reglab/statecodes huggingface dataset:
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 13 - LICENSURE OF INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED (ICF/MR) › Section 13-6 - Organization and Administration

Current through July 13, 2024
(a) Governing Body.
				The ICF/MR shall have a governing body which has legal authority and
				responsibility to operate the ICF/MR. The governing body shall:
(i) Appoint an administrator who is
				responsible for managing the ICF/MR.
(ii) Obtain a fidelity bond for client
				protection arising from the want of honesty, integrity or fidelity of an
				employee. The bond shall consist of no less than $2500 and shall be augmented
				in relation to the number of employees.
(iii) Provide verification of a central
				registry checks on all employees hired on or after the filing of these rules.
				Each ICF/MR is responsible to initiate and follow this process to completion.
Central registry information can be obtained by contacting
				  the Department of Family Services at307-777-5366. (This number may be subject
				  to change.)
(iv) Adopt,
				revise, and approve personnel policies; including:
(A) Frequency of employee
				evaluations;
(B) Insuring
				confidentiality of central registry information checks.
(v) Prepare an organizational chart that
				reflects the administrative control and lines of authority for the delegation
				of responsibility from management down to the client level.
(vi) The governing body shall ensure in
				accordance with State Statute
				
											35-2-910, effective , ongoing, facility wide
				written quality improvement program which ensures and evaluates the quality of
				care provided to all clients.
(vii)
				The governing body shall be accountable for the quality of care provided to the
				client.
(viii) Personnel Records.
(A) There shall be one person designated
				responsible for maintaining confidentiality.
(B) The personnel records for an employee
				shall include:
(1) Central registry
				information checks, which shall be maintained in a locked cabinet at all
				times.
(ix)
				Notification.
(A) Prior to admission all
				perspective clients shall be notified if the ICF/MR is not Medicare/Medicaid
				certified.
(x) Services.
(A) Furnished services, including the
				contracted services, shall comply with all applicable licensure
				standards;
(B) Medical and nursing
				staff shall be licensed, certified, or registered according to Wyoming laws and
				rules; and
(C) Staff members shall
				provide health services only within the scope of their license, certification
				or registration.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 13 - LICENSURE OF INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED (ICF/MR) › Section 13-7 - Physical Environment

Current through July 13, 2024
(a) The ICF/MR
				shall be constructed, arranged, and maintained to ensure health and safety of
				the client.
(i) The building interior and
				exterior shall be clean, orderly, sanitary, and free of odors.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 13 - LICENSURE OF INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED (ICF/MR) › Section 13-8 - Construction/Remodeling

Current through July 13, 2024
Department of Health Chapter 3, Construction Rules for Health
				  Facilities apply.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 13 - LICENSURE OF INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED (ICF/MR) › Section 13-9 - Life Safety and Electrical Safety

Current through July 13, 2024
Department of Health Chapter III, Construction Rules for
				  Health Facilities apply.
(a)
				Intermediate Care Facilities for Mentally Retarted (ICF/MR) operating prior to
				the effective date of these rules, shall meet the Life Safety Code of the
				National Fire Protection Association that was in effect at the time the
				facility was licensed as a ICF/MR.
(b) All plans and specifications for
				construction and/or remodeling shall be approved by the Office of Health
				Quality prior to construction.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 14 - LICENSURE OF MEDICAL ASSISTANCE FACILITIES › Section 14-1 - Authority

Current through July 13, 2024
These rules are promulgated by the Department of Health
				  pursuant to the Health Facilities Licensure Act at W. S.
										35-2-901
et seq
. and
				  the Wyoming Administrative Procedures Act at W. S.
				  
										16-3-101
et
				  seq
.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 14 - LICENSURE OF MEDICAL ASSISTANCE FACILITIES › Section 14-2 - Purpose

Current through July 13, 2024
These rules have been adopted for the licensure of Medical
				  Assistance Facilities. The purpose of these standards is to provide minimum
				  requirements for services, structure, operation and personnel practices
				  designed to protect the health and safety of patients and
				  employees.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 14 - LICENSURE OF MEDICAL ASSISTANCE FACILITIES › Section 14-4 - Definitions

Current through July 13, 2024
(a) "Administrator" is the person in charge
				of the operation of the facility twenty-four hours per day; and is:
(i) A Physician,
(ii) A Mid-level Practitioner,
(iii) A registered nurse, or
(iv) aAn individual with training and
				experience in health service adminis-tration.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 14 - LICENSURE OF MEDICAL ASSISTANCE FACILITIES › Section 14-5 - Licensing

