Arkansas Administrative Code › Agency 007 - ARKANSAS DEPARTMENT OF HEALTH › Division 05 - Health Facility Services › Rule 007.05.19-001 - Rules for Perfusionists in Arkansas

Current through Register Vol. 49, No. 6, June, 2024
Rules for Perfusionists in Arkansas 2020
SECTION 1:
Authority.
The following Rules for Perfusionists in Arkansas are duly
				adopted and promulgated by the Arkansas State Board of Health pursuant to the
				authority expressly conferred by the laws of the State of Arkansas in Ark. Code
				Ann.
				17-104-101 et
				seq.
SECTION 2:
Purpose.
These rules establish minimum standards for licensure of
				Perfusionists in Arkansas. These standards are not static and are subject to
				periodic revisions in the future as new knowledge and changes in patient care
				trends become apparent. Perfusionists in Arkansas have a strong moral
				responsibility for providing optimum patient care and treatment.
SECTION 3:
Definitions.
A.
Board
means the State Board of Health.
B.
Committee
means the
			 Perfusionists Advisory Committee.
C.
Department
means the
			 Department of Health.
D.
Extracorporeal circulation
means the diversion of a patient's
			 blood through a heart-lung machine or a similar device that assumes the
			 functions of the patient's heart, lungs, kidneys, liver, or other
			 organs.
E.
Licensed
			 Perfusionist
means a person licensed under Ark. Code Ann.
			 17-104-101 et
			 seq., as amended.
F.
Perfusion
means 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 of the systems under an order and supervision of a
			 licensed physician, including:
1. The use of
			 extracorporeal circulation, long-term cardiopulmonary support techniques
			 including, but not limited to, extracorporeal carbon-dioxide removal and
			 extracorporeal membrane oxygenation, and associated therapeutic and diagnostic
			 technologies;
2. Counterpulsation,
			 ventricular assistance, autotransfusion, blood conservation techniques,
			 myocardial and organ preservation, extracorporeal life support, and isolated
			 limb perfusion;
3. The use of
			 techniques involving blood management, advanced life support, related
			 functions;
4. The administration of
			 pharmacological and therapeutic agents or blood products or anesthetic agents
			 through the extracorporeal circuit or through an intravenous line for perfusion
			 purposes as ordered by a physician;
5. 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.
6. 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
			 emergency procedures.
G.
Perfusion protocols
means perfusion related policies and protocols
			 developed or approved by a licensed health care facility or a physician through
			 collaboration with administrators, licensed perfusionists, and other health
			 care professionals.
H.
Provisional licensed perfusionist
means a person provisionally
			 licensed under Ark. Code Ann.
			 17-104-101 et
			 seq., as amended.
I.
Returning military veteran
means a former member of the United
			 States
Armed Forces who was discharged from active duty under
				circumstances other than dishonorable.