

Current through July 13, 2024
While on duty, a licensee shall display the licensee's level
				  of licensure on the licensee's outer clothing by means of the Division-approved
				  insignia or other means approved by the Division.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 16 - LICENSING OF PERSONNEL › Section 16-14 - Emergency Licensing

Current through July 13, 2024
(a) Pursuant to Wyoming Statute §
									
										35-4-114(b), the Division
				may issue a license to an ambulance service or an individual in order to manage
				a declared public health emergency within the state in accordance with the
				following conditions:
(i) The Division may
				grant an emergency license to an ambulance service not licensed in this state,
				based on written or electronic confirmation that the ambulance service is
				licensed within another state; and
(ii) An emergency license for an ambulance
				service or an individual terminates upon the Governor's declaration that the
				public health emergency has ended.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 16 - LICENSING OF PERSONNEL › Section 16-15 - Conditional Licensing

Current through July 13, 2024
(a) Pursuant to Wyoming Statute §
									
										33-36-103(d), an applicant
				for licensure may request that the Division issue a conditional license while
				the results of a criminal background check are pending. To qualify for a
				conditional license, the applicant shall:
(i)
				Satisfy all eligibility requirements for the relevant level of licensure,
				except for those related to the criminal background check; and
(ii) Submit an attestation by notarized
				signature that the applicant has no prior criminal convictions nor pending
				criminal charges.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 17 - SCOPES OF PRACTICE › Section 17-1 - Authorized Acts or Scope of Practice, Generally

Current through July 13, 2024
(a) Except as otherwise provided in these
				rules, the authorized acts or scope of practice for an EMR, EMT, AEMT, IEMT, or
				Paramedic in this state are those described in United States Department of
				Transportation, National Highway Traffic and Safety Administration (NHTSA), DOT
				HS 812 471, National EMS Scope of Practice Model (Dec. 2017), available at
				https://www.ems.gov/pdf/812471_2007-National-EMS-Scope-Practice-Mode_Change-Notices-1-and-2.pdf
				("NHTSA National EMS Scope of Practice Model").
(i) The Division incorporates the NHTSA
				National EMS Scope of Practice Model into these rules by this
				reference.
(ii) The Division has
				determined that incorporation of the full text in these rules would be
				cumbersome or inefficient given the length or nature of these rules.
(iii) The incorporation by reference does not
				include any later amendments or editions of the incorporated matter beyond the
				applicable date noted in subsection (a) of this section.
(iv) The incorporated standard is maintained
				at
https://health.wyo.gov/public
				health/ems/
and is available for public inspection and copying at cost
				from the Division.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 17 - SCOPES OF PRACTICE › Section 17-2 - Duties of a Physician Medical Director

Current through July 13, 2024
(a) A physician medical director shall:
(i) Promulgate written protocols and standing
				orders as contemplated by this section; and
(ii) Indicate by signature on each written
				protocol and standing order that:
(A) The
				written protocol or standing order has been reviewed and approved at least once
				every two years;
(B) Any amendment
				to the written protocol or standing order was approved at the time of adoption;
				and
(C) Any pre-existing written
				protocol or standing order at the time a new physician medical director or
				supervising physician assumes responsibility has been approved by the new
				physician medical director.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 17 - SCOPES OF PRACTICE › Section 17-3 - Authorized Acts or Scope of Practice for an EMR

Current through July 13, 2024
(a) An EMR may:
(i) Administer up to 324 milligrams of
				aspirin orally to patients complaining of chest pain;
(ii) Insert a nasopharyngeal
				airway;
(iii) Utilize a mechanical
				device approved by the Division for the provision of CPR;
(iv) Utilize an electronic device for the
				measurement of vital signs;
(v)
				Provide immobilization of the spinal column through manual means and the use of
				appropriate equipment;
(vi) Provide
				splinting of an extremity, including the use of traction splints for the
				femur;
(vii) Administer epinephrine
				intramuscularly via an auto-injection device in the treatment of an allergic
				reaction or anaphylaxis; and
(viii)
				Utilize a person's prescribed medication to treat or prevent an Addisonian
				Crisis.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 17 - SCOPES OF PRACTICE › Section 17-4 - Authorized Acts or Scope of Practice for an EMT

