reglab/statecodes huggingface dataset:
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 3 - AMBULANCE PERMIT REQUIREMENTS › Section 3-4 - Types of Aircraft Meeting the Criteria

Current through July 13, 2024
Aircraft, when used for ambulance service, shall comply with
				  the current Federal Aviation Regulations and
				  14 CFR
				  135, or these rules and regulations,
				  whichever are more restrictive.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 3 - AMBULANCE PERMIT REQUIREMENTS › Section 3-5 - Equipment Criteria

Current through July 13, 2024
Recommended minimum equipment for ground ambulances shall be
				  established by the Division. Recommended equipment lists shall be available
				  from the Division. [See attached Appendix C]
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 3 - AMBULANCE PERMIT REQUIREMENTS › Section 3-6 - Equipment Criteria for Air Ambulances

Current through July 13, 2024
(a) Required
				equipment for an air ambulance service may be kept separate from the aircraft
				in modular prepackaged form to facilitate rapid loading and easy access aboard
				the aircraft when responding to a call.
(b) All equipment and materials used in an
				air ambulance shall be secured to prevent any hazard during flight.
(c) Each air ambulance shall provide
				stretcher security and patient restraint in the vertical and horizontal
				plane.
(d) The equipment required
				to be on board an air ambulance when the aircraft is used to provide ambulance
				service shall be as indicated in the Federal Aviation Regulations
				14 CFR
				135, and the above Section
				5.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 3 - AMBULANCE PERMIT REQUIREMENTS › Section 3-7 - Safety Equipment Criteria

Current through July 13, 2024
(a) A ground
				ambulance shall be equipped with approved safety belts for the driver and for
				the front seat passenger(s), if any, and for all seating places in the rear
				compartment.
(b) An air ambulance
				shall have a Federal Aviation Administration (FAA) certificate of airworthiness
				maintained current by compliance with all required FAA inspections, as defined
				by the Federal Aviation Regulation.
(c) Every ambulance shall carry:
(i) A minimum 1A10BC rated fire
				extinguisher;
(ii) A portable
				battery operated light; and
(iii)
				Maps covering areas in which the ambulance provides services.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 3 - AMBULANCE PERMIT REQUIREMENTS › Section 3-8 - Communications Equipment Criteria

Current through July 13, 2024
(a) Each ambulance
				shall be equipped with a two-way radio or telephone or other wireless
				communication device capable of direct communication with Wyoming hospitals for
				the purpose of patient evaluation and medical procedure
				authorization.
(b) Any
				ambulance-to-hospital communication shall be conducted on a Federal
				Communications Commission (FCC), State Communications Office or
				Division-approved frequency.
(c)
				Each air ambulance shall comply with communication requirements as specified by
				Federal Aviation Regulations.
(d)
				Each ground ambulance shall be identified with an MS # for communication
				purposes with hospitals and other agencies. Ambulances MS# are assigned by the
				Wyoming Hospital Association on behalf of the OEMS.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 3 - AMBULANCE PERMIT REQUIREMENTS › Section 3-9 - Maintenance Criteria

Current through July 13, 2024
(a) The ambulance
				shall contain compartments so that medical supplies may be kept in a clean and
				sanitary condition.
(b) Equipment
				shall be securely stored so that the patient is not injured during a sudden
				stop or movement.
(c) The ambulance
				interior and exterior shall be kept clean. The interior shall be cleaned, as
				necessary, after each use. When a patient with a communicable disease, other
				than the common cold, has been transported in an ambulance, the ambulance
				interior and all equipment coming in contact with the patient shall be
				thoroughly disinfected. The infection control guidelines of the Centers for
				Disease Control shall be adhered to.
(d) All linens, airway and oxygen masks,
				nasal cannulas or any other supplies or equipment coming into direct patient
				contact shall either be of a single use, disposable type or cleaned, laundered
				or disinfected prior to reuse, as appropriate.
(e) All equipment shall be kept clean and in
				proper working order.
(f) The
				ambulance shall be maintained in accordance with manufacturer's specifications
				and be in good safe operating condition at all times.
(g) Emergency vehicle warning lights and
				audible warning devices shall be maintained to function in the manner in which
				they were designed to function.
(h)
				The ground ambulance shall meet the safety inspection criteria, as established
				by the Division. [See attached Appendix D]
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 3 - AMBULANCE PERMIT REQUIREMENTS › Section 3-10 - Inspection and Decision

Current through July 13, 2024
After receiving an application, the Division may inspect the
				  ambulance or have its designee inspect the ambulance. The Division shall grant
				  the permit if the ambulance meets the requirements of this Chapter. If the
				  Division denies the permit, it shall specify the reasons for denial, the
				  corrective action required by the Division, and a date by which the corrective
				  action must be taken. The Division may at any time inspect an ambulance
				  requiring a permit under this Chapter.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 3 - AMBULANCE PERMIT REQUIREMENTS › Section 3-13 - Ambulance Inspection

