reglab/statecodes huggingface dataset:
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 9 - HEARINGS › Section 9-9 - Discovery

Current through July 13, 2024
Discovery in a Department disciplinary proceeding shall be
				  governed by
				  W.S.
				  16-3-107 and Wyoming Rules of Civil Procedure
				  (WRCP).
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 9 - HEARINGS › Section 9-10 - Pre-hearing Conference

Current through July 13, 2024
(a) At a time on or
				before the day of the hearing, the Hearing Officer, on his own or either
				party's motion, may meet with the parties for a conference to consider
				simplification of the issues, stipulations and admissions of fact,
				clarifications or limitation of evidence, and any other matters that may
				expedite the proceeding and assure a just conclusion of the case. The meeting
				may be held by the telephone conference.
(b) Any stipulations, limitations or
				agreements made at a pre-hearing conference shall be recited in the record and
				shall control the course of the proceedings, unless modified during the hearing
				to prevent manifest injustice.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 9 - HEARINGS › Section 9-11 - Evidence and Testimony

Current through July 13, 2024
(a) Burden of
				Proof. The Department shall have the burden of proof for all disciplinary
				proceedings.
(b) Admissibility of
				Evidence. Admissibility is governed by
				W.S.
				16-3-108 and WRCP.
(i) The parties shall be entitled to present
				oral or documentary evidence, submit rebuttal evidence and conduct
				cross-examinations, as maybe required for a full disclosure of the facts. All
				documentary or physical evidence submitted for consideration shall be marked as
				exhibits. The Department's exhibits shall be marked by letters of the alphabet
				beginning with "A." Contestant's exhibits shall be marked by numbers beginning
				with "1."
(ii) The Hearing Officer
				shall allow oral or documentary evidence which is not relevant, immaterial or
				unduly repetitions evidence.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 9 - HEARINGS › Section 9-12 - Representation

Current through July 13, 2024
(a) All parties have a right to represent
				themselves, to be represented by an attorney authorized to practice pursuant to
				the rules of the Supreme Court of Wyoming, or be represented by any other
				person chosen by the Contestant to appear on his behalf. If the Contestant is
				represented by an attorney, the Contestant shall pay his attorney's fees and
				costs. During such hearings:
(i) A party, his
				attorney, or his representative may examine or cross-examine
				witnesses;
(ii) The Hearing Officer
				may examine witnesses; but
(iii)
				Other than as delineated in (i) or (ii) above, no other person may examine or
				cross-examine witnesses.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 9 - HEARINGS › Section 9-13 - Location of Hearing

Current through July 13, 2024
(a) Hearings
				involving certification of a Contestant and licensing of an ambulance service
				shall be held in Cheyenne, Wyoming unless the Department consents, in writing
				to a different location.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 9 - HEARINGS › Section 9-14 - Consolidation of Hearings

Current through July 13, 2024
Upon motion of on of the parties, the Hearing Officer may
				  consolidate two or more hearings if the hearings involve the same parties with
				  similar related issues.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 9 - HEARINGS › Section 9-15 - Procedural Rights of Contestant

Current through July 13, 2024
The Contestant, or his representative may, in keeping within
				  the Wyoming Rules of Civil Procedure:
(a) Engage in discovery; and
(b) Bring witnesses, establish all pertinent
				facts and circumstances, present an argument, and question or refute any
				testimony or evidence, including the opportunity to confront and cross-examine
				adverse witnesses, in compliance with the WRCP.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 9 - HEARINGS › Section 9-16 - Failure to Appear

Current through July 13, 2024
If a Contestant fails to appear at the place, date, and time
				  specified in a notice, the Hearing Officer may:
(a) Continue the hearing until a later date
				and provide proper notice as prescribed in these rules;
(b) Proceed to conduct the hearing without
				the Contestant and dispose of the contested case; or
(c) Enter a finding adverse to the
				Contestant.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 9 - HEARINGS › Section 9-17 - Order of Procedure

Current through July 13, 2024
(a) As nearly as
				practicable, the following order shall be followed:
(i) Opening statements may be made,
				Respondent first, then Contestant.
(ii) The Respondent shall have the burden of
				proof and shall offer evidence first, and then the Contestant may offer
				evidence.
(iii) No testimony shall
				be received by the Hearing Officer unless given under oath/affirmation
				administered by the Hearing Officer.
(iv) Closing statements may be made,
				Respondent first, then Contestant, then the Respondent in rebuttal.
(v) The Hearing Officer may limit the time
				for opening and closing statements.
(vi) After all parties have had an
				opportunity to be heard, the Hearing Officer shall excuse all witnesses and
				close the evidence.
(vii) Evidence
				may be reopened only upon written motion by a party to the proceeding and a
				showing of good cause.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 9 - HEARINGS › Section 9-18 - Decisions