Current through July 13, 2024
(a) An EMT may not utilize automatic
				transport ventilators.
(b) An EMT
				may:
(i) Perform the authorized acts of an
				EMR;
(ii) Utilize a syringe and
				needle to administer epinephrine in the treatment of anaphylaxis;
(iii) Perform capillary blood glucose
				testing; and
(iv) Utilize twelve
				(12) lead electrocardiograph (ECG) machines to capture and transmit a patient's
				ECG to a receiving facility.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 17 - SCOPES OF PRACTICE › Section 17-5 - Authorized Acts or Scope of Practice for an AEMT

Current through July 13, 2024
(a) An AEMT may:
(i) Perform the authorized acts of an
				EMT;
(ii) Provide nebulized
				ipratropium (Atrovent) or combinations of albuterol and ipratropium;
(iii) Utilize a continuous positive airway
				pressure (CPAP) device; and
(iv)
				Perform intra-osseous access, with the administration of lidocaine as a local
				anesthetic, on adult and pediatric patients.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 17 - SCOPES OF PRACTICE › Section 17-6 - Authorized Acts or Scope of Practice for an IEMT

Current through July 13, 2024
(a) An IEMT may:
(i) Perform the authorized acts of an
				AEMT;
(ii) Administer the following
				additional medications in accordance with written standing orders and protocols
				and the prevailing standards of practice:
(A)
				Amiodarone bolus and maintenance drip infusion;
(B) Ativan;
(C) Atropine;
(D) Benadryl;
(E) Diazepam;
(F) Epinephrine, 1:10,000;
(G) Fentanyl;
(H) Furosemide;
(I) Glucagon;
(J) Heparin, monitoring and discontinuation
				of infusion drips initiated by a hospital or healthcare facility;
(K) Lidocaine, bolus and maintenance drip
				infusion;
(L) Morphine
				sulfate;
(M) Naloxone via any
				appropriate route;
(N)
				Nitroglycerin administered:
(I) Sublingual as
				a tablet or spray; or
(II) Through
				the monitoring, titrating, and discontinuing of infusion drips initiated by a
				hospital or healthcare facility;
(O) Ondansetron;
(P) Sodium bicarbonate;
(Q) Thiamine;
(R) Vasopressin;
(S) Xopenex.
(iii) Perform manual
				defibrillation;
(iv) Apply
				non-invasive patient monitoring devices, including the application of cardiac
				monitoring devices;
(v) Perform
				needle thoracotomy;
(vi) Perform
				endotracheal intubation if specifically authorized by the Division;
				and
(vii) Monitor antibiotic
				infusions.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 17 - SCOPES OF PRACTICE › Section 17-7 - Authorized Acts or Scope of Practice for a Paramedic

Current through July 13, 2024
(a) A Paramedic may:
(i) Perform the authorized acts of an
				IEMT;
(ii) Perform urethral
				catheterization;
(iii) Perform
				rapid sequence intubation (RSI) with the administration of paralyzing agents if
				the EMS agency with which the Paramedic is affiliated has received prior
				written approval to implement an RSI protocol from the Division. To receive
				approval RSI protocols must:
(A) Emphasize
				that less invasive airway and ventilation support as preferable to
				RSI;
(B) Comport with generally
				accepted standards of practice in the performance of RSI;
(C) Specify which pharmaceutical agents are
				to be used;
(D) Mandate the
				continuous use of end tidal carbon dioxide monitoring for intubated patients;
				and
(E) Address circumstances for
				the performance of surgical airways or percutaneous devices that allow for
				adequate respiration.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 18 - Personnel Licensure Renewal Requirements › Section 18-1 - Purpose and Applicability