Current through July 13, 2024
The Division may, at its sole discretion, inspect each
				  ambulance subject to the requirements of this Chapter. The Division may inspect
				  an ambulance or its maintenance records at any time or place to determine if
				  the ambulance is being operated safely and in compliance with these
				  regulations. [See attached Appendix D]
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 4 - Grazing and Agricultural Leasing › Section 4-1 - Authority

Current through July 13, 2024
In addition to the authority delegated under
				  W.S.
				  33-36-101, these rules are promulgated under
				  the authority of W.S.
				  W.S.
				  35-1-801 to enable the Division in developing
				  and reporting on the comprehensive EMS and Trauma system by establishing
				  uniform criteria for EMS agency reporting and response. For the purposes of
				  this chapter, "EMS agency" means any ambulance, authorized fire protective
				  service or other entity dispatched with the intent to provide medical care in
				  response to an emergency request for medical care.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 4 - Grazing and Agricultural Leasing › Section 4-2 - Ambulance Personnel Criteria

Current through July 13, 2024
An ambulance shall comply with the following:
(a) Ground ambulances, when transporting a
				patient, shall be staffed with a driver and at least one (1) licensed EMT as
				provided in Chapter 5;
(b) All air
				ambulance service flights shall require at least one (1) licensed EMT and a
				flight crew in conformity with current Federal Aviation Regulations and 14 CFR
				Parts 91, 120, and 135; and
(c) Any
				physician, registered nurse, physician assistant, or nurse practitioner
				currently licensed in this state may provide care in an ambulance in accordance
				with their scope of practice when approved by the ambulance service.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 4 - Grazing and Agricultural Leasing › Section 4-3 - Running Criteria

Current through July 13, 2024
(a)  The driver of a ground ambulance shall
				comply with all Wyoming traffic laws and regulations, including
				W.S.
				31-5-928 and
				31-5-952;
(b) In the absence of decisive factors to the
				contrary, ambulances shall transport "emergent" or "urgent" patients to the
				closest accessible medical facility equipped, staffed and prepared to receive
				emergency cases and administer emergency medical care appropriate to the needs
				of the patient; and
(c) Siren and
				approved warning light restrictions. Ground ambulance drivers shall not
				activate warning lights or use the siren except when responding to an emergency
				call, providing for safety at the scene of a response or other hazard, or
				transporting emergency patients who are classified as "emergent" or "urgent" as
				defined in Section
				5 of
				this Chapter.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 4 - Grazing and Agricultural Leasing › Section 4-4 - Patient Care Reporting

Current through July 13, 2024
(a) To promote the uniform provision and
				accountability of the comprehensive emergency medical services and trauma
				system, all EMS agencies and their personnel shall utilize the Division's
				electronic patient care reporting system to document the provision of emergency
				medical services or related trauma care.
(b) EMS personnel providing care to a patient
				shall provide patient care reports to any EMS agency or healthcare facility
				receiving the transfer of care of a patient to ensure the continuity of patient
				care and patient safety.
(c) At a
				minimum, EMS personnel shall ensure that appropriate personnel receiving the
				transfer of care of a patient are aware of the patient's presence, that systems
				and equipment necessary for the monitoring and safety of the patient are in
				place, and that a verbal report of the care provided by the ambulance service
				has been provided to the appropriate person.
(d) EMS personnel providing care to and
				transport of a patient shall leave a copy of the patient care report with the
				receiving medical facility or EMS agency at the time of the transfer of care of
				the patient whenever practicable. EMS personnel that provide care to a patient
				shall submit complete and accurate patient care reports for every request for
				service in the electronic system maintained by the Division no later than two
				(2) hours after the ambulance or agency is returned to service and available
				for response with the following exceptions:
(i) If a patient is transported to a
				receiving facility outside of the agency's primary response area, and the
				distance and return time factors prohibit the upload of the patient care report
				into the system, then the patient care report shall be submitted to the
				Division's electronic system no later than twelve (12) hours after the return
				to service;
(ii) If an equipment or
				system failure occurs that prohibits the upload of the patient care report into
				the system, then the patient care report shall be submitted to the Division's
				electronic system no later than twenty-four (24) hours after the system is
				restored. In these circumstances, the EMS agency or reporting party shall
				notify the Division. Password expiration or system access actions that are the
				responsibility of the EMS agency or person shall not be considered equipment or
				system failures;
(iii) The
				submission of an amendment or addendum to a previously submitted patient care
				report, which is submitted to ensure that the previous report is complete and
				accurate.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 4 - Grazing and Agricultural Leasing › Section 4-5 - Patient Classifications

