Section 5-11 - Onsite Clinical Inspection Process for Sedation Permits for Administration of Moderate Sedation, Deep Sedation, and/or General Anesthesia (a) Office Inspection. Each office location where sedation is intended to be administered shall be inspected.
(b) Initial Onsite Clinical Inspection Process. - (i) The initial inspection shall be performed by two (2) inspectors.
- (ii) The onsite clinical inspection process for sedation permits shall consist of four (4) parts:
- (A) Review. The inspector shall review the office equipment, documentation, and emergency medications as required in Sections 12 and 13.
- (B) Surgical/Anesthetic Techniques. Each inspector shall review at least three (3) separate cases in which the applicant administered anesthesia. The inspector may require additional cases to observe at his/her discretion. If no cases are available (i.e. the applicant has just completed a residency program), three (3) separate standard cases shall be reviewed.
- (C) Simulated Emergencies. The applicant and his/her team shall be able to demonstrate their expertise in managing emergencies.
- (D) Discussion Period. The applicant may be required to answer additional questions by the inspector.
- (iii) After an inspector has completed the onsite clinical inspection, the inspector shall submit his/her findings and necessary documentation to the Board for approval.
(c) Re-Inspection Process. - (i) Permit holder's onsite clinical location(s) shall be re-inspected every five (5) years. Permit holder bears the burden of ensuring that their onsite clinical location(s) are re-inspected no later than sixty (60) months from the previous inspection.
- (ii) Permit holder shall submit a completed onsite clinical re-inspection application, including fees, and provide evidence of attending ten (10) continuing medical or dental education credit hours in anesthesia in the five (5) years preceding the onsite clinical location re-inspection.
- (iii) Each re-inspection of an onsite clinical location may be inspected by one (1) inspector with approval by the Board.
- (iv) The Board may require re-inspection of an onsite clinical location(s) as part of the process for renewal or reinstatement of the permit.
034-5 Wyo. Code R. § 5-11