Current through July 13, 2024
(a) This Chapter establishes the continuing
				medical education (CME) requirements to renew a license under Chapter 16 of
				these Rules.
(b) This Chapter
				applies to licensed Emergency Medical Responders (EMRs), Emergency Medical
				Technicians (EMTs), Advanced Emergency Medical Technicians (AEMTs),
				Intermediate Emergency Medical Technicians (IEMTs), and Paramedics.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 18 - Personnel Licensure Renewal Requirements › Section 18-2 - Continuing Medical Education Required

Current through July 13, 2024
(a) A licensee is not eligible for the
				renewal of a license under Chapter 16 of these Rules unless the licensee:
(i) Possesses valid and current
				cardiopulmonary resuscitation (CPR) certification from a national organization
				approved by the Division;
(ii)
				Possesses, if the licensee is an IEMT or paramedic, valid and current Advanced
				Cardiac Life Support (ACLS) certification from a national organization approved
				by the Division; and
(iii) Either:
(A) Has completed the required hours of CME
				course work specific to the licensee's level of licensure, as established under
				this Chapter; or
(B) Is currently
				certified by the National Registry of Emergency Medical Technicians (NREMT) at
				the licensee's level of licensure.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 18 - Personnel Licensure Renewal Requirements › Section 18-3 - Continuing Medical Education Standards and Conditions

Current through July 13, 2024
(a) CME course work may take the form of:
(i) Live and in-person lecture style
				instruction; or
(ii) Distributed
				Continuing Medical Education (DCME), which is any educational activity in which
				the licensee is unable to interact in person or in real time with an
				instructor, including education through websites and digital media.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 18 - Personnel Licensure Renewal Requirements › Section 18-4 - Continuing Medical Education Accreditation

Current through July 13, 2024
(a) CME course work is deemed to have been
				accredited by the Division if one of the following conditions is satisfied:
(i) The CME course work is provided by the
				Division or at a national, state or regional conference pre-approved by the
				Division;
(ii) The CME course work
				is DCME, and the DCME has been accredited through the Commission on
				Accreditation for Pre-Hospital Continuing Education (CAPCE); or
(iii) The CME course work is live and
				in-person lecture style instruction and provided by a qualified instructor in
				the subject matter at, as part of the organization's regular training program
				or schedule, a licensed ambulance service, authorized fire service, approved
				EMS educational program, or hospital.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 18 - Personnel Licensure Renewal Requirements › Section 18-5 - Discretionary Authority of the Division

Current through July 13, 2024
(a) The Division may grant a waiver of the
				requirements under this Chapter if the Division finds that a waiver would be in
				the best interest of the public.
(b) The Division may remove a deemed status
				or accreditation if it determines that the provider of CME course work provided
				fraudulent documentation or failed to provide proper or adequate
				instruction.
(c) The Division may
				require additional CME course work, as well as establish a required timeframe
				to complete the CME course work, of all licensees or of licensees belonging to
				a particular geographic area, if the Division finds the additional CME course
				work necessary to:
(i) Enhance the capacity
				of the comprehensive EMS and trauma system; or
(ii) Respond to an emergency scenario,
				including a declared emergency, a public health emergency, or other scenario
				when the appropriate practices and procedures to respond to the emergency may
				require additional health and safety training.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 18 - Personnel Licensure Renewal Requirements › Section 18-6 - CME Requirements for an EMR

Current through July 13, 2024
(a) During the term of his or her license, an
				EMR shall complete twenty (20) hours of CME course work, according to the
				following increments in the following subjects:
(i) Two (2) hours of CME course work
				regarding airway management;
(ii)
				Two (2) hours of CME course work regarding the management of pediatric
				patients;
(iii) Five (5) hours of
				CME course work regarding the management of trauma patients;
(iv) Five (5) hours of CME course work
				regarding the management of medical patients; and
(v) Six (6) hours of CME course work in
				electives of the EMR's choice.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 18 - Personnel Licensure Renewal Requirements › Section 18-7 - CME Requirements for an EMT