Current through July 13, 2024
For the purpose of these Rules and Regulations the following
				  patient classification definitions shall be used:
(a) "Emergent" means the patient requires
				immediate transport and treatment to prevent death or permanent
				disability.
(b) "Urgent" means
				there is a serious illness or injury to the patient which could expose the
				patient to risk of death or permanent disability unless treatment is initiated
				at a medical facility within a reasonable length of time.
(c) "Non-emergent" means a patient who has an
				injury or illness that is presently stable, which poses no present threat to
				life or risk of permanent disability, and does not require the use of emergency
				vehicle warning devices.
(d) For
				patients who are classified as emergent or urgent, the use of emergency vehicle
				warning devices is appropriate.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 4 - Grazing and Agricultural Leasing › Section 4-6 - Other Mandatory Reporting Requirements

Current through July 13, 2024
(a) The Office may offer vacant land for
				lease, and shall do so recognizing its fiduciary duty to the state land trust
				beneficiaries and in a manner as shall inure to the greatest benefit of the
				state land trust beneficiaries.
(b)
				Specific filing periods for particular tracts of vacant land will be
				established by advertisement. Multiple applications received during an
				advertised filing period shall be considered "conflicting applications" under
				the provisions of subsection (c) of this section.
(c) Conflicting applications. If two (2) or
				more applications to lease the same vacant land for grazing and agricultural
				purposes are filed within the filing periods established in subsection (b) of
				this section, they shall be considered to be in conflict and shall be handled
				under the provisions of
				W.S.
				36-3-102,
				36-5-105,
				and
				36-5-108 and
				Chapter 1 of these rules.
(i) In the event
				the Office receives conflicting applications, the Director shall consider the
				following when issuing a Director's Decision;
(A) Qualifications of the applicants under
				the provisions of W.S.
				W.S.
				36-5-101,
(B) Rental offered, and
(C) Attributes of the applicants that inure
				to the greatest benefit of the state land trust beneficiaries.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 4 - Grazing and Agricultural Leasing › Section 4-7 - Patient Classifications

Current through July 13, 2024
(a) The annual
				rental for all non-conflicted leases shall be the amount bid by the applicant,
				if accepted by the Board. In no event shall the annual rental be less than the
				minimum rate established in subsection (b) of this section.
(b) The minimum annual rental shall be:
(i) For grazing land, as established by
				formula as follows:
(a) Private land lease
				rate on a per AUM basis, averaged for the five years preceding the current
				year, as estimated by the Wyoming Agricultural Statistics Service; times the
				five year weighted average "parity ratio" for beef cattle per cwt. as
				established by the National Agricultural Statistics Service as an adjustment
				for changing resource conditions, market demand and industry viability; less
				20% to reflect contributions made by the lessee.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 4 - Grazing and Agricultural Leasing › Section 4-8 - Reports of Requests for Information or of Litigation

Current through July 13, 2024
(a)
				In no event shall the annual rental be less than the minimum rate established
				in Section
				7(b).
(b) The maximum rental that may be accepted
				shall not be more than 120% of the maximum fair market value as determined by
				the board based on the previous year's values for the State, District or
				County, whichever is most localized and available, as determined by the
				National Agricultural Statistics Service utilizing:
(i) The private land lease rate per AUM for
				Wyoming grazing leases; or
(ii) The
				private land irrigated or nonirrigated cropland lease rate, as applicable, for
				Wyoming cropland leases on irrigated or nonirrigated cropland; and
(iii) A downward adjustment of 20 percent to
				reasonably reflect lessee contributions typically provided as a part of a
				private land grazing lease rate or a private cropland lease rate, as
				applicable.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 6 - ADVANCED TRAINING PROGRAMS › Section 6-1 - Required

Current through July 13, 2024
All ambulance services and fire protection services desiring
				  to utilize advanced level prehospital personnel must establish training and
				  continuing education programs. Training programs for emergency medical
				  personnel shall address not only adults but shall include emergency medical
				  services for children (EMS-C).
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 6 - ADVANCED TRAINING PROGRAMS › Section 6-3 - Program Committee

Current through July 13, 2024
Any person desiring to establish a training program for EMT
				  Intermediate or Paramedic personnel shall form a Program Committee:
(a) Program Committees for EMT Intermediate
				personnel shall consist of
(i) Ambulance
				service and/or fire protection service representatives in the geographic area
				who shall employ or utilize the personnel.
(ii) A physician licensed to practice
				medicine in this state as a Medical Doctor or Doctor of Osteopathy who agrees
				to act as program director;
(iii) A
				representative from the sponsoring hospital; and
(iv) An identified course coordinator. The
				coordinator must be certified at or above the EMT Intermediate level, and have
				completed a Division approved Instructor/Coordinator program.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 6 - ADVANCED TRAINING PROGRAMS › Section 6-4 - Application

