048-12 Wyo. Code R. § 12-8

Current through April 27, 2019
Section 12-8 - Emergency Services

The hospital shall meet the emergency needs of patient's in accordance with acceptable standards of practice.

(a) Diagnostic and treatment equipment, drug and supply space, and treatment rooms shall be adequate in number and size.

(b) The following equipment, as a minimum, shall be available to the emergency suites: cardiac monitor, resuscitator, defibrillator, aspirator, thoracotomy set, and tracheotomy set.

(c) Services shall be available twenty-four (24) hours a day, seven (7) days a week, and emergency room staff coverage shall be adequate to ensure that a patient for treatment will be seen within a reasonable length of time relative to his illness or injury.

(d) Adequate medical records shall be kept on every patient.

  • (i) The emergency room record shall contain:
    • (A) Patient identification.
    • (B) Time and date of service.
    • (C) History of disease or injury.
    • (D) Physical findings.
    • (E) Laboratory and x-ray reports (if any).
    • (F) Diagnosis.
    • (G) Record of treatment.
    • (H) Medications prescribed.
    • (I) Discharge instructions.
    • (J) Signature of physician.

(e) Medical records for each patient treated shall be organized in accordance with policies and procedures developed by the facility's health information and management system.

(f) All hospitals must receive and maintain formal designation through the Wyoming Department of Health Trauma System Enhancement Program (W.S. 35-1-801 ). The level of designation shall be at the discretion of the hospital.

(g) Pursuant to 42 CFR 482.55, hospitals dedicated primarily to the care of patient's in need of comprehensive rehabilitative therapy, psychiatric services, or surgical services, may opt to not have an emergency department and will not be required to function as an acute care hospital with all services needed to support a full-staffed emergency department. If the hospital opts to not have an emergency department, signage designating such shall be posted in a prominent location to ensure the public does not perceive that the hospital has an emergency room. The hospital shall have the ability to provide basic life saving measures to patient's, staff, and visitors, and shall have written policies for appraisal of emergencies, initial treatment, and referral when appropriate.

048-12 Wyo. Code R. § 12-8