La. Admin. Code tit. 46 § XLV-2703

Current through Register Vol. 50, No. 9, September 20, 2024
Section XLV-2703 - Definitions
A. As used in this Chapter, unless the context clearly states otherwise, the following terms and phrases shall have the meanings specified.

Advisory Committee on Perfusion or Committee-the committee established in R.S. 37:1339.

American Board of Cardiovascular Perfusion or ABCP-the national credentialing entity for the perfusionist profession, or its successor.

Applicant-a person who has applied to the board for a license or provisional license to practice perfusion.

Board-the Louisiana State Board of Medical Examiners.

Extracorporeal Circulation--the diversion of a patient's blood through a heart-lung machine or similar device that assumes the functions of the patient's heart, lungs, kidney, liver or other organs.

Good Moral Character-as applied to an applicant, means that an applicant has not, prior to or during the pendency of an application to the board been guilty of any act, omission, condition or circumstance which would provide legal cause for the denial, suspension or revocation of a perfusionist's license; the applicant has not, prior to or in connection with his application, made any representation to the board, knowingly or unknowingly, which is in fact false or misleading as to material fact or omits to state any fact or matter that is material to the application; and the applicant has not made any representation or failed to make a representation or engaged in any act or omission which is false, deceptive, fraudulent or misleading in achieving or obtaining any of the qualifications for a license required by this Chapter.

License-the lawful authority to engage in the practice of perfusion in this state, as evidenced by a certificate duly issued by and under the official seal of the board as a licensed perfusionist or provisional licensed perfusionist.

Licensed Perfusionist-a perfusionist who is currently licensed by the board to practice perfusion in this state.

Perfusion-the functions necessary for the support, treatment, measurement, or supplementation of the cardiovascular, circulatory, respiratory systems or other organs, or a combination of those activities, and to ensure the safe management of physiologic functions by monitoring and analyzing the parameters including, but not limited to, the following activities conducted upon the written prescription or verbal order of a physician and/or provided in accordance with perfusion protocols:

a. the use of extracorporeal circulation, long-term cardiopulmonary support techniques, including extracorporeal carbon dioxide removal and extracorporeal membrane oxygenation, and associated therapeutic and diagnostic techniques;

b. counterpulsation, ventricular assistance, autotransfusion, blood conservation techniques, myocardial and organ preservation, extracorporeal life support, and isolated limb perfusion;

c. blood management techniques, advanced life support, and other related functions;

d. in the performance of the acts described in this Subparagraph:

i. the administration of pharmacological agents, therapeutic agents, blood products or anesthetic agents through the extracorporeal circuit as ordered by a physician;

ii. the performance and use of:

(a). anticoagulation monitoring and analysis;

(b). physiologic monitoring and analysis;

(c). blood gas and chemistry monitoring and analysis;

(d). hematologic monitoring and analysis;

(e). hypothermia;

(f). hyperthermia;

(g). hemoconcentration and hemodilution; and

(h). hemodialysis;

iii. the observation of signs and symptoms related to perfusion services, the determination of whether the signs and symptoms exhibit abnormal characteristics and the implementation of appropriate reporting, perfusion protocols or changes in or the initiation of an emergency.

Perfusionist-an individual who is qualified by academic and clinical education, to operate the extracorporeal circulation equipment during any medical situation where it is necessary to support or replace a person's cardiopulmonary, circulatory or respiratory function. A perfusionist is responsible for the selection of appropriate equipment and techniques necessary for support, treatment, measurement, or supplementation of the cardiopulmonary and circulatory system of a patient, including the safe monitoring, analysis, and treatment of physiologic conditions.

Perfusion Licensure Act or Act-R.S. 37:1331-1343, as may be amended or supplemented.

Perfusion Protocols-perfusion related policies and protocols developed or approved by a licensed health facility or a physician through collaboration with administrators, licensed perfusionists, and other health care professionals. Such protocols shall be in writing, kept current, maintained at the health facility or by the physician and produced at the board's request.

Physician-an individual who is currently licensed by the board to practice medicine in the state of Louisiana.

Provisional Licensed Perfusionist-an individual who is provisionally licensed under this Chapter to engage in perfusion under the supervision and direction of a licensed perfusionist. A provisional license is of determinate, limited duration and implies no right or entitlement to the issuance of a license as a licensed perfusionist.

Supervision and Direction-responsible direction and control by a licensed perfusionist for the proper performance of perfusion services by a provisional licensed perfusionist. Such supervision shall not be construed to require the immediate physical presence of the licensed perfusionist; however, the licensed perfusionist shall be accessible on-site or immediately available by telephone, telecommunications or other electronic means to furnish assistance and direction at all times that a provisional licensed perfusionist performs perfusion.

Supervising Perfusionist-an individual who is currently licensed by the board under this Chapter as a licensed perfusionist, who provides supervision and direction to a provisional licensed perfusionist.

United States Government-any department, agency or bureau of the United States Armed Forces or Veterans Administration.

La. Admin. Code tit. 46, § XLV-2703

Promulgated by the Department of Health and Hospitals, Board of Medical Examiners, LR 40:1371 (July 2014).
AUTHORITY NOTE: Promulgated in accordance with R.S. 37:1331-1343 and 37:1270(B)(6).