Current through July 13, 2024
(a) The Hearing Officer shall make proposed
				findings of fact and conclusions of law within twenty (20) working days of the
				close of the hearings (the time permitted for parties or other interested
				persons to submit briefs shall be included within twenty {20} working days) and
				forward them to the Department for final determination. This time may be
				extended but not by more than ten (10) working days, unless the parties
				stipulate in writing or on the record at the hearing, to a later date.
(i) Within ten (10) working days of the close
				of the hearing, or at such later time as the Hearing Officer may allow, each
				party shall be allowed to file with the Hearing Officer any proposed findings
				of fact and conclusions of law, together with a supporting brief. Such
				proposals and briefs shall be served on all other parties.
(ii) Within ten (10) working days after the
				issuance of the Hearing Officer's proposed findings of fact and conclusions of
				law, any of the parties may submit exceptions. Such exceptions shall be filed
				with the Department and served on all other parties.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 9 - HEARINGS › Section 9-19 - Appeals

Current through July 13, 2024
Appeals from a final decision of the Department shall be in
				  accordance with
				  W.S.
				  16-3-114 and Rule 12 of the Wyoming Rules of
				  Appellate Procedure, except as otherwise agreed by the
				  parties.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 9 - HEARINGS › Section 9-20 - Transcripts and Record

Current through July 13, 2024
(a) When a
				contested case is set for hearing, the Department shall assign a docket number
				and date of filing on a docket. The Department shall maintain a separate file
				for each docketed case in which all pleadings, transcriptions, correspondence,
				appears, and exhibits for that case shall be maintained. All such items shall
				have noted thereon the assigned docket number and the date of filing.
(b) The Department shall record all contested
				case proceedings:
(i)
				Electronically;
(ii) Through the
				use of a qualified court reporter; or
(iii) Any other appropriate means determined
				by the Department. Transcription of oral proceedings or written transcripts of
				a witness' testimony may be obtained by Contestant from the Department upon
				payment of the cost of copying the transcripts.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 9 - HEARINGS › Section 9-21 - Ex Parte Matters

Current through July 13, 2024
Unless required for the disposition of ex parte matters
				  authorized by law, the Hearing Officer shall not consult with an individual or
				  party on any matter at issue as allowed in
				  W.S.
				  16-3-111.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 10 - NON-AMBULANCE EMS PERSONNEL › Section 10-2 - Application

Current through July 13, 2024
(a) Any individual desiring to be certified
				as a FR, EMT Basic, EMT Intermediate, or Paramedic shall submit to the Division
				an application in the format prescribed by the Division. Applications for EMT
				Basic, EMT Intermediate, and Paramedic shall include a fee of two ($2.00)
				payable to the State of Wyoming. The application shall at a minimum contain the
				following information:
(i) Full name, current
				address and legal residence;
(ii)
				Age, height, weight, color of eyes and hair;
(iii) Proof of current medical certification
				desired;
(iv) Category of EMS
				certified desired;
(v) Whether the
				applicant has been convicted of a crime against a person, a felony, or an
				offense against morals, decency and family;
(vi) Whether the applicant has ever been
				subject to limitation, suspension, or termination of their right to practice in
				a health care occupation or voluntarily surrendered a health care certification
				or license in any state or to an agency authorizing the legal right to
				work;
(vii) If applying for EMT
				Basic, EMT Intermediate, or Paramedic certification, submit a completed Wyoming
				EMT physician sponsor form; and
(viii) Social Security number.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 10 - NON-AMBULANCE EMS PERSONNEL › Section 10-3 - Examination of Personnel

Current through July 13, 2024
(a) The Division
				may examine any individual applying for or holding an EMS certificate. The
				examination shall be a practical demonstration of skills and/or a written
				examination to test the individual's educational qualifications and patient
				care skills. Testing shall be equivalent to the standard Division final
				examination administered normally for course completion, at the appropriate
				level.
(b) Following a failure of
				the examination, the applicant may retake the examination within thirty (30)
				days, and may not function as a FR, EMT Basic, EMT Intermediate, or Paramedic
				pending a successful retest. Failure of the retest, or failure to retest, shall
				be grounds for revocation or denial of the EMS certificate until the person
				retakes the formal Division approved training program, specific to the EMS
				certificate level applied for or held.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 10 - NON-AMBULANCE EMS PERSONNEL › Section 10-4 - Verification of Information

Current through July 13, 2024
The Division may contact agencies or entities including, but
				  not limited to, other State agencies, law enforcement agencies and medical
				  personnel, to verify information in the application.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 10 - NON-AMBULANCE EMS PERSONNEL › Section 10-5 - Decision