Current through July 13, 2024
(a) During the term of his or her license, an
				EMT shall complete forty-two (42) hours of CME course work, according to the
				following increments in the following subjects:
(i) Six (6) hours of CME course work
				regarding airway management;
(ii)
				Six (6) hours of CME course work regarding the management of pediatric
				patients;
(iii) Ten (10) hours of
				CME course work regarding the management of the trauma patients;
(iv) Ten (10) hours in of CME course work
				regarding management of medical patients; and
(v) Ten (10) hours of CME course work in
				electives of the EMT's choice.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 18 - Personnel Licensure Renewal Requirements › Section 18-8 - CME Requirements for an AEMT

Current through July 13, 2024
(a) During the term of his or her license, an
				AEMT shall complete fifty-four (54) hours of CME course work, according to the
				following increments in the following subjects:
(i) Eight (8) hours of CME course work
				regarding airway management;
(ii)
				Eight (8) hours of CME course work regarding the management of pediatric
				patients;
(iii) Twelve (12) hours
				of CME course work regarding the management of trauma patients;
(iv) Twelve (12) hours of CME course work
				regarding the management of medical patients; and
(v) Fourteen (14) hours of CME course work in
				electives of the AEMT's choice.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 18 - Personnel Licensure Renewal Requirements › Section 18-9 - CME Requirements for an IEMT

Current through July 13, 2024
(a) During the term of his or her license, an
				IEMT shall complete sixty (60) hours of CME course work, according to the
				following increments in the following subjects:
(i) Six (6) hours of CME course work
				regarding airway management;
(ii)
				Six (6) hours of CME course work regarding the management of pediatric
				patients;
(iii) Sixteen (16) hours
				of CME course work regarding the management of trauma patients;
(iv) Sixteen (16) hours of CME course work
				regarding the management of medical patients; and
(v) Sixteen (16) hours of CME course work in
				electives of the IEMT's choice.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 18 - Personnel Licensure Renewal Requirements › Section 18-10 - CME Requirements for a Paramedic

Current through July 13, 2024
(a) During the term of his or her license, a
				paramedic shall complete sixty (60) hours of CME course work, according to the
				following increments in the following subjects:
(i) Six (6) hours of CME course work
				regarding airway management;
(ii)
				Six (6) hours of CME course work regarding the management of pediatric
				patients;
(iii) Sixteen (16) hours
				of CME course work regarding the management of trauma patients;
(iv) Sixteen (16) hours of CME course work
				regarding the management of medical patients; and
(v) Sixteen (16) hours of CME course work in
				electives of the paramedic's choice.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 1 - HEALTH CARE FACILITIES LICENSURE FEES › Section 1-1 - Authority

Current through July 13, 2024
The Department of Health, pursuant to
				  W.S.
				  35-2-904(a)(ii) of the
				  Hospitals, Health Care Facilities, and Health Services Act and the Wyoming
				  Administrative Procedure Act (W.S. W.S.
				  W.S.
				  16-3-101 through
				  16-3-115 ) is authorized to
				  establish reasonable fees to recover administrative and operational expenses of
				  the department in conducting its licensure program under this
				  article.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 1 - HEALTH CARE FACILITIES LICENSURE FEES › Section 1-3 - License Fees

Current through July 13, 2024
(a) Health care facilities shall pay a fee
				for the issuance of a license, as applicable. Health care facilities shall also
				pay a fee to reapply for a license. The total of fees collected by the
				department must be sufficient to cover the general costs of issuing health care
				facilities licenses under the Hospitals, Health Care Facilities, and Health
				Services Act.
(b) Said licensure
				fee amounts shall be set by the department and shall be based on the health
				care facility bed capacity or the type of health services provided. Said
				licensure fee shall be assessed and payable at least annually. The methodology
				used to determine the amount of said fees is found in Section
				6 and
				Section
				7 of
				this Chapter.
(c) Said Health Care
				Facility license shall be effective from the date of issuance through the
				following June 30.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 1 - HEALTH CARE FACILITIES LICENSURE FEES › Section 1-4 - Fee for Revised License