Current through July 13, 2024
(a) Licensing requirements. The Wyoming
				Department of Health, Office of Health Quality, Planning and Program Evaluation
				(Office of Health Quality) has been duly authorized to issue licenses to
				Medical Assistance Facilities. The Office of Health Quality has established a
				system of licensure to comply with minimum requirements for the purpose of
				protecting the health, welfare and safety of patients receiving this type of
				service.
(b) Licensing procedure.
(i) For an initial license to be issued the
				Office of Health Quality shall receive:
(A) A
				completed application form shall be submitted to the Office of Health
				Quality.
(B) Licensure fee. Each
				application shall be accompanied by the required licensure fee outlined in
				Chapter 1 Rules and Regulations for Health Care Facilities Licensure Fees. The
				check or money order shall be made payable to the Treasurer, State of
				Wyoming.
(C) Shall demonstrate
				compliance with the requirements for licen-sure as required in paragraph (c) of
				this section.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 14 - LICENSURE OF MEDICAL ASSISTANCE FACILITIES › Section 14-7 - Medical Staff

Current through July 13, 2024
(a) The facility
				shall have a medical staff that includes at least one physician, and may also
				include one or more mid-level practitioners, and does the following:
(i) Examines the credentials of candidates
				for medical staff membership and makes recommendations to the governing body on
				the appointment of the candidate;
(ii) Adopts a collaborative plan containing
				the following, and enforces the collaborative plan after approval by the
				governing body;
(A) A statement of the duties
				and privileges of each category of medical staff (e.g., physician and mid-level
				practitioner); and
(B) A
				requirement that a physical examination be made and medical history taken of a
				patient by a member of the medical staff no more than 24 hours after the
				patients admission to the facility.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 14 - LICENSURE OF MEDICAL ASSISTANCE FACILITIES › Section 14-8 - Nursing Services

Current through July 13, 2024
(a) A medical
				assistance facility shall have a nursing service program that provides 24-hour
				services whenever a patient is in the facility and meets the following
				requirements:
(i) The director of nursing
				services shall:
(A) Be a Wyoming licensed
				registered nurse.
(B) Determine the
				type and number of nursing personnel and staff necessary to provide nursing
				care; and
(C) Schedule adequate
				numbers of licensed registered nurses, licensed practical nurses, certified
				nursing assistants and other personnel to provide nursing care as
				needed.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 14 - LICENSURE OF MEDICAL ASSISTANCE FACILITIES › Section 14-9 - Pharmaceutical Services

Current through July 13, 2024
(a) The facility
				shall have pharmaceutical services that meet the needs of the patients and
				comply with the following standards:
(i) A
				drug storage area under the supervision of the Director of Nursing who shall
				develop, supervise, and coordinate all of the pharmacy services.
(ii) The pharmacy or drug storage area shall
				be administered according to accepted professional standards.
(iii) All compounding, packaging, and
				dispensing of drugs and biologicals shall be consistent with federal and state
				law.
(iv) Drugs and biologicals
				shall be kept in a locked storage area.
(v) Outdated, mislabeled, or otherwise
				unusable drugs and biologicals shall be destroyed by grinding in a garbage
				disposal or incineration; and
(vi)
				Drug administration errors, adverse drug reactions, and incompatibilities shall
				be immediately reported to the attending practitioner.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 14 - LICENSURE OF MEDICAL ASSISTANCE FACILITIES › Section 14-10 - Radiologic Services

Current through July 13, 2024
(a) The facility
				shall maintain, or have available, diagnostic radiologic services, which shall
				meet the following standards:
(i) The
				radiologic services shall be free from radiation hazards for patients and
				personnel.
(ii) Annual inspection
				of equipment shall be made and hazards identified are promptly
				corrected.
(iii) Radiation workers
				shall continuously wear monitoring badges that are to be checked quarterly to
				determine the amount of radiation to which they are routinely
				exposed.
(iv) A qualified
				full-time, part-time, or consulting radiologist shall be utilized to interpret
				those radiographic tests that are determined by the medical staff to require a
				radiologists specialized knowledge.
(A) The
				radiologist or other practitioner who provides radiology services shall sign
				each report containing his/her interpretations.
(v) Only personnel designated as qualified by
				the medical staff, and meeting requirements of state law, may use the
				radiographic equipment and administer procedures.
(vi) The facility shall maintain any
				radiographic studies and their interpretations for at least five
				years.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 14 - LICENSURE OF MEDICAL ASSISTANCE FACILITIES › Section 14-11 - Laboratory Services