Current through July 13, 2024
The Division shall grant or deny the application within
				  forty-five (45) days after receiving a complete and verifiable application. If
				  the Division grants the application for a certificate, it shall send a wallet
				  size card (certificate) to the applicant. If the Division denies certification,
				  it shall send written notice to the applicant. The written notice shall contain
				  a statement of reasons for denial.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 10 - NON-AMBULANCE EMS PERSONNEL › Section 10-6 - Term of Certificate

Current through July 13, 2024
(a) An initial
				certificate shall be valid though December 31 of the year following the year of
				issuance; unless one of the following events occurs:
(i) The physician medical director terminates
				his sponsorship of the EMT Basic, EMT Intermediate, or Paramedic. If the
				physician medical director terminates his sponsorship of an EMT Basic, EMT
				Intermediate, or Paramedic, the individual shall immediately surrender his
				certificate to the Division. The EMT Basic, EMT Intermediate, or Paramedic
				within fifteen (15) days, shall mail the certificate to the Division;
				or
(ii) The Division revokes or
				suspends the certificate. The certificate holder shall immediately return the
				certificate to the Division by hand delivery or certified mail.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 10 - NON-AMBULANCE EMS PERSONNEL › Section 10-7 - Certificate Renewal

Current through July 13, 2024
(a) The Division
				may renew a certificate only if the certificate holder has completed the
				required continuing medical education training and testing (as applicable)
				requirements as set forth in Chapter 8 of these rules. The renewal applicant
				shall send to the Division the continuing education form and all required
				documentation to the Division not less than thirty (30) days, but not more than
				ninety (90) days, before the certificate expires, to insure continuous
				certification.
(b) Should the
				certificate expire, the certificate holder shall not act in the capacity of a
				FR, EMT Basic, EMT Intermediate, or Paramedic.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 10 - NON-AMBULANCE EMS PERSONNEL › Section 10-8 - Warning, Revocation, Suspension, or Denial of an EMS Training Certificate

Current through July 13, 2024
(a) If the Division
				becomes aware of any act of noncompliance with these rules by a holder of a
				certificate, which the Division determines does not require revocation or
				suspension, the Division may, at its sole discretion, give a warning notice to
				the holder concerning the act. Failure to correct this act of noncompliance
				within the terms of the warning may result in revocation, suspension, or
				refusal to renew an EMS certificate, as provided below.
(b) The Division may deny, revoke, suspend,
				or refuse to issue a certificate or take other appropriate disciplinary action
				on the following grounds:
(i) Fraud, bribery,
				or misrepresentation in applying for or procuring a certificate or renewal
				certificate;
(ii) Failure to comply
				or maintain compliance with these Rules or the Act;
(iii) Aiding, abetting or conspiring with
				another on the violation of these Rules or the Act;
(iv) Manifest incapacity or incompetence to
				render emergency medical care;
(v)
				Conviction of a crime against a person, a felony, or an offense against morals,
				decency and family;
(vi) Whether
				the applicant has ever been subject to limitation, suspension, or termination
				of your right to practice in a health care occupation or voluntarily
				surrendered a health care certification or license in any state or to an agency
				authorizing the legal right to work;
(vii) Exceeding the scope of practice
				authorized for the appropriate EMS training certificate category;
(viii) Gross negligence, gross malpractice,
				or repeated malpractice;
(ix)
				Unprofessional, unethical, dishonorable or repeated disruptive conduct;
				or
(x) Termination by the physician
				medical director;
(xi) Failure to
				comply with request for criminal background check and fingerprinting;
				or
(xii) Based upon information
				contained in the criminal background check and/or fingerprint check reports
				that would identify the individual as a potential danger to the health, safety,
				and welfare to the citizens of Wyoming.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 10 - NON-AMBULANCE EMS PERSONNEL › Section 10-9 - Lapsed Certification

Current through July 13, 2024
Individuals with lapsed Wyoming certification may be
				  reinstated, within one (1) year of decertification only, by completing Division
				  continuing medical education re-training and passing the written and practical
				  examinations. The Division shall deny reinstating a lapsed certification for
				  any reason listed above that constitutes cause to revoke, suspend or deny an
				  existing certificate or application.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 10 - NON-AMBULANCE EMS PERSONNEL › Section 10-10 - Authorized Acts or Scope of Practice of Non-Attendant Personnel

