048-5 Wyo. Code R. §§ 5-6 - Organization and Administration

(a) Governing Body. The ambulatory surgical center shall have a governing body which has legal authority and responsibility to operate the ambulatory surgical center. The governing body shall:

(i) Appoint an administrator who is responsible for managing the ambulatory surgical center.

(ii) Adopt, revise, and approve personnel policies; including:

(A) Frequency of employee evaluations;

(iii) Prepare an organizational chart that reflects the administrative control and lines of authority for the delegation of responsibility from management down to the patient care level.

(iv) The governing body shall ensure that all services provided are consistent with accepted standards of practice.

(v) The governing body shall ensure that all procedures do not exceed twenty-three (23) hours of combined operating and recovery and/or convalescent time.

(vi) The governing body shall be accountable for the quality of care provided to the patient.

(vii) Personnel Records.

(A) There shall be one person designated responsible for maintaining the confidentiality.

(viii) Employee Health.

(A) Policies and procedures shall be developed to protect the employees health, and to prevent the spread of disease from employee to patient.

(B) Policies shall include but not limited to:

(I) Policies which are specific to blood borne pathogens as defined by OSHA;

(II) Communicable disease vaccines as recommended by current CDC Prevention Guidelines for Health Care Workers and endorsed by the State Health Department, Division of Public Health.

(C) Documentation shall be maintained on the communicable disease vaccine given to the employee.

(ix) Notification.

(A) Prior to admission all perspective patients shall be notified if the ambulatory surgical center 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.

Notes

048-5 Wyo. Code R. §§ 5-6