Current through July 13, 2024
(a) The facility
				shall maintain, or have available, clinical laboratory services adequate to
				fulfill the needs of its patients and meeting the following standards:
(i) The facility, at a minimum, shall provide
				basic laboratory services essential to the immediate diagnosis and treatment of
				patients, including:
(A) Chemical
				examinations of urine by stick or tablet methods, or both (including urine
				ketones);
(B) Microscopic
				examinations of urine sediment;
(C)
				Hemoglobin or hematocrit;
(D) Blood
				sugar;
(E) Gram stain;
(F) Examination of stool specimens for occult
				blood;
(G) Pregnancy
				tests;
(H) Primary culturing for
				transmittal to a CLIA certified laboratory;
(I) Sediment rate, and
(J) CBC.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 14 - LICENSURE OF MEDICAL ASSISTANCE FACILITIES › Section 14-12 - Food and Dietetic Services

Current through July 13, 2024
(a) The facility
				shall have dietary services that are directed and staffed by adequate personnel
				and meet the following standards:
(i) The
				facility shall assign an employee or contract with a consultant to direct the
				food and dietetic service and to be responsible for the daily management of the
				dietary service.
(A) The minimum
				qualifications would be an individual qualified by experience and training as a
				food service supervisor.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 14 - LICENSURE OF MEDICAL ASSISTANCE FACILITIES › Section 14-13 - Required Contracted Services

Current through July 13, 2024
(a) The facility
				shall enter into agreements with one or more hospitals participating in
				Medicare/Medicaid program to provide services which the facility itself is
				unable to provide.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 14 - LICENSURE OF MEDICAL ASSISTANCE FACILITIES › Section 14-14 - Medical Records

Current through July 13, 2024
(a) The facility
				shall maintain a medical records system in accordance with written policies and
				procedures:
(i) The facility shall employ
				adequate personnel to ensure professional standards of practice for medical
				records are met.
(ii) The facility
				shall create and maintain a record for each person receiving health care
				services from the facility that includes, if applicable:
(A) Identification and social data;
(B) Admitting diagnosis;
(C) Pertinent medical history;
(D) Properly executed consent
				forms;
(E) Reports of physical
				examinations, diagnostic and laboratory test results, and consultation
				findings;
(F) All physicians
				orders, nurses notes, and reports of treatments and medications;
(G) Final diagnosis;
(H) Discharge summary; and
(I) Any other pertinent information necessary
				to monitor the patients prognosis.
(iii) Each record shall include the
				signatures of the physician and the health care professionals
				documentation.
(iv) Records of a
				discharged patient shall be completed within fifteen (15) days of the discharge
				date.
(v) The facility shall have
				written policies and procedures ensuring the confidentiality of patient
				records, safeguards against loss, destruction, or unauthorized use, in
				accordance with applicable state and federal law and including policies and
				procedures which:
(A) Govern the use and
				removal of records from the record storage area;
(B) Specify the conditions under which record
				information may be released and to whom;
(C) Specify when the patients written consent
				is required for release of information.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 14 - LICENSURE OF MEDICAL ASSISTANCE FACILITIES › Section 14-15 - Quality Improvement

Current through July 13, 2024
(a) The governing
				body in accordance with State Statute
										35-2-910, shall ensure there is an effective,
				on-going, facility-wide, written quality improvement program which ensures and
				evaluates the quality of the patient care provided and includes:
(i) At least annually the quality improvement
				program shall review the following:
(A) The
				utilization of facility services, including at least the number of patients
				served and volume of services.
(B)
				The facilitys health care policies.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 14 - LICENSURE OF MEDICAL ASSISTANCE FACILITIES › Section 14-16 - Infection Control

Current through July 13, 2024
(a) The facility
				shall:
(i) Maintain a sanitary environment
				which prevents the transmission and sources of infections and communicable
				diseases.
(ii) Develop and
				implement policies governing control of infections and communicable
				diseases.
(iii) Maintain a log of
				incidents related to infections and communicable diseases.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 14 - LICENSURE OF MEDICAL ASSISTANCE FACILITIES › Section 14-17 - Physical Environment