Current through July 13, 2024
(a) Persons holding an EMS certificate but
				not an attendant certificate issued by the Division shall not serve as
				attendants, by themselves, for any licensed ambulance service.
(b) A certified FR technician is authorized
				to:
(i) Render emergency care, rescue and
				resuscitation consistent with formal training though the FR course;
(ii) Perform cardiopulmonary resuscitation in
				accordance with the Healthcare Provider standards of the American Heart
				Association or its equivalent;
(iii) Administer oxygen, and
(iv) Perform defibrillation using an AED
				according to the recommended protocol of the Division; or assist a patient with
				self-administered medications as authorized by the Division, when functioning
				as a member of an organized first responder organization.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 10 - NON-AMBULANCE EMS PERSONNEL › Section 10-11 - Religious Grounds

Current through July 13, 2024
No person holding an EMS training certificate shall provide
				  treatment or transportation if the patient objects to any medical treatment or
				  transportation to a hospital or medical facility on religious
				  grounds.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 10 - NON-AMBULANCE EMS PERSONNEL › Section 10-12 - Comfort One®Cardiopulmonary Resuscitation Directive

Current through July 13, 2024
This directive is for the purpose of instructing prehospital
				  EMS personnel to forego resuscitation attempts in the event of a patient's
				  cardiopulmonary arrest in accordance with
				  W.S.
				  35-22-203(a) [See attached
				  Appendix E]
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 10 - NON-AMBULANCE EMS PERSONNEL › Section 10-13 - Training Programs

Current through July 13, 2024
Training programs for emergency medical personnel shall
				  address not only adults but shall address emergency medical services for
				  children (EMS-C).
(a) Any person
				desiring to establish a training program for FR personnel shall form a Program
				Committee. The Program Committee shall consist of:
(i) A physician licensed to practice medicine
				in this state who agrees to act as program director; and
(ii) A person who agrees to serve as course
				coordinator. This person should hold a current EMT certificate.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 10 - NON-AMBULANCE EMS PERSONNEL › Section 10-14 - Patient Care Reports

Current through July 13, 2024
All Division and Board approved fire protective services
				  shall submit a patient care reporting form for all patients evaluated/treated
				  by their EMT Basic, EMT Intermediate and Paramedic personnel. Each patient
				  report shall be recorded on a report form approved by the Division, disk or
				  hard copies of the completed patient care reports to the Division. These shall
				  be due on the tenth day of the next month or within such shorter time as the
				  Division may request.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 10 - NON-AMBULANCE EMS PERSONNEL › Section 10-16 - Patient Records

Current through July 13, 2024
No Division and Board approved fire protective service,
				  covered by these rules shall release a patient care report without the
				  patient's consent, except to a health care facility, the Division, a law
				  enforcement officer, the Wyoming Attorney General's office, or pursuant to a
				  lawful court order.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 10 - NON-AMBULANCE EMS PERSONNEL › Section 10-17 - Reports of Requests for Information or of Litigation

Current through July 13, 2024
All political subdivision Division and Board approved fire
				  protective services that come under the provisions of
				  W.S.
				  16-4-201 (Wyoming Public Records Act) shall
				  submit to the Division a copy of any requests for information filed with them.
				  Any such requests shall be sent to the Division by certified mail, return
				  receipt requested, within thirty (30) days of receipt of such request.
All Division and Board approved fire protective services
				  shall report any service of process, as defined in Chapter 1, Section
				  3(rr) of these rules, on
				  the fire protective service to the Division within one (1) working day of
				  receipt of service.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 11 - MEDICAL DIRECTORS STIPENDS › Section 11-2 - Purpose

Current through July 13, 2024
These rules and regulations establish the requirements of
				  the medical director stipends to promote physician involvement with the local
				  ambulance service, and establish the requirements of the physician medical
				  director in order to be able to receive the monthly stipend.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 11 - MEDICAL DIRECTORS STIPENDS › Section 11-3 - Definitions

Current through July 13, 2024
The following definitions shall apply in the interpretation
				  and enforcement of this rule only. All other terms apply as defined in Chapter
				  1 of these rules.
(a) "Physician
				Medical Director" means a Medical Doctor (MD) or Doctor of Ostephathy (DO)
				licensed in Wyoming who is responsible for the medical supervision of ambulance
				services.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 11 - MEDICAL DIRECTORS STIPENDS › Section 11-5 - Eligibility Requirements

