Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0061 - Healthcare Licensing and Surveys › Chapter 25 - FREESTANDING EMERGENCY CENTERS › Section 25-3 - Definitions

Current through July 13, 2024
(a) The following definitions apply to this
				Chapter:
(i) "Advanced Practice Registered
				Nurse" or "APRN" means a person authorized by the Wyoming State Board of
				Nursing to practice as an advanced practice registered nurse pursuant to
				W.S.
				33-21-134(b).
(ii) "Central registry" means the registry
				operated by the Wyoming Department of Family Services to index individuals who
				have been substantiated for:
(A) Abuse or
				neglect of children under W.S.
				W.S.
				14-3-213; or
(B) Abuse, neglect, exploitation, or
				abandonment of vulnerable adults under W.S.
				W.S.
				35-20-115.
(iii) "Emergency medical condition" means a
				condition manifesting itself by acute symptoms of sufficient severity,
				including severe pain, such that the absence of immediate medical attention
				could reasonably be expected to result in: placing the health of the individual
				or unborn child in serious jeopardy; serious impairment to bodily functions; or
				serious dysfunction of bodily organs. All emergency medical conditions are
				viewed as "life threatening emergency medical conditions" under
				W.S.
				35-2-901(a)(xxvi).
(iv) "Freestanding emergency center" or
				"center" means a facility, that pursuant to
				W.S.
				35-2-901(a)(xxvi), "provides
				services twenty-four (24) hours a day, seven (7) days a week for life
				threatening emergency medical conditions and is at a location separate from a
				hospital."
(v) "Hospital" means an
				institution licensed pursuant to
				W.S.
				35-2-902 and certified as a hospital or
				critical access hospital by the Centers for Medicare and Medicaid
				Services.
(vi) "Immediate jeopardy"
				means a situation in which a center's noncompliance with one or more
				requirements of these Rules has caused, or is likely to cause, serious injury,
				harm, impairment, or death to a patient.
(vii) "License" means the authority granted
				by the State Survey Agency to operate a freestanding emergency center pursuant
				to
				W.S.
				35-2-902.
(viii) "Medical screening exam" means the
				process required to reach, with reasonable clinical confidence, a determination
				about whether an emergency medical condition does, or does not,
				exist.
(ix) "Registered Nurse" or
				"RN" means a person authorized by the Wyoming State Board of Nursing to
				practice as a registered professional nurse pursuant to W.S.
				W.S.
				33-21-134(a).
(x) "Physician" means a person authorized by
				the Wyoming Board of Medicine to practice medicine pursuant to
				W.S.
				33-26-301.
(xi) "Physician Assistant" or "PA" means a
				person authorized by the Wyoming Board of Medicine to practice as a physician
				assistant pursuant to W.S.
				W.S.
				33-26-504.
(xii) "Plan of correction" means a center's
				plan to correct the deficiencies identified during a survey conducted by the
				State Survey Agency.
(xiii)
				"Practitioner" means a physician, Advanced Practice Registered Nurse, or
				Physician Assistant, and does not include a Registered Nurse.
(xiv) "State Survey Agency" means the Wyoming
				Department of Health, Aging Division, Healthcare Licensing and Surveys,
				including its staff and designees.
(xv) "Survey" means an onsite or offsite
				inspection conducted by the State Survey Agency to determine compliance with
				these Rules. The term includes activities commonly referred to in the field as
				surveys, revisits, complaint investigations, periodic surveys, and other
				inspections deemed necessary by the State Survey Agency.
(xvi) "Triage" means the clinical assessment
				of an individual's presenting signs and symptoms at the time of arrival, in
				order to prioritize when the individual will be seen by a physician or other
				qualified practitioner.