Current through July 13, 2024
(a) ab The medical
				assistance facility shall be constructed, arranged, and maintained to ensure
				the health and safety of the patient, and to provide for diagnosis and
				treatment.
(i) The building interior and
				exterior shall be clean, orderly, sanitary, and free of odors.
(ii) Each patient room must have a nurse call
				system which has an indication light outside of the room and sounds an alarm at
				the nurses station.
(A) The nurse call system
				shall only be turned off in the patients room.
(B) The nurse call system shall function also
				in toilet and bath areas.
(iii) A comfortable room temperature not to
				exceed 78o or less than
				70o at 36 inches above the floor.
(iv) All essential mechanical and electrical
				equipment shall be maintained in safe operating condition.
(v) Continuous mechanical ventilation shall
				be provided.
(vi) Corridors shall
				be equipped with firmly secured handrails on each side.
(vii) Single patient rooms shall have at
				least 100 square feet of floor space and multiple patient rooms shall have at
				least 80 square feet of floor space per patient.
(A) The following areas shall not be counted
				in the floor space requirements:
(I) Floor
				space in a vestibule,
(II) Floor
				space under a door swing area,
(III) Floor space under permanent fixtures
				(e.g. closets);
(IV) Other floor
				space not usable by the patient.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 14 - LICENSURE OF MEDICAL ASSISTANCE FACILITIES › Section 14-18 - Construction/Remodeling

Current through July 13, 2024
(a) If the physical plant was a
				Medicare/Medicaid certified hospital within twenty-four months prior to opening
				as a medical assistance facility and no renovation has been done, then the
				physical plant will be grandfathered.
(b) If there has been:
(i) Renovation to the physical plant;
				or
(ii) The building has been
				closed as a Medicare/Medicaid certified hospital for more than twenty-four
				months; or
(iii) The building is
				new construction;
(iv) Then the
				building shall meet all requirements established in:
(A) Current edition of Section 9.6
				Freestanding Emergency Facility of Guidelines for Construction of Hospitals and
				Medical Facilities, and
(B) Chapter
				III Construction Rules for Health Facilities.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 15 - LICENSURE OF PSYCHIATRIC HOSPITALS › Section 15-1 - Authority

Current through July 13, 2024
These rules are promulgated by the Department of Health
				  pursuant to the Health Facilities Act at W.S. §
									
										35-2-901
et seq.
and
				  the Wyoming Administrative Procedures Act at W.S. §
									
										16-3-101
et
				  seq.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 15 - LICENSURE OF PSYCHIATRIC HOSPITALS › Section 15-4 - Definitions

Current through July 13, 2024
The following definitions shall apply in the interpretation
				  and enforcement of these rules.Where the context in which words are used in
				  these rules indicates that such is the intent, words in the singular number
				  shall include the plural and visa versa. Throughout these rules gender pronouns
				  are used interchangeable. The drafters have attempted to utilize each gender
				  pronoun in equal numbers, in random distribution. Words in each gender shall
				  include individuals of the other gender.
For purpose of these rules, the following shall apply:
(a) "Acceptable Plan of Correction" means the
				Licensing Divisionapproved the Psychiatric Hospitals plan to correct the
				deficiencies identified during an on-site survey conducted by the Survey
				Division or its designated representative. The plan of correction shall be a
				written document and shall provide, but not be limited to, the following
				information:
(i) Who is responsible for the
				correction.
(ii) What was done or
				will be done to correct the problem.
(iii) Who will monitor to ensure that the
				situation does not develop again.
(iv) An appropriate date, not to exceed sixty
				(60) days after the last day of survey, for the correction of
				deficiencies.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 15 - LICENSURE OF PSYCHIATRIC HOSPITALS › Section 15-5 - Licensure

Current through July 13, 2024
Applicants must demonstrate full compliance with paragraphs
				  (a) and (b) of this section.
(a)
				Licensing Procedure.
(i) For an initial
				license to be issued, the Licensing Division shall receive:
(A) A completed application form as supplied
				by the Licensing Division.
(B) Each
				completed application shall be accompanied by therequired licensure fee
				identified in Chapter 1, Rules and Regulations for Health Care Facilities
				Licensure Fees. The check or money order shall be made payable to the
				Treasurer, State of Wyoming.
(C)
				Applicant shall demonstrate full compliance with the licensure requirements in
				paragraph (b) of this section.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 15 - LICENSURE OF PSYCHIATRIC HOSPITALS › Section 15-6 - Governing Body

Current through July 13, 2024
There shall be a governing body legally responsible for the
				  management and operation of the Psychiatric Hospital.
(a) Bylaws shall be adopted by the governing
				body in accordance with legal requirements.
(i) The bylaws shall:
(A) Stipulate the basis upon which members
				are selected, term of office, and duties.
(B) Specify to whom responsibilities for the
				operation and management of the Psychiatric Hospital, including evaluation of
				Psychiatric Hospital practices, shall be delegated.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 15 - LICENSURE OF PSYCHIATRIC HOSPITALS › Section 15-7 - Medical Staff