Current through July 13, 2024
The Program Committee shall submit an application for an
				  advanced training program to the Division. The application must include:
(a) A summary, with appropriate
				documentation, explaining the medical need for the program;
(b) A description of the proposed training
				program consisting of:
(i) Content;
(ii) Time Schedule;
(iii) Instructors by name and
				subject;
(iv) Materials and
				physical facilities;
(v) Number of
				students;
(vi) Clinical and field
				internship requirements, and
(vii)
				Record keeping methods;
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 6 - ADVANCED TRAINING PROGRAMS › Section 6-5 - Decision

Current through July 13, 2024
The Division shall notify the Program Committee of its
				  decision concerning the applicant's application for an advanced training
				  program within ten (10) days of its decision. If the Division denies an
				  applicant's application, the applicant may reapply.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 6 - ADVANCED TRAINING PROGRAMS › Section 6-6 - Supervision

Current through July 13, 2024
Following approval, the program shall be supervised by the
				  program director, who shall be a Wyoming licensed physician (Medical Doctor) or
				  (Doctor of Osteopathy). The program director shall ensure that each instructor
				  is thoroughly knowledgeable in his subject and understands his responsibility
				  and shall maintain the standards of quality instruction as provided in the
				  curriculum.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 6 - ADVANCED TRAINING PROGRAMS › Section 6-7 - Admission Requirements

Current through July 13, 2024
(a) Students shall
				be admitted to an EMT Intermediate training program who:
(i) Are currently certified by the Division
				as an EMT Basic;
(A) Show evidence of having
				completed twelve (12) months of active affiliation with a Wyoming licensed
				ambulance service attendant. The Division, at its sole discretion, may waive
				this after review by the Division on a case-by-case basis; or
(B) Show evidence of having completed twelve
				(12) months of active affiliation with the Division recognized fire protection
				service providing basic patient care. The Division, at its sole discretion, may
				waive this after review by the Division on a case-by-case basis;
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 6 - ADVANCED TRAINING PROGRAMS › Section 6-8 - Instructors

Current through July 13, 2024
Instructors for an EMT Intermediate program shall be:
(a) Physicians;
(i) Physicians shall be current in the
				American College of Surgeon's Advanced Trauma Life Support (ATLS) program or
				the American College of Emergency Physicians (ACEP) equivalent program,
				and
(ii) Be current in Advanced
				Life Support (ACLS) as developed by the American Heart Association, in
				accordance with current national standards, shall serve as the instructor for
				the advanced life support/emergency cardiac care sections of the training
				program.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 6 - ADVANCED TRAINING PROGRAMS › Section 6-10 - Educational Records

Current through July 13, 2024
The program coordinator shall maintain accurate records of
				  each student's involvement in the training curriculum. These records must be
				  submitted to the OEMS at the time of course completion. Such records shall
				  include, but not necessarily be limited to, attendance at lectures,
				  demonstrations, subject matters covered, completion of the prescribed clinical
				  requirements, time spent at each clinical area, special experience containing a
				  clinical training component, and verification of practical skill
				  competency.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 6 - ADVANCED TRAINING PROGRAMS › Section 6-11 - Task Force on Prehospital Care

Current through July 13, 2024
(a) Composition of
				the Task Force. The Division shall appoint a Task Force on Prehospital Care
				selected from currently practicing Wyoming licensed physicians. The Task Force
				shall consist of seven (7) members selected from the following specialties:
(i) Anesthesiology;
(ii) Cardiology;
(iii) Emergency room medicine;
(iv) Family/general practice;
(v) General Surgery and/or other surgical
				specialty;
(vi) Internal medicine;
				or
(vii) Pediatrics.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 7 - ADVANCED LIFE SUPPORT (ALS) SYSTEMS › Section 7-1 - Operation Approval

Current through July 13, 2024
Before engaging or employing EMT Intermediate or Paramedic
				  personnel, all ALS services shall establish a system in accordance with this
				  Chapter and obtain operational approval from the Division. An ALS system shall
				  consist of one (1) or more (ALS) services, a physician medical director, and a
				  sponsor hospital.
(a) "EMT Intermediate
				system" means an ALS service that has been authorized by the Board and the
				Division to utilize EMT Intermediate personnel in accordance with the
				guidelines established by the Board and the Division.
(b) "Paramedic System" means an ALS service
				that has been authorized by the Board and the Division to utilize Paramedic
				personnel in accordance with the guidelines established by the Board and the
				Division.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 7 - ADVANCED LIFE SUPPORT (ALS) SYSTEMS › Section 7-2 - Application

