Ch. 26, § 3. Definitions

(a) The following definitions apply to this Chapter: (i) "Administration of Drugs" means the act in which a single dose of a prescribed drug or biological is given to a patient by a licensed person in accordance with all laws and regulations governing such acts. (ii) "Activity, Pulse, Grimace, Appearance, and Respiration" or "APGAR" means the overall assessment of the newborn. (iii) "Bathing Facility" means a bathtub or shower. (iv) "Birthing Center" means a facility which operates for the primary purpose of performing deliveries and is not part of a hospital. (v) "Birthing Room" means a room and environment designed, equipped and arranged to provide for the care of a woman and newborn and to accommodate her support person(s) during the process of vaginal delivery. (vi) "Certified Nurse Midwife" or "CNM" means a midwife who is licensed as an Advanced Practice Registered Nurse by the Wyoming State Board of Nursing and is certified by the American Midwifery Certification Board. (vii) "Central Registry" means the registry operated by the Wyoming Department of Family Services to index individuals who have been substantiated for: (A) Abuse or neglect of children under W.S. 14-3-213; or (B) Abuse, neglect, exploitation, or abandonment of vulnerable adults under W.S. 35-20-115. (viii) "Certified Professional Midwife" or "CPM" means a midwife who is certified by the North American Registry of Midwives (NARM) and currently licensed by the Wyoming Board of Midwifery. (ix) "Clinical Staff" means the physicians, CNMs, or CPM's hired to practice within the birthing center and licensed by the state of Wyoming. (x) "Governing Body" means an individual or group which is legally responsible for the operation, control and maintenance of the birthing center. (xi) "Immediate jeopardy" means a situation in which a center's noncompliance with one or more requirements of these Rules has caused, or is likely to cause, serious injury, harm, impairment, or death to a patient. (xii) "Low Risk" means normal, uncomplicated prenatal course as determined by adequate prenatal care and prospects for a normal, uncomplicated delivery as defined by reasonable and generally accepted criteria of maternal and fetal health. These services shall be limited to mothers not falling in the categories of conditions and needs listed in Section 11 of this Chapter. (xiii) "Patient" means a pregnant woman or the newborn receiving care in a birthing center. (xiv) "Personnel" mean individuals employed by the birthing center. (xv) "Physician" means a person authorized by the Wyoming Board of Medicine to practice medicine pursuant to W.S. 33-26-301. (xvi) "Plan of correction" means a center's plan to correct the deficiencies identified during a survey conducted by the State Survey Agency. (xvii) "Recovery" means that period or duration of time starting at birth and ending with the discharge of a patient from the birthing center. (xviii) "State Survey Agency" means the Department of Health, Aging Division, Healthcare Licensing and Surveys, including its staff and designees. (xix) "Support Person" means the individual(s) selected or chosen by a mother to provide emotional support and to assist her during the process of labor and childbirth. (xx) "Survey" means an onsite or offsite inspection conducted by the State Survey Agency to determine compliance with these Rules. The term includes activities commonly referred to in the field as surveys, revisits, complaint investigations, periodic surveys, and other inspections deemed necessary by the State Survey Agency.