Current through July 13, 2024
If, after a health care facility is issued a license, it
				  changes its name, location, or the number of beds, the health care facility
				  must pay a fee to cover the cost of issuing a revised license.
(a) Revised License fees shall be assessed at
				$50 per health care facility.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 1 - HEALTH CARE FACILITIES LICENSURE FEES › Section 1-5 - Fee for License of an Accredited Hospital

Current through July 13, 2024
A hospital shall be issued a license after notification of
				  approval of accreditation from an accrediting agency.
(a) Except for accredited hospitals with
				swing bed programs, license fees shall be $100 per accredited
				hospital.
(b) License fees for
				Accredited Hospitals with swing bed programs shall be $200.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 1 - HEALTH CARE FACILITIES LICENSURE FEES › Section 1-6 - Fee Schedule Amounts for Health Care Facilities with Beds Other than Accredited Hospitals

Current through July 13, 2024
(a) There are five
				(5) schedules of health care facilities for the purpose of determining the fee
				amount a health care facility is assessed. Each health care facility is placed
				into one of the five following schedules based on the health care facility's
				bed capacity:
(i)
Schedule
				A
. The health care facility has a bed capacity of at least one (1) but
				not more than fifty (50);
(ii)
Schedule B
. The health care facility has a bed capacity of
				more than fifty (50) but not more than one hundred (100);
(iii)
Schedule C
. The
				health care facility has a bed capacity of more than one hundred (100) but not
				more than one hundred fifty (150);
(iv)
Schedule D
. The health
				care facility has a bed capacity of more than one hundred fifty (150) but not
				more than two hundred (200);
(v)
Schedule E
. The health care facility has a bed capacity of
				more than two hundred (200).
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 1 - HEALTH CARE FACILITIES LICENSURE FEES › Section 1-7 - Fee Schedule Amounts for Health Care Facilities with Services

Current through July 13, 2024
(a) The following types of health care
				facilities shall be assessed a license fee of $100:
(i) Adult Day Care Facility;
(ii) Ambulatory Surgical Center;
(iii) Birthing Center;
(iv) Freestanding Diagnostic Testing
				Center;
(v) Freestanding Emergency
				Center;
(vi) Home Health
				Agency;
(vii) Hospice;
(viii) Intermediate Care Facility For The
				Mentally Retarded;
(ix) Medical
				Assistance Facility;
(x)
				Rehabilitation Facility;
(xi) Renal
				Dialysis Center.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 2 - LICENSURE OF ADULT DAY CARE FACILITIES › Section 2-1 - Authority

Current through July 13, 2024
These rules are promulgated by the Department of Health,
				  pursuant to the Health Facilities Act at
				  W.S.
				  35-2-901 et seq. and the Wyoming
				  Administrative Procedures Act at W.S. W.S.
				  W.S.
				  16-3-101 et seq.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 2 - LICENSURE OF ADULT DAY CARE FACILITIES › Section 2-2 - Purpose

Current through July 13, 2024
These licensure rules have been adopted to protect the
				  health, safety, and welfare of clients being provided services in Adult Day
				  Care Facilities per
				  W.S.
				  35-2-901(a)(xxiii).
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 2 - LICENSURE OF ADULT DAY CARE FACILITIES › Section 2-4 - Definitions

Current through July 13, 2024
(a) "Acceptable Plan of Correction" means the
				Licensing Division approved the plan to correct the deficiencies identified
				during an on-site survey conducted by the Survey Division. The plan of
				correction shall be a written document and shall provide:
(i) Who is responsible for the
				correction;
(ii) What was done to
				correct the problem;
(iii) Who will
				monitor to ensure that the situation does not develop again; and
(iv) An appropriate date, not to exceed sixty
				(60) days after the last day of the survey, for the correction of
				deficiencies.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 2 - LICENSURE OF ADULT DAY CARE FACILITIES › Section 2-5 - Licensure