Current through July 13, 2024
To receive the monthly stipend, a Physician Medical Director
				  shall contract with the Office of Emergency Medical Services (OEMS) and
				  shall:
(a) Serve as the medical
				liaison between the ambulance service and the OEMS;
(b) Attend the OEMS's medical director's
				training program once during the two (2) year period;
(c) Participate in, at a minimum, a one (1)
				hour quarterly meeting with the ambulance service in order to review patient
				care reports of patients transported by the ambulance service;
(d) Participate in a quarterly telephone
				conference call with the OEMS's Medical Director;
(e) Attend, once during the biennium for
				which the stipend funds were issued, the OEMS's annual Wyoming Trauma
				Conference;
(f) Develop and
				maintain a close working relationship with the OEMS's Medical Director;
				and
(g) Participate in other
				activities that would occur infrequently but would require the expertise and
				presence of the physician medical director for their identified ambulance
				service.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 12 - EMERGENCY MEDICAL SERVICES NEEDS ASSESSMENT MASTER PLAN IMPLEMENTATION GRANTS › Section 12-1 - Authority

Current through July 13, 2024
These rules are promulgated by the Department of Health,
				  Office of Emergency Medical Services pursuant to W.S. §
									
										33-36-115, and the Wyoming Administrative
				  Procedures Act at W.S. § 16-3-1101,
et.
				  seq.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 12 - EMERGENCY MEDICAL SERVICES NEEDS ASSESSMENT MASTER PLAN IMPLEMENTATION GRANTS › Section 12-2 - Purpose and Applicability

Current through July 13, 2024
These rules establish eligibility, implement an application
				  procedure, and create a process for facilitating the award of grant funds from
				  the Emergency Medical Services Sustainability Trust Income Account for
				  Emergency Medical Services Needs Assessment and Master Plan Implementation
				  Grants.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 12 - EMERGENCY MEDICAL SERVICES NEEDS ASSESSMENT MASTER PLAN IMPLEMENTATION GRANTS › Section 12-4 - Definitions

Current through July 13, 2024
The following definitions shall apply in the interpretation
				  and enforcement of this chapter only. All other terms apply as defined in
				  Chapter 1 of these rules.
(a)
				"Authorized Representatives" means those individuals designated by appointment
				or election to act on behalf of an applicant, grantee, and/or a political
				subdivision within a proposed service area including, but not limited to, a
				county, joint powers board, or emergency medical services special
				district.
(b) "Department" means
				the Wyoming Department of Health.
(c) "Division" means the Office of Emergency
				Medical Services (OEMS).
(d)
				"Political Subdivision" means any area defined or recognized as a political
				subdivision under state law.
(e)
				"Service Area" means any area typically and reasonably served by an emergency
				medical service regardless of existing geopolitical boundaries and which
				corresponds to a rural urban commuting area as defined by the U.S. Department
				of Agriculture (USDA).
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 12 - EMERGENCY MEDICAL SERVICES NEEDS ASSESSMENT MASTER PLAN IMPLEMENTATION GRANTS › Section 12-5 - Needs Assessment Grant Application Requirements

Current through July 13, 2024
(a) Any person,
				entity, or group that is interested in improving emergency medical services in
				a proposed service area may submit an application to the Division for an
				Emergency Medical Services Needs Assessment Grant.
(b) Needs assessment Grant applications must
				include:
(i) A narrative request for an
				assessment of emergency medical services in the proposed service area and an
				analysis of the current emergency medical services system. The narrative must
				include information on the following:
(A) The
				proposed service area and population served within the proposed service
				area;
(B) The need for the
				assessment including any concerns with the current level of volunteerism and
				certification, call volume, and response times, and any additional concerns
				that form the basis for the request;
(C) Current budget sustainability including
				each applicant's funding sources and billing practices; and
(D) The level of commitment of all entities
				involved to implement changes proposed as a result of an Emergency Medical
				Services Needs Assessment.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 12 - EMERGENCY MEDICAL SERVICES NEEDS ASSESSMENT MASTER PLAN IMPLEMENTATION GRANTS › Section 12-6 - Needs Assessment Grant Application Calendar and Award Procedure

Current through July 13, 2024
(a) Applications for Emergency Medical
				Services Needs Assessment Grants may be submitted to the Division from April
				1st through June 30th of
				each year.
(b) The Division may
				consult with applicants during the review process to determine whether a
				further detailed assessment of emergency medical services in the proposed
				service area is appropriate.
(c) No
				later than sixty (60) days after the close of the application period, the
				Division shall make a final determination to either:
(i) Award an Emergency Medical Services Needs
				Assessment Grant to the applicant(s); and
(ii) Engage a contractor to further assess
				the current capabilities, strengths, weaknesses, coverage gaps, and workforce
				shortfalls of the entire emergency medical services system within the proposed
				service area; or
(iii) Deny the
				request for an Emergency Medical Services Needs Assessment Grant.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 12 - EMERGENCY MEDICAL SERVICES NEEDS ASSESSMENT MASTER PLAN IMPLEMENTATION GRANTS › Section 12-7 - Emergency Medical Services Needs Assessment

