Arkansas Administrative Code › Agency 007 - ARKANSAS DEPARTMENT OF HEALTH › Division 35 - Center for Health Protection › Rule 007.35.23-003 - Rules for Perfusionists in Arkansas

Current through Register Vol. 49, No. 6, June, 2024
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.
Automatic licensure
means
			 granting the occupational licensure without an individual having met
			 occupational licensure requirements provided under the Arkansas Code or by
			 other provisions in these Rules.
B.
ABCP
means the American Board of Cardiovascular
			 Perfusion.
C.
BLS
means basic life support.
D.
CPS
means cardiopulmonary support.
E.
ECMO
means extracorporeal
			 membrane oxygenation.
F.
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.
G.
Licensed
			 Perfusionist
means a person licensed under Ark. Code Ann. 17-104- 101,
			 et seq., as amended.
H.
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. Counter pulsation,
			 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:
6. Anticoagulation monitoring and
			 analysis;
7. Blood gas and
			 chemistry monitoring and analysis;
8. Hematologic monitoring and
			 analysis;
9. Hypothermia;
10. Hyperthermia;
11. Hemoconcentration and hemodilution;
			 and
12. Hemodialysis.
13. 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.
I.
PADCAB
means perfusion-assisted direct coronary artery
			 bypass.
J.
PALS
means
			 pediatric advanced life support.
K.
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.
L.
Provisional licensed perfusionist
means a person provisionally
			 licensed under Ark. Code Ann.
			 17-104-101 et seq., as
			 amended.
M.
Returning
			 military veteran
means a former member of the United Armed Forces who
			 was discharged from active duty under circumstances other than
			 dishonorable.
N.
Uniformed
			 service member
means an active or reserve component member of the United
			 States Air Force, United States Army, United States Coast Guard, United States
			 Marine Corps, United States Navy, United States Space Force, or National Guard;
			 an active component member of the National Oceanic and Atmospheric
			 Administration Commissioned Officer Corps; or an active or reserve component
			 member of the United States Commissioned Corps of the Public Health
			 Service.
O.
Uniformed service
			 veteran
means a former member of the United States uniformed services
			 discharged under conditions other than dishonorable.
P.
VAD
means ventricular assist
			 device.