048-4 Wyo. Code R. §§ 4-4 - Patient Care Reporting
(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.
(e) Cardiac
rhythm strips, 12 lead electrocardiograph (ECG) tracings, and any other reports
generated by patient monitoring equipment, shall be considered to be part of
the patient care report. Copies of these reports shall be provided to the
receiving facility and uploaded into the Division's electronic
system.
(f) The Division may
inspect the patient care reports of any EMS agency covered by these
rules.
(g) No person shall release
a patient care report without the patient's consent, except as provided in
subpart (h) of this section.
(h) A
person may release a patient care report:
(i)
to a health care facility;
(ii) to
the Department of Health, including its individual divisions and
programs;
(iii) to a law
enforcement officer;
(iv) to the
Wyoming Attorney General's office;
(v) pursuant to a lawful court order;
or
(vi) as otherwise required or
permitted by law.
Notes
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