Current through July 13, 2024
(a) The physician medical director shall
				submit an application to the Division. The application for an ALS system shall
				contain:
(i) A description of the medical
				need for the proposed system, including any supporting documentation;
				and
(ii) A proposed operations
				manual.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 7 - ADVANCED LIFE SUPPORT (ALS) SYSTEMS › Section 7-3 - Sponsor Hospital

Current through July 13, 2024
(a) An ALS service
				shall obtain the commitment of a sponsor hospital.
(b) The system shall be approved by the
				hospital administrator and chief of the medical staff of the sponsor
				hospital.
(c) Eligibility
				requirements. The sponsor hospital:
(i) For
				an EMT Intermediate system, shall have a registered nurse on duty for the
				emergency room twenty-four (24) hours a day and capable of constant voice
				communication coverage with a physician.
(ii) For a Paramedic system, shall have a
				registered nurse, on duty in the emergency room twenty-four (24) hours a day
				and capable of constant voice communication coverage with a physician.
(A) The registered nurse shall:
(I) (Be) current in Advanced Cardiac Life
				Support (ACLS) with the standards of the American Heart Association;
(II) Have audited the Advanced Trauma Life
				Support (ATLS) course of the American College of Surgeons or an equivalent
				nursing trauma course;
(III)
				Function in accordance with the Wyoming Nursing Act;
				W.S.
				33-21-119,
et seq.
; and
(IV) Be immediately available at
				all times to communicate with EMT Intermediate, or Paramedic personnel in the
				field.
(B) The Physician
				shall:
(I) Be current in Advanced Trauma Life
				Support (ATLS) with the standards of the American College of Surgeons or its
				equivalent from the American College of Emergency Physicians;
(II) Be current in Advanced Cardiac Life
				Support (ACLS) with the standards of the American Heart Association;
(III) Be available to communicate with the
				EMT Intermediate or Paramedic personnel in the field;
(IV) Explain the medical role of EMT
				Intermediate and Paramedic personnel to appropriate hospital staff;
(V) Cooperate with the Division in the
				collection of statistical data;
(VI) Maintain direct communications
				capability between the sponsor hospital and the ALS service(s);
(VII) Provide clinical experience with
				supervision for trainees during the training program and for continuing medical
				education;
(VIII) Provide for audit
				in review of EMT Intermediate cases and Paramedic advanced life support cases
				as outlined in Chapter 8. All concerned EMT Intermediate or Paramedic personnel
				shall attend the meetings; and
(IX)
				Practice in a hospital which has an intensive care unit or a monitored bed unit
				(MBU).
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 7 - ADVANCED LIFE SUPPORT (ALS) SYSTEMS › Section 7-4 - Physician Medical Director

Current through July 13, 2024
Both EMT Intermediate and Paramedic systems shall be
				  supervised by a physician medical director. The physician medical director
				  shall be a physician licensed to practice medicine in this state. The physician
				  medical director's duties shall include at a minimum:
(a) Filing with the Division copies of
				current protocols and authorizations, that have been reviewed and approved by
				the Division and the Task Force, for EMT Intermediate or Paramedic
				systems;
(b) Monitoring PCRs where
				EMT Intermediate activities were carried out. The trip reports shall be
				monitored quarterly;
(c) Monitoring
				Paramedic PCR forms where advanced life support activities were carried out.
				The trip reports shall be monitored quarterly; and
(d) Reviewing reports of EMT Intermediate and
				Paramedic advanced skills usage with all concerned personnel, then submitting
				reports to the Division no later than December 31st
				of each year or as requested by the Division.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 7 - ADVANCED LIFE SUPPORT (ALS) SYSTEMS › Section 7-5 - Communication Systems

Current through July 13, 2024
All ALS service systems shall maintain a communication
				  system capable of:
(a) Voice
				communication between the ALS service and the sponsor hospital and
				physicians;
(b) Voice and/or EKG
				recording units for services utilizing manual, automatic or semiautomatic
				defibrillation certified personnel.
(c) Telemetry is not mandatory except for the
				EMT Intermediate ambulance services approved for the optional cardiac level
				skills and medications. Advanced life support data shall be reviewed for the
				purpose of medical audit by the Physician Medical Director, the Division and
				the Physician's Task Force, as deemed necessary.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 7 - ADVANCED LIFE SUPPORT (ALS) SYSTEMS › Section 7-6 - Decision

Current through July 13, 2024
Upon receipt of all required information, the Division shall
				  notify the Program Committee within ten (10) working days following its
				  decision. The Division shall approve the system if it meets the requirements of
				  this Chapter. If the proposed system does not meet the requirements of this
				  Chapter, the Division shall not approve the system. If the Division does not
				  approve the application for the system it shall provide recommendations for
				  future compliance and applicant may reapply.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 8 - CONTINUING MEDICAL EDUCATION RECERTIFICATION REQUIREMENTS › Section 8-1 - General Requirements and Criteria