Current through July 13, 2024
The Department shall contract with a third-party to conduct
				  the Emergency Medical Services Needs Assessment for awarded applicants. The
				  contractor shall be chosen through the Request for Proposal (RFP)
				  process.
(a) Contractor shall consult
				with the grantee and affected entities within the proposed service area
				including representatives of public, private, and volunteer ambulance services,
				county and local government agencies, hospitals providing emergency medical
				services, and other appropriate stakeholders.
(b) Contractor shall assess the current
				capabilities, strengths, weaknesses, coverage gaps, and workforce shortfalls of
				the entire emergency medical services system within the proposed service area.
(i) The assessment shall include the
				collection of data using common quality and performance improvement benchmarks,
				indicators, and scoring formats.
(A)
				Benchmarks, indicators, and scoring formats to be utilized by the contractor
				for the needs assessment shall be determined by the Division prior to engaging
				the contractor to conduct the assessment.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 12 - EMERGENCY MEDICAL SERVICES NEEDS ASSESSMENT MASTER PLAN IMPLEMENTATION GRANTS › Section 12-8 - Master Plan Implementation Grant Applications and Awards

Current through July 13, 2024
Subsequent to the completion of an Emergency Medical Services
				  Needs Assessment under Section
				  7 of
				  this Chapter, service areas may apply for funding to assist in the
				  implementation of the master plan developed as a result of the needs
				  assessment, subject to the following:
(a) Applications for a Master Plan
				Implementation Grant may be submitted by a county, joint powers board, or an
				emergency medical services special district.
(b) Applications must be submitted to the
				Division no later than ninety (90) days after the completion of the Emergency
				Medical Services Needs Assessment.
(c) Applications for a Master Plan
				Implementation Grant must include the following:
(i) A narrative specifying how Master Plan
				Implementation Grant funds will be used to address findings and recommendations
				identified in the Emergency Medical Services Needs Assessment, including, but
				not limited to:
(A) the intended use of the
				funds; and
(B) how those funds will
				allow the applicant to improve emergency medical service delivery for the
				service area; and
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 13 - DESIGNATION OF HEART ATTACK AND STROKE CENTERS › Section 13-1 - Authority

Current through July 13, 2024
(a) This Chapter is promulgated by the
				Department of Health pursuant to W.S. §§
									
										35-2-1001 and the Wyoming Administrative
				Procedure Act at W.S. §§
									
										16-3-101 through
				16-3-115.
(b) The Department may issue manuals,
				bulletins, or both to interpret the provisions of this rule. Such manuals and
				bulletins shall be consistent with and reflect the policies contained in this
				rule and regulation. The provisions contained in manuals or bulletins shall be
				subordinate to the provisions of this rule and regulation.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 13 - DESIGNATION OF HEART ATTACK AND STROKE CENTERS › Section 13-2 - Definitions

Current through July 13, 2024
The following definitions shall apply in the interpretation
				  and enforcement of this chapter. Except as otherwise specified, the terminology
				  used in this chapter is intended to have the standard meaning used in
				  healthcare.
(a) "Accreditation" means
				the recognition or certification made by an independent agency establishing
				that a hospital has met the criteria specified by that agency for recognition
				as outlined in this chapter.
(b)
				"Accrediting agency" means the American Heart Association, the Society for
				Cardiovascular Patient Care or the Joint Commission.
(c) "Heart Attack Receiving Center" means a
				hospital that has applied for and received designation as a Heart Attack
				Receiving Center under the provisions of this chapter. Heart Attack Receiving
				Centers shall be considered a higher level of care than Heart Attack Referring
				Centers.
(d) "Heart Attack
				Referring Center" means a hospital that has applied for and received
				designation as a Heart Attack Referring Center under the provisions of this
				chapter.
(e) "Higher level of care"
				means a hospital capable of providing diagnostic, interventional or tertiary
				care beyond the capacity of the hospital from which a patient
				originates.
(f) "Comprehensive
				Stroke Center" means a hospital that has applied for and received designation
				as a Comprehensive Stroke Center under the provisions of this chapter.
				Comprehensive Stroke Centers shall be considered a higher level of care than
				Primary Stroke Centers.
(g)
				"Department" means the Wyoming Department of Health.
(h) "Designated hospital" means a hospital
				designated under the provisions of this chapter.
(i) "OEMS" means the Wyoming Office of
				Emergency Medical Services.
(j)
				"Primary Stroke Center" means a hospital that has applied for and received
				designation as a Primary Stroke Center under the provisions of this chapter.
				Primary Stroke Centers shall be considered a higher level of care than Acute
				Stroke Ready Centers.
(k) "The
				Joint Commission" means the not-for-profit organization known until January 1,
				2007 as the "Joint Commission on Accreditation of Healthcare Organizations"
				(JCAHO).
(l) "Acute Stroke Ready
				Center" means a hospital that has applied for and received designation as an
				Acute Stroke Ready Center under the provisions of this chapter.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 13 - DESIGNATION OF HEART ATTACK AND STROKE CENTERS › Section 13-4 - Categories of Recognition and Accrediting Agencies