Current through July 13, 2024
The hospital shall have a medical staff organized under
				  bylaws approved by the governing body and be primarily engaged in providing
				  psychiatric services for the diagnosis and treatment of mentally ill
				  patients.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 15 - LICENSURE OF PSYCHIATRIC HOSPITALS › Section 15-8 - Special Requirements For Inpatient Psychiatric Services

Current through July 13, 2024
(a) Staff Requirements. Psychiatric Hospitals
				shall have staff adequate in number and qualifications to carry out an active
				program of treatment for individuals who are furnished services in the
				facility.
(i) Inpatient psychiatric
				facilities (Psychiatric Hospitals, distinct parts of Psychiatric Hospitals or
				inpatient components of community mental health centers) shall be staffed with
				the number of qualified professional, technical, supporting personnel, and
				consultants required to carry out an intensive and comprehensive treatment
				program that shall include: evaluation of individual needs; establishment of
				treatment and rehabilitation goals; and implementation, directly or by
				arrangement, of a broad range of therapeutic programs including professional
				psychiatric, medical, surgical, nursing, social work, psychological and
				activity therapies required to carry out an individual treatment plan for each
				patient.
(A) Qualified professional,
				technical and consultant personnel shall be available to evaluate each patient
				at the time of admission. The evaluation shall include diagnosis of any
				inter-current disease. Services necessary for such evaluation shall include
				laboratory, radiological, and other diagnostic tests, psycho-social data,
				psychiatric and psychological evaluations, and a physical examination which
				includes a complete neurological examination when indicated, shortly after
				admission.
(B) The number of
				qualified professional personnel, consultants, technical and supporting
				personnel shall be adequate to assure representation of the disciplines
				necessary to establish short-range and long-term goals; to plan, carry out and
				periodically revise a written individualized treatment program for each patient
				based on scientific interpretation of:
(I)
				Degree of physical disability and indicated remedial or restorative measures
				(including nutrition, nursing, physical medicine and pharmacological
				therapeutic interventions).
(II)
				Degree of psychological impairment and appropriate measures to be taken
				relieving treatable distress and compensation for nonreversible
				impairments.
(III) Capacity for
				social interaction and appropriate nursing measures and milieu therapy to be
				undertaken (including group living experiences, occupational and recreational
				therapy and other prescribed rehabilitative activities to maintain or increase
				each patients capacity to manage activities of daily living).
(IV) Environmental and physical limitations
				required to safeguard each patients health and safety.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 15 - LICENSURE OF PSYCHIATRIC HOSPITALS › Section 15-9 - Dietary Services

Current through July 13, 2024
The Psychiatric Hospital shall have an organized dietary
				  services directed by qualified personnel.
(a) The Psychiatric Hospital shall provide
				dietetary services that meet the nutritional needs of patients according to the
				science of nutrition.
(i) Dietetary service
				must operate with safe food handling practices in accordance with the most
				current edition of
FOOD CODE
from the U.S. Public
				Health Service, Food and Drug Administration from receipt through production
				and service.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 15 - LICENSURE OF PSYCHIATRIC HOSPITALS › Section 15-10 - Laboratory

Current through July 13, 2024
(a) The Psychiatric Hospital shall have a
				well organized CLIA of 1988 (Clinical Laboratory Improvement Act of 1988)
				certified, supervised clinical laboratory with the necessary space, facilities,
				equipment and suitable location to perform those services commensurate with the
				Psychiatric Hospitals needs for its patients. Laboratory service may be
				provided by a certified, contracting laboratory.
(b) Anatomical and/or clinical pathology
				services and blood bank services shall be available either in the Psychiatric
				Hospital or by other arrangements with a CLIA certified laboratory.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 15 - LICENSURE OF PSYCHIATRIC HOSPITALS › Section 15-11 - Radiology Services

Current through July 13, 2024
The Psychiatric Hospital shall maintain or have radiological
				  services readily available.
(a)
				Personnel adequate to supervise and conduct radiology services shall be
				provided; interpretation of radiological examinations shall be made by
				physicians competent to make such interpretation.
(b) Written policies and procedures
				concerning the operation of equipment, the use of radium or other radio-active
				isotopes, safety precautions, and radiation exposure shall be in
				place.
(c) Yearly inspection of
				x-ray equipment shall be made by competent personnel trained in radiation
				physics. Annual documentation must be kept on-site.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 15 - LICENSURE OF PSYCHIATRIC HOSPITALS › Section 15-12 - Pharmacy