Current through July 13, 2024
To assure the maintenance of skill levels attained by First
				  Responders, and all levels of Medics which are the basis for the conduct of
				  authorized acts, as provided in Chapter 5, the Division, the Task Force, and
				  the Board hereby establish criteria for continuing medical education.
(a) Criteria for recertification. First
				Responders, and all levels of Medics may be recertified by complying with the
				following requirements:
(i) Making
				application to the Division, as described in Chapter 5; and
(ii) Submitting documentation of satisfactory
				completion of the continuing medical education program for the First
				Responders, and all levels of Medics, as appropriate, no more than ninety (90)
				and no less than thirty (30) days prior to the expiration date.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 8 - CONTINUING MEDICAL EDUCATION RECERTIFICATION REQUIREMENTS › Section 8-2 - Certified First Responder (FR) Continuing Medical Recertification Criteria

Current through July 13, 2024
To be eligible for recertification within the certification
				  period, the FR shall have completed:
(a) CPR certification. Regardless of the
				teaching agency, all CPR training must adhere to the Healthcare Provider
				standards of the American Heart Association or its equivalent;
(b) Twenty-six (26) hours of continuing
				medical education, including:
(i)
Eighteen hours structured by specific topic:
2 hrs- Preparatory
2 hrs- Patient assessment, diagnostic signs and
				  triage;
2 hrs- Airway Management;
4 hrs - Trauma;
4 hrs -Medical Emergencies;
2 hrs- pediatrics and childbirth; and
2 hrs- EMS operations
(ii) Four (4) unstructured hours of any
				subject covered in the
FR
course. These topics may be presented utilizing
				critiques, didactic sessions, practical drills, workshops, seminars or other
				approved in service training. Those topics not listed within the
FR
curriculum shall require prior written approval by
				the Division.
(iii) Four (4) hours
				in the use of an automated external defibrillator (AED).
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 8 - CONTINUING MEDICAL EDUCATION RECERTIFICATION REQUIREMENTS › Section 8-3 - Certified EMT Basic Continuing Medical Education Recertification Criteria

Current through July 13, 2024
To be eligible for recertification within the certification
				  period, the EMT Basic shall complete:
(a) CPR certification. Regardless of the
				teaching agency, all CPR training must adhere to the Healthcare Provider
				standards of the American Heart Association or its equivalent;
(b) Fifty-five (55) hours of continuing
				medical education, including:
(i) Forty-nine
				(49) hours structured by specific topics:
3 hrs- Preparatory;
4 hrs- Airway Management;
5 hrs- Patient assessment;
10 hrs- Medical Emergencies;
10 hrs- Trauma;
6 hrs - Infants/children;
3 hrs - Ambulance operations;
4 hrs- Self assisted medications; to include practical
				  sessions; and
4 hrs- Automatic External Defibrillation; to include
				  practical sessions
(ii) Six
				(6) unstructured hours: Any subject covered in the EMT course shall be accepted
				for continuing medical education credit. These topics may be presented
				utilizing critiques, didactic sessions, practical drills, workshops, seminars
				or other approved in service training. Those topics not listed within the EMT
				curriculum shall require prior written approval by the Division.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 8 - CONTINUING MEDICAL EDUCATION RECERTIFICATION REQUIREMENTS › Section 8-4 - Certified EMT Intermediate, Continuing Medical Education Recertification Criteria

Current through July 13, 2024
Within the certification period, the EMT Intermediate
				  must:
(a) Complete all continuing
				medical education requirements listed in Section
				3 of
				this Chapter;
(b) Submit to the
				Division documentary verification of a favorable recommendation from the
				physician medical director for EMT Intermediate continuing medical education.
				The Division has established the following as appropriate criteria in meeting
				continual medical education specific to the EMT Intermediate's skill
				authorization. The physician medical director shall verify the EMT
				Intermediate's practical performance competency in the following areas:
(i) Intravenous therapy. Successfully perform
				six (6) venipunctures in each six (6) month period. (Blood draws do not satisfy
				this requirement);
(ii) Authorized
				medications. Participate in a one (1) hour in service each six (6) month period
				on the preparation and administration of the Division approved list of drugs,
				to include dosages, indications, contraindications, available preparations and
				concentrations, and techniques of administration. This should include a
				practice session. Drawing blood samples, glucose determination, saline locks,
				and Heparin locks, must be included in such in service training; and
(iii) Defibrillation. Participate in a one
				(1) hour in service every six (6) months, in which the equipment, indications,
				precautions, and skills of defibrillations are reviewed. This must include a
				practice session with the device used by the service for which the EMT
				Intermediate is affiliated;
(iv)
				Chest Decompression. Participate in a one (1) hour in service, presented t
				least every six (6) months, in which related anatomy, indications, precautions,
				equipment, protocol, and techniques of needle decompression of the chest are
				reviewed;
(v) Electrocardiogram
				monitoring. Participate in a one (1) hour in service, presented at least every
				six (6) months, in which the electro physiology, equipment and protocols for
				EKG monitoring are reviewed; and
(vi) If authorized, for the optional level,
				EMT Intermediate shall have completed an Advanced Cardiac Life Support (ACLS)
				course equivalent to American Heart Association guidelines and submit a legible
				copy of a current certificate to the Division.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 8 - CONTINUING MEDICAL EDUCATION RECERTIFICATION REQUIREMENTS › Section 8-6 - Responsibilities