Current through July 13, 2024
Applicants must demonstrate full compliance with paragraphs
				  (a) and (b) of this section.
(a)
				Licensing Procedure.
(i) In order to issue an
				initial license, the Licensing Division shall receive:
(A) A completed application form as supplied
				by the Licensing Division;
(B) The
				required licensure fee identified in Chapter 1, Rules and Regulations for
				Health Care Facilities Licensure Fees;
(1)
				The check or money order shall be made payable to the Treasurer, State of
				Wyoming.
(C) Applicant
				shall demonstrate full compliance with the licensure requirements in paragraph
				(b) of this section.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 4 - Grazing and Agricultural Leasing › Section 4-1 - Authority

Current through July 13, 2024
These rules are promulgated by the Department of Health
				  pursuant to the Health Facilities Act at
				  W.S.
				  35-2-901
et seq.
and
				  the Wyoming Administrative Act at W.S. W.S.
				  W.S.
				  16-3-101
et
				  seq.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 4 - Grazing and Agricultural Leasing › Section 4-4 - Definitions

Current through July 13, 2024
(a) "Acceptable Plan of Correction" means the
				Licensing Division approved the plan to correct the deficiencies identified
				during an on-site survey conducted by the Survey Divisions designated
				representative. The plan of correction shall be a written document and shall
				provide:
(i) Who is responsible for the
				correction;
(ii) What was done to
				correct the problem;
(iii) Who will
				monitor to ensure that the situation does not reoccur,
(iv) An appropriate date, not to exceed sixty
				(60) days after the last day of survey, for the correction of
				deficiencies.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 4 - Grazing and Agricultural Leasing › Section 4-5 - Licensure

Current through July 13, 2024
Applicants must demonstrate full compliance with paragraphs
				  (a) and (b) of this section.
(a)
				Licensing Procedure.
(i) A provisional
				license may be issued when:
(A) a facility is
				in the process of becoming licensed; and/or
(B) the facility is not in compliance with
				the Licensure and Program Administration Rules and Regulations for Assisted
				Living Facilities; and/or
(C) no
				acceptable plan of correction is developed; and/or
(D) at the discretion of the Licensing
				Division.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 4 - Grazing and Agricultural Leasing › Section 4-6 - Furnishings, Building, Physical Plant

Current through July 13, 2024
(a) Sleeping room
				size shall not be less than one hundred twenty (120) square feet in single-bed
				rooms and eighty (80) square feet per bed in multiple-bed rooms, exclusive of
				toilets, closets, wardrobes, alcoves, or vestibules, in both cases.
(b) Multiple-bed sleeping rooms shall not be
				occupied by more than two (2) residents regardless of the size.
(c) Single-bed sleeping rooms shall have a
				minimum dimension of eight (8) feet. Multiple-bed sleeping rooms shall have a
				minimum of dimension of ten (10) feet.
(d) Each sleeping room shall be an outside
				room, provided with windows operable from the inside without the use of tools.
				The bottom of the opening shall not be more than forty-four (44) inches above
				the floor.
(e) Sleeping rooms shall
				not be in an attic, basement, stairwell, hall, or any room commonly used for
				other than bedroom purposes.
(f)
				Ceiling heights in sleeping rooms shall not be less than seven feet, six inches
				(76").
(g) No room shall be used
				for a residents sleeping room which can only be reached by passing through
				another residents sleeping room.
(h) One half of the licensed beds shall be
				private rooms.
(i) All drapery and
				curtains shall be flame retardant.
(j) Every bathroom door lock shall be
				designed to allow the opening of the locked door from the outside in an
				emergency.
(k) Site requirements -
				The building location shall be:
(i) In a
				lawfully constituted fire district;
(ii) Serviced by an all-weather road kept
				open to motor vehicles at all times of the year; and
(iii) Accessible to physician and/or
				emergency medical services (ambulance service) within thirty (30) minutes
				driving time.