Current through July 13, 2024
The Psychiatric Hospital shall have a pharmacy directed by a
				  registered pharmacist. The pharmacy shall be administered in accordance with
				  accepted professional principles.
(a)
				The pharmacist shall be responsible to the Psychiatric Hospital Administrator
				for developing, supervising and coordinating pharmacy activities.
(b) Prescription medications shall be
				compounded in a proper location by a qualified pharmacist.
(c) Facilities shall be provided for storing,
				safeguarding, preparing and dispensing of drugs.
(i) Drugs shall be issued to floor units in
				accordance with approved policies and procedures.
(ii) Drug cabinets on the nursing units shall
				be routinely checked by the pharmacist and all floor stocks shall be
				controlled.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 15 - LICENSURE OF PSYCHIATRIC HOSPITALS › Section 15-13 - Medical Library

Current through July 13, 2024
The Psychiatric Hospital shall have a medical library.
(a) The medical library shall be located in
				or adjacent to the Psychiatric Hospital building; its contents shall be
				organized, easily accessible and available at all times to the medical and
				nursing staffs.
(b) The library
				shall contain modern textbooks in basic sciences and other current textbooks,
				journals and magazines pertinent to the clinical services maintained in the
				Psychiatric Hospital.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 15 - LICENSURE OF PSYCHIATRIC HOSPITALS › Section 15-14 - Medical Records

Current through July 13, 2024
Medical records shall stress the psychiatric component,
				  history of findings, and the treatment rendered to patients.
(a) Preferably, a Registered Record
				Administrator (RRA) or Accredited Record Technician (ART) supervises the
				medical records function. If such a profes-sionally qualified person is not in
				charge of Medical Records, a qualified RRA or ART on a consultant or part-time
				basis shall organize the function, train the personnel, and make periodic
				visits to evaluate the records and the operation.
(b) Disclosure of psychiatric patient records
				can be made only when:
(i) The patient or
				guardian consents in writing; or
(ii) The patients parent or guardian consents
				in writing, if the patient is a minor or incompetent; or
(iii) It is necessary to effect treatment;
				or
(iv) It is necessary for
				continuing treatment in the event of transfer or referral to another facility
				or service; or
(v) It is necessary
				for a pending court disposition or commitment proceeding.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 15 - LICENSURE OF PSYCHIATRIC HOSPITALS › Section 15-15 - Infection Control Program

Current through July 13, 2024
An Infection Control Program shall be established to
				  prevent, identify, and control infections and communicable diseases.
(a) The infection control program shall be
				coordinated by the Psychiatric Hospital Administrator, the medical staff, and
				Director of Nursing Services, in conjunction with the Hospitals quality
				assurance and inservice training programs.
(b) Problems identified shall be reported to
				the medical staff, nursing and administration, and addressed in the Hospitals
				quality assurance management and inservice training programs.
(c) Documentation concerning corrective
				actions and outcomes shall be maintained.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 15 - LICENSURE OF PSYCHIATRIC HOSPITALS › Section 15-16 - Sanitary Environment

Current through July 13, 2024
The Psychiatric Hospital shall provide for housekeeping,
				  maintenance, and laundry services.
(a) There shall be written policies and
				procedures for each of these services to ensure the use of approved practices,
				procedures, and products.
(i) A designated
				person shall be responsible for plant maintenance, laundry and general
				housekeeping.
(ii) Housekeeping
				shall be responsible for keeping the Psychiatric Hospital free of offensive
				odors, accumulations of dirt, rubbish, dust, insects and rodents.
(iii) Laundry facilities shall have physical
				separation of clean and dirty areas, adequate ventilation and temperature
				control.
(iv) Oxygen tubing and
				humidifiers shall be replaced after each usage and the length of continuous
				usage shall not exceed twenty-four (24) hours.
(v) There shall be written policies and
				procedures covering the disinfectants used on various types of equipment,
				surfaces, and instruments.
(vi)
				There shall be a written policy covering the cleaning and disinfecting of ice
				machines.
(vii) All garbage and
				kitchen refuse shall be kept in leakproof, nonabsorbent containers with tight
				fitting covers. All garbage containers kept within the Hospital buildings shall
				be washed, inside and out, daily. Other dry waste materials, normally
				designated Trash, may be stored in plastic bags.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 15 - LICENSURE OF PSYCHIATRIC HOSPITALS › Section 15-17 - Other Hospital Services

Current through July 13, 2024
Psychiatric Hospitals which provide one (1) or more of the
				  hospital services listed in
				  W.S.
				  35-2-901(a)(xiii), in
				  addition to psychiatric care, shall meet the States Rules and Regulations for
				  Licensure of Hospitals.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 15 - LICENSURE OF PSYCHIATRIC HOSPITALS › Section 15-18 - Physical Environment