Current through July 13, 2024
(a) Hospitals may apply for and receive
				designation under this chapter as one or more of the following:
(i) Heart Attack Receiving Center
(ii) Heart Attack Referring Center
(iii) Comprehensive Stroke Center
(iv) Primary Stroke Center
(v) Acute Stroke Ready Center
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 13 - DESIGNATION OF HEART ATTACK AND STROKE CENTERS › Section 13-5 - Application, Recognition and Renewal Process

Current through July 13, 2024
Any hospital desiring recognition under the provisions of
				  this chapter shall complete the following application process:
(a) Prior to the initiation of an
				accreditation process with an independent agency, hospitals will submit a
				Letter of Intent to the OEMS declaring the following:
(i) The category of accreditation and
				recognition being sought;
(ii) The
				anticipated accrediting agency;
(iii) The expected timeframe of
				completion;
(iv) Contact
				information for the designated person with oversight of the hospital's
				accreditation process.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 13 - DESIGNATION OF HEART ATTACK AND STROKE CENTERS › Section 13-6 - Withdrawal of designation

Current through July 13, 2024
Hospitals designated under the provisions of this chapter may
				  have the designation withdrawn under the following provisions:
(a) Voluntary Withdrawal. If a hospital
				designated under the provisions of this chapter chooses to withdraw designation
				under this chapter, the hospital shall provide a letter stating its intent to
				withdraw from these provisions, and the reason(s) for withdrawal.
(b) Involuntary Withdrawal. The OEMS shall
				provide a written Notice of Involuntary Withdrawal when it determines that any
				of the following conditions exist:
(i) The
				receipt of notice by the OEMS from the accrediting agency that the hospital is
				no longer compliant with the agency's criteria.
(ii) The suspension, revocation or denial of
				accreditation or renewal of accreditation by the accrediting agency.
(iii) Failure to comply with the provisions
				of this chapter.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 13 - DESIGNATION OF HEART ATTACK AND STROKE CENTERS › Section 13-7 - Coordination among designated hospitals

Current through July 13, 2024
Hospitals designated under the provisions of this chapter
				  will provide for the coordination of the referral and transfer of acute heart
				  attack and stroke patients by ensuring the following:
(a) The establishment of written agreement(s)
				with a facility or facilities determined to be the next higher level of care
				whether such facility exists within the state or outside of the
				state.
(b) The establishment of
				written agreement(s) with Wyoming licensed ambulance services, both ground and
				air ambulance, to provide for the timely transfer of patients to the next
				higher level of care.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 14 - COMMUNITY EMS PRACTITIONERS, AGENCIES AND EDUCATION PROGRAMS › Section 14-1 - Authority

Current through July 13, 2024
The Department adopts these rules under W.S. §
									33 -
				  36 -
				  103 and W.S. §
									35-1-804 to enhance the
				  comprehensive Emergency Medical Services (EMS) and trauma system by
				  establishing criteria for the establishment and operation of Community EMS
				  Programs.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 14 - COMMUNITY EMS PRACTITIONERS, AGENCIES AND EDUCATION PROGRAMS › Section 14-2 - Definitions

Current through July 13, 2024
As used in this chapter, "Division" means the Department of
				  Health, Office of Emergency Medical Services (OEMS). The terminology used in
				  this chapter is intended to have the standard meaning used in healthcare,
				  except as otherwise specified.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 14 - COMMUNITY EMS PRACTITIONERS, AGENCIES AND EDUCATION PROGRAMS › Section 14-3 - Endorsement