Current through July 13, 2024
(a) It is the responsibility of the
				individual certified to keep one's continuing medical education and testing and
				to renew one's certification in a timely fashion. Because the physician medical
				director is ultimately responsible for the EMT Basic, EMT Intermediate or
				Paramedic's competency during the certification period, a physician medical
				director has the right to request that the Division test the EMT Basic, EMT
				Intermediate, or Paramedic for competency, or the physician medical director
				may conduct competency testing independent of the Division. The Physician
				medical director may withdraw the EMT Basic, EMT Intermediate, or Paramedic
				sponsorship at any time for any reason. It is also the physician medical
				director's, or his designee's responsibility to notify the Division at any time
				when an EMT Basic, EMT Intermediate, or Paramedic is deficient or lacking
				annual or semiannual continuing medical education requirements.
(b) It is the responsibility of the Division
				to see that the continuing medical education requirements are consistent with
				current medical education trends. The Division may, at its sole discretion,
				initiate pilot continuing medical education programs in order to keep abreast
				of current national trends.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 8 - CONTINUING MEDICAL EDUCATION RECERTIFICATION REQUIREMENTS › Section 8-7 - Criminal Background Checks

Current through July 13, 2024
(a) Beginning
				August 1, 2009 any Medic applying for recertification who holds a current
				Wyoming certification shall complete and submit a Federal Bureau of
				Investigation (FBI) Criminal Background check and a State of Wyoming Division
				of Criminal Investigation (DCI) Background Check to include fingerprinting if
				one has not previously been submitted to the OEMS.
(b) Criminal Background check forms shall be
				provided by the Division. Costs of the background check and fingerprinting are
				the sole responsibility of the Medic.
(c) Individuals who have been certified
				continuously for four (4) years as a Wyoming Medic shall only be required to
				have a Wyoming Division of Criminal Investigation (DCI) background check
				completed.
(d) The Medic shall
				attach the criminal history check form to the Wyoming EMT recertification
				form.
(e) Failure to comply with
				the request for the criminal background check and fingerprints will result in
				denial of certification.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 9 - HEARINGS › Section 9-2 - Definitions

Current through July 13, 2024
The definitions set forth in the Wyoming Administrative
				  Procedures Act
				  W.S.
				  16-3-101,
et seq.,
are
				  incorporated by reference and, for the purposes of a contested case hearing the
				  following definitions apply.
(a)
				"Contested Case" means a proceeding involving the denial, revocation,
				restriction or suspension of a license or certification during which legal
				rights, duties or privileges of a Contestant are required by law to be
				determined by the Department after an opportunity for hearing. The hearing
				shall be conducted in accordance with the Wyoming Administrative Procedures
				Act, W.S. W.S.
				W.S.
				16-3-101,
et seq.;
(b) "Contestant" means the person who
				requests the hearing;
(c)
				"Department" means the Wyoming Department of Health, its agent, designee or
				successor;
(d) "Discovery" means
				pre-hearing procedures used to obtain information from the adverse
				party;
(e) "Hearing" means a
				contested case hearing before a hearing officer;
(f) "Hearing Officer" means the individual or
				individuals designated by the Department to serve as the presiding officer(s)
				at a hearing held under this Chapter of these rules;
(g) "Respondent" means the
				Department;
(h) "Wyoming
				Administrative Procedures Act" or "WAPA" means W.S. W.S.
				W.S.
				16-3-101,
et seq.;
and
(i) "Wyoming Rules of Civil
				Procedure" or "WRCP" means the rules governing procedure in all courts of
				record in the State of Wyoming, in all actions, suits or proceedings of a civil
				nature, Rule 1 of the Wyoming Rules of Civil Procedure.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 9 - HEARINGS › Section 9-3 - Emergency Suspension