Current through July 13, 2024
The Psychiatric Hospital buildings shall be designed,
				  constructed, arranged, equipped and maintained to ensure the safety of
				  patients, personnel and visitors and to provide adequate and efficient care and
				  treatment to the patients. Fire safety in Psychiatric Hospitals shall be in
				  accordance with the requirements of NFPA Life Safety Code 101, Section 31 -
				  4.4.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 15 - LICENSURE OF PSYCHIATRIC HOSPITALS › Section 15-19 - Disaster Plan

Current through July 13, 2024
Psychiatric Hospitals shall develop and adopt a written
				  disaster preparedness plan in accordance with NFPA 99, Standards for Health
				  Care Facilities, 1996 edition, Chapter 11.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 15 - LICENSURE OF PSYCHIATRIC HOSPITALS › Section 15-21 - Life Safety and Electrical Safety

Current through July 13, 2024
Department of Health, Chapter III Construction Rules for
				  Health Facilities apply.
(a)
				Psychiatric Hospitals operating prior to the effective date of these rules,
				shall meet the Life Safety Code of the National Fire Protection Association
				that was in effect at the time the facility was licensed as a Psychiatric
				Hospital.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 16 - LICENSURE OF REHABILITATION FACILITIES › Section 16-1 - Authority

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

Current through July 13, 2024
These rules have been adopted for the licensure of
				  rehabilitation facilities. The purpose of these standards is to provide minimum
				  requirements for services, structure, operation and personnel practices
				  designed to protect the health and safety of patients and
				  employees.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 16 - LICENSURE OF REHABILITATION FACILITIES › Section 16-6 - Organization and Management

Current through July 13, 2024
(a) Governing Body.
				The rehabilitation program shall have a governing body which has the legal
				authority and responsibility to operate the rehabilitation program. The
				governing body shall:
(i) Obtain a fidelity
				bond for client protection arising from the want of honesty, integrity or
				fidelity of an employee. The bond shall consist of no less than $2500 and shall
				be augmented in relation to the number of employees.
Central registry information can be obtained by contacting
				  Department of Family Services at307-777-5366. (This number may be subject to
				  change.)
Adopt, revise, and approve personnel policies;
				  including:
Frequency of evaluations;
Insuring confidentiality of central registry information
				  checks;
Prepare an organizational chart that reflects the
				  administrative control and lines of authority for the delegation of
				  responsibility from management down to the client care level.
The governing body shall ensure that all services provided
				  are consistent with accepted standards of practice.
The governing body shall ensure adequate staffing to provide
				  quality rehabilitation care.
There must be policies and procedures for services offered,
				  which shall be reviewed annually by the governing body.
Ensure in accordance with the State Statute 25-2-910, there
				  is an effective, ongoing, agency wide written quality improvement program which
				  ensures and evaluates quality of care provided to all clients.
Personnel Records.
There shall be one person designated responsible for
				  maintaining the confidentiality.
Employee Health. The rehabilitation program shall:
Develop policies and procedures for employee health,
				  including a policy identifying communicable diseases that could put the client
				  population at risk.
Advanced Directives.
The rehabilitation program shall adopt policies which assure
				  that they provide information on advanced directives to clients. If the clients
				  advanced directives are known they shall be followed by the rehabilitation
				  facility.
Notification. Prior to admission all perspective clients
				  shall be notified if the rehabilitation program is not Medicare/Medicaid
				  certified.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 16 - LICENSURE OF REHABILITATION FACILITIES › Section 16-7 - Construction

Current through July 13, 2024
At the time of initial licensure the rehabilitation facility
				  shall meet the most current provisions of NFPA 101 Life Safety Code of the
				  National Fire Protection Association.
After initial licensure the rehabilitation facility will
				  continue to be licensed under the same provisions of the NFPA 101 Life Safety
				  Code as when they were initially licensed.
For new construction the facility shall comply with the most
				  current edition of the
Guidelines for Construction and Equipment of
				  Hospitals and Medical Facilities
Chapter 10 Rehabilitation
				  Facilities.
For remodeling a portion of the rehabilitation facility, the
				  facility must comply with the most current edition of the
Guidelines
				  for Construction and Equipment of Hospital and Medical Facilities
Chapter 10 Rehabilitation Facilities.
Plans must be submitted and approved by the Office of Health
				  Quality.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 18 - LICENSURE OF RENAL DIALYSIS CENTERS › Section 18-1 - Authority

Current through July 13, 2024
These rules are promulgated by the Department of
				  Health pursuant to the Health Facilities Licensure Act at W. S.
											35-2-901
et
				  seq
. and the Wyoming Administrative Procedures Act at W. S.
				  