Current through July 13, 2024
(a) A currently licensed EMT, AEMT, IEMT or
				Paramedic, may apply for endorsement as a Community EMS Technician or Community
				EMS Clinician.
(b) Applications for
				endorsement must contain a verifiable copy of a transcript showing the
				successful completion of the appropriate Division-approved Community EMS
				Education Program as described in Section
				4 of this chapter.
(c) The Division may deny endorsement to any
				person who submits incomplete or inaccurate information on an application.
				Fraudulent information shall be cause for denial, revocation or suspension of
				the person's EMT, AEMT, IEMT, or Paramedic license.
(d) A person may not hold himself out to be
				or provide the services of a Community EMS Technician or Community EMS
				Clinician without endorsement as such by the Division.
(e) An endorsement as a Community EMS
				Technician or Community EMS Clinician shall expire concurrently with the
				expiration of the person's EMT, AEMT, IEMT, or Paramedic license.
(f) An endorsement as a Community EMS
				Technician or Community EMS Clinician may be renewed concurrent with the
				renewal of the person's EMT, AEMT, IEMT or Paramedic license upon submission of
				documentation of ten (10) hours of continuing medical education in any subject
				covered in the Community EMS Technician or Community EMS Clinician curriculum
				described in section
				4 of this chapter. These hours are in
				addition to the continuing education requirements for renewal of the EMT, AEMT,
				IEMT, or Paramedic license.
(g) The
				Division may endorse an EMT, AEMT, IEMT, or Paramedic who has completed a
				Community EMS course of study and received the standardized Certified Community
				Paramedic (CP-C) credential from the International Board of Specialty
				Certifications as a Community EMS Clinician as long as the EMTs, AEMTs, IEMTs,
				or Paramedic's CP-C credential is maintained.
(h) The Division may deny, suspend or revoke
				an endorsement of a Community EMS Technician or Community EMS Clinician for
				failure to maintain compliance with this section or for any reason established
				under chapter 16 of these rules.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 14 - COMMUNITY EMS PRACTITIONERS, AGENCIES AND EDUCATION PROGRAMS › Section 14-4 - Approved Educational Programs

Current through July 13, 2024
(a) The Division may approve a Community EMS
				Education Program that:
(i) Submits an
				application for approval to the Division;
(ii) Is conducted by:
(A) A college or university;
(B) An educational institution or health
				services organization that has an articulation agreement with a college or
				university; or
(C) An educational
				program accredited by the Committee on Accreditation of Educational Programs
				for the Emergency Medical Services Professions (CoAEMSP), in which case
				approval shall only be for Community EMS Technician courses; or
(iii) Tests student proficiency
				and periodically measures student learning;
(iv) Maintains records of student attendance
				at didactic sessions, practical laboratory requirements, and performance of
				clinical requirements;
(v)
				Provides, by policy, for the removal of a student from the course for
				unsatisfactory performance; and
(vi) Demonstrates that the program has
				adequate training space, equipment and other resources required to conduct the
				particular level of instruction.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 14 - COMMUNITY EMS PRACTITIONERS, AGENCIES AND EDUCATION PROGRAMS › Section 14-5 - Community EMS Technician and Community EMS Clinician Scope of Practice and Authority

Current through July 13, 2024
(a) The authorized acts and scope of practice
				for a Community EMS Technician or Community EMS Clinician are limited to those
				skills listed for the individual's EMS license level as described in chapter 16
				of these rules, and may only be exercised in accordance with protocols or
				standing orders approved by the Physician Medical Director of the Community EMS
				Agency.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 14 - COMMUNITY EMS PRACTITIONERS, AGENCIES AND EDUCATION PROGRAMS › Section 14-6 - Agency Approval Requirements

Current through July 13, 2024
(a) EMS Agencies may apply for approval to
				provide services at one of the following levels:
(i) Community EMS Technician (CET) Agency.
				The activities of these agencies are directed towards reducing the burden of
				patients accessing the larger health care system through the emergency medical
				system. Community EMS Technician Agencies may utilize either Community EMS
				Technicians or Community EMS Clinicians to perform the following activities:
(A) Appropriately treating and releasing
				patients, rather than providing transport to a hospital or emergency
				department;
(B) Treating and
				transporting patients to appropriate destinations other than a hospital or an
				emergency department if the Community EMS Technician Agency is operated under a
				valid Ambulance Business License;
(C) Treatment and referral to a primary care
				or urgent care facility;
(D)
				Assessment of the patient and reporting to a primary care provider to determine
				an appropriate course of action.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 14 - COMMUNITY EMS PRACTITIONERS, AGENCIES AND EDUCATION PROGRAMS › Section 14-7 - Documentation and Reporting

Current through July 13, 2024
(a) Community EMS Technician programs shall
				utilize the electronic patient care reporting system provided by the Division
				for the documentation of clinical care. It is the responsibility of the
				individual Community EMS Technician to ensure completion of the patient care
				report.
(b) Community EMS Clinician
				programs may utilize locally developed and approved forms or electronic
				reporting systems for documenting the provision of clinical care. Emergency
				requests for service must be documented in accordance with the requirements of
				chapter 4 of these rules.
(c)
				Community EMS Technician and Clinician programs shall provide reports of
				patient care activities as periodically required by the Division, in a format
				approved by the Division.
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 15-1 - Authority

Current through July 13, 2024
The authority for this chapter is Wyo. Stat. Ann.
				  §§
									
										35-1-801 and
				  35-2-1001.