Current through July 13, 2024
(a) Pursuant to
				W.S.
				16-3-113, the Department shall order summary
				suspension of a certificate or license if the Department finds, and
				incorporates such finding in the order, that public health, safety or welfare
				imperatively requires emergency action of suspension of the certificate or
				license.
(b) The Department shall
				accept written notice from the physician medical director that the physician
				has terminated his position as physician medical director for an EMT, attendant
				or ambulance service as constituting sufficient evidence supporting a finding
				that public health, safety or welfare imperatively requires emergency action of
				suspension, if the physician also provides reason to believe that:
(i) The EMT, attendant or ambulance service
				has failed or refused to demonstrate the practical performance competency
				required of an EMT, attendant, or ambulance service;
(ii) The EMT, attendant or ambulance service
				intentionally misstated or failed to provide any fact that would have resulted
				in the denial of a certificate or license; or
(iii) Some fact, reason or condition exists
				that would have resulted in the denial of a certificate or license, whether or
				not such fact, reason or condition existed at the time of the
				approval.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 9 - HEARINGS › Section 9-4 - Appeal Following Denial, Suspension, Revocation, or Restriction

Current through July 13, 2024
(a) A person or an entity whose license or
				certificate was denied, suspended, revoked, or restricted on the grounds of
				engaging in conduct constituting a ground for disciplinary action set forth in
				Chapter 2, Section
				12,
				or Chapter 5, Section
				9 or
				as otherwise provided by law, may request an appeal of the decision within
				thirty (30) days following the Division's decision.
(b) The request for appeal of the decision
				shall be in writing and shall contain:
(i)
				The name of the person or entity (Contestant), address and telephone
				number;
(ii) A statement in
				ordinary and concise language setting forth the grounds for the appeal
				including all statues or rules upon which the Contestant relies;
(iii) The action for which the appeal is
				sought; and
(iv) The remedy
				requested by the Contestant.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 9 - HEARINGS › Section 9-5 - Initiation of Contested Case Hearing

Current through July 13, 2024
(a) The Department
				shall notify the Contestant at least twenty (20) days before holding a
				contested case hearing. The Department and Contestant may waive this
				requirement by written agreement.
(b) The Notice of the complaint shall be
				served as required by Chapter 1, Section
				4(qq) of these
				rules.
(c) The Notice shall, at
				minimum, contain the following information:
(i) The potential Contestant's
				name;
(ii) The time and place of
				the hearing;
(iii) The docket
				number assigned to the case;
(iv)
				The legal authority and jurisdiction under which the hearing is to be
				held;
(v) The particular sections
				of the statues and rules involved; and
(vi) A statement in ordinary and concise
				language setting forth the grounds for the Department's intended
				action.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 9 - HEARINGS › Section 9-6 - Answer

Current through July 13, 2024
If she wishes to contest the Department's intended action,
				  the potential Contestant must file a response within twenty (20) days after
				  receiving the notice. Failure to file a response within twenty (20) days shall
				  be deemed a waiver of any right to respond.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 9 - HEARINGS › Section 9-7 - Informal Disposition

Current through July 13, 2024
(a) Unless contrary
				to law or rule, a disciplinary proceeding may be settled by informal means at
				any time.
(b) Settlement
				conference. Any party may request that the matter be set for a settlement
				conference. Upon such request, the Hearing Officer shall schedule a conference
				and direct that a representative of each party attend, such representative to
				have authority to settle the matter. The Hearing Officer shall neither attend
				the conference nor be advised of the proposals of either party. The Hearing
				Officer may designate another individual, not previously involved in the
				matter, to attend the conference and assist the parties in attempting to reach
				a settlement.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 9 - HEARINGS › Section 9-8 - Hearing Officer

Current through July 13, 2024
(a) The Department
				shall appoint a Hearing Officer to preside over each contested case hearings on
				a case-by-case basis, or for schedules period of time, as she sees
				fit.
(b) The Hearing Officer shall
				be an individual or individuals determined by the Department to be qualified to
				serve in such a capacity, who has not taken part in the investigation,
				preparation, or earlier disposition of the case to be heard.
(i) The Hearing Officer shall withdraw
				himself from consideration of a case at any time he deems himself disqualified.
				Withdrawal shall be made in writing to the Department.
(ii) Any party may request in writing that
				the Department remove and replace the Hearing Officer in a contested case. This
				request must be accompanied by a statement and affidavits, setting forth the
				alleged grounds for disqualification. The Department may deny a party's request
				for removal and shall issue a written statement explaining grounds for his
				denial which shall be made part of the record. If the request is granted, the
				Department shall appoint a new Hearing Officer as soon as is
				practicable.
(iii) The Contestant
				may object to the appointment of the Hearing Officer in the record at the
				hearing. The objection shall set forth the alleged grounds for
				disqualification.