										16-3-101
et
				  seq
.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 18 - LICENSURE OF RENAL DIALYSIS CENTERS › Section 18-2 - Purpose

Current through July 13, 2024
These rules have been adopted for the licensure of renal
				  dialysis centers. The purpose of these standards is to provide minimum
				  requirements for services, structure, operation and personnel practices
				  designed to protect the health and safety of patients and
				  employees.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 18 - LICENSURE OF RENAL DIALYSIS CENTERS › Section 18-4 - Definitions

Current through July 13, 2024
(a) "Acceptable plan of correction" means an
				Office of Health Quality, Planning and Program Evaluation (Office of Health
				Quality) approved plan to correct the deficiencies identified through a survey.
				The plan of correction shall be a written document and must contain who is
				responsible for correction, what was done to correct the problem, who will
				monitor to ensure that the situation does not develop again, and must contain a
				timely date for completion of the correction.
(b) "Administrator" is the person in charge
				of the operation of the facility twenty-four hours per day and is:
(i) A physician,
(ii) A dialysis nurse, or
(iii) An individual with a bachelors degree
				and one year experience in health service administration, preferably in a renal
				dialysis center.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 18 - LICENSURE OF RENAL DIALYSIS CENTERS › Section 18-5 - Licensing

Current through July 13, 2024
(a) Licensing requirements. The Office of
				Health Quality has been duly authorized to issue licenses to renal dialysis
				centers. The Office of Health Quality has established a system of licensure to
				comply with minimum requirements for protecting the health, welfare and safety
				of patients receiving this type of service.
(b) Licensing procedure.
(i) For an initial license to be issued the
				facility shall submit:
(A) A completed
				application form as supplied by the Office of Health Quality.
(B) The required licensure fee outlined in
				Chapter 1 Rules and Regulations for Health Care Facilities Licensure Fees. The
				check or money order shall be made payable to the Treasurer, State of
				Wyoming.
(C) Demonstrated
				compliance with the requirements for licensure as required in paragraph (c) of
				this section. This documentation shall be available through the Office of
				Health Quality following the on site survey.
(D) The effective date of the initial license
				shall be:
(I) The date of the survey, if
				there are no deficiencies, or
(II)
				If deficiencies exist, the date that an acceptable plan of correction is
				developed.
(E) The
				length of the license shall be from the effective date of the license until the
				next June 30th.
Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0026 - Land Commissioners, Board of › Chapter 18 - LICENSURE OF RENAL DIALYSIS CENTERS › Section 18-6 - Organization and Management

Current through July 13, 2024
(a) Governing Body.
				The renal dialysis program shall have a governing body which has the legal
				authority and responsibility to operate the renal dialysis program. The
				governing body shall:
(i) Obtain a fidelity
				bond for client protection arising from the want of honesty, integrity or
				fidelity of an employee. The bond shall consist of no less than $2500 and shall
				be augmented in relation to the number of employees.
(ii) Provide verification of a central
				registry information check on all employees hired at the time of or after the
				filing of these rules. The individual agencies or corporations are responsible
				to initiate and follow this process to completion.
Central registry information can be obtained by contacting
				  The Department of Family Services at307-777-5366. (This number is subject to
				  change.)
(iii) Adopt,
				revise, and approve personnel policies; including:
(A) Frequency of evaluations;
(B) Insuring confidentiality of a central
				registry information checks.
(iv) Prepare an organizational chart that
				reflects the administrative control and lines of authority for the delegation
				of responsibility from management down to the client care level.
(v) The governing body shall ensure that all
				services provided are consistent with accepted standards of practice.
(vi) The governing body shall ensure adequate
				staffing to provide quality care.
(vii) There shall be policies and procedures
				for services offered, which shall be reviewed annually by the governing
				body.
(viii) Ensure in accordance
				with the State Statute
				
											35-2-910, there is an effective, ongoing,
				agency wide written quality improvement program which ensures and evaluates
				quality of care provided to all clients.
(ix) Personnel Records.
(A) There shall be one person designated
				responsible for maintaining the confidentiality.
(x) Employee Health. The renal dialysis
				program shall:
(A) Develop policies and
				procedures for employee health including a policy identifying communicable
				diseases that could put the client population at risk.
(xi) Advanced Directives.
(A) The renal dialysis program shall adopt
				policies which assure they provide information on advanced directives to
				clients. If the clients advanced directives are known they shall be followed by
				the center.
(xii)
				Notification. Prior to admission all prospective clients shall be notified if
				the renal dialysis program is not Medicare/Medicaid certified.