(a) The facility shall have a medical staff that includes at least one (1) physician, and may also include one (1) or more mid-level practitioners, who: - (i) Examines the credentials of candidates for medical staff membership and makes recommendations to the governing body on the appointment of candidates; and
- (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 twenty-four (24) hours after the patient's admission to the facility.
(b) A physician on staff shall: - (i) Provide medical direction to the facility's health care activities and consultation for non-physician health care providers;
- (ii) In conjunction with the mid-level practitioner staff members, participate in developing, executing, and periodically reviewing the facility's written policies and the services provided to patient's.
- (iii) Review and sign the records of each patient admitted and treated by a mid-level practitioner no later than fifteen (15) days after the patient's discharge from the facility;
- (iv) Provide health care services to the patient's in the facility, whenever needed and requested;
- (v) Prepare guidelines for the medical management of health problems, including conditions requiring medical consultation and/or patient referral; and
- (vi) At intervals no more than two (2) weeks apart, be physically present in the facility for a sufficient time to provide medical direction, medical care services, and staff consultation required by the collaborative agreement;
- (A) When not present, either be available through direct telecommunication for consultation and assistance with medical emergencies, and patient referral, or ensure that another physician is available for this purpose.
- (B) However, the physical site visit for a given two (2) week period is not required if, during that period, no inpatient's have been treated in the facility.
(c) A mid-level practitioner on staff shall: - (i) Participate in the development, execution, and periodic review of the guidelines and written policies governing the services furnished by the facility;
- (ii) Participate with a physician in a review of each patient's health records;
- (iii) Provide health care services to patient's according to the facility's policies;
- (iv) Arrange for, or refer patient's to needed services that are not provided at the facility; and
- (v) Assure that adequate patient health records are maintained and transferred as necessary.
048-17 Wyo. Code R. § 17-7