Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.20 - Licensure of Perfusionists › Section 10.32.20.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this chapter,
				  the following terms have the meanings indicated.
B. Terms Defined.
(1) "Accredited educational program" means a
				  program accredited by The Commission on Accreditation of Allied Health
				  Education Programs (CAAHEP), or its successor accrediting agency.
(2) "Board" means the State Board of
				  Physicians.
(3) "Certified clinical
				  perfusionist" means an individual holding a certificate issued by the national
				  certifying board.
(4)
				  "Certification" means recognition of an individual who has satisfied certain
				  standards required by the national certifying board.
(5) "Committee" means the Perfusion Advisory
				  Committee established under Health Occupations Article, § 14-5 E-05,
				  Annotated Code of Maryland.
(6)
				  "Conversion" means changing a license from licensed perfusionist-basic to
				  licensed perfusionist-advanced.
(7)
				  "Immediately available direction" means the responsibility of a licensed
				  physician to provide necessary direction for a licensed perfusionist in person,
				  by telephone, or by other electronic means.
(8) "Joint Commission" means the organization
				  formerly known as the Joint Commission on the Accreditation of Health Care
				  Organizations.
(9) "License" means
				  a license issued by the Board to practice perfusion.
(10) "Licensed perfusionist" means a
				  perfusionist who is licensed by the Board, in accordance with Health
				  Occupations Article, Title 14, Subtitle 5E, Annotated Code of Maryland, to
				  practice perfusion as a:
(a) Licensed
				  perfusionist-advanced; or
(b)
				  Licensed perfusionist-basic.
(11) "Licensed perfusionist-advanced" means
				  an individual who is licensed by the Board as a perfusionist based on current
				  certification as a certified clinical perfusionist.
(12) "Licensed perfusionist-basic" means an
				  individual who:
(a) Is licensed by the Board
				  as a perfusionist for a limited time based on graduation from an accredited
				  perfusion educational program; and
(b) Has not yet passed the national
				  certifying examinations given by the national certifying board.
(13) "Licensed physician" means a
				  physician licensed by the Board.
(14) "National certifying board" means the
				  American Board of Cardiovascular Perfusion or its successor.
(15) "National certifying examinations" means
				  the two examinations given by the national certifying board.
(16) "On-site direction" means the
				  responsibility of a licensed physician to provide necessary direction for a
				  licensed perfusionist when the physician is:
(a) Physically present in the procedure room
				  or in the facility; and
(b) Able to
				  respond if the perfusionist needs assistance during a procedure.
(17) Practice Perfusion.
(a) "Practice perfusion" means to perform the
				  functions necessary for the support, treatment, measurement, or supplementation
				  of the cardiovascular, circulatory, or respiratory systems, or other organs to
				  ensure the safe management of physiologic functions by monitoring and analyzing
				  the parameters of the systems under an order and the supervision of a licensed
				  physician.
(b) "Practice perfusion"
				  includes:
(i) Cardiopulmonary bypass for
				  adult, pediatric, and neonatal patients;
(ii) Extracorporeal circulatory support for
				  renal, neurological, hepatic, and vascular surgery;
(iii) Extracorporeal resuscitation;
(iv) Extracorporeal circulation for long-term
				  support of failing respiratory or cardiac function;
(v) Extracorporeal membrane
				  oxygenation;
(vi) Extracorporeal
				  carbon dioxide removal;
(vii)
				  Myocardial protection;
(viii)
				  Perfusion-assisted direct coronary artery bypass;
(ix) Hemofiltration and
				  hemodialysis;
(x) Anticoagulation
				  and hemostasis monitoring, analysis, and intervention;
(xi) Thermal regulation;
(xii) Blood gas and blood chemistry
				  monitoring, analysis, and intervention;
(xiii) Physiological monitoring, analysis,
				  and intervention;
(xiv)
				  Administration of blood components and pharmaceuticals;
(xv) Administration of anesthetic agents
				  through a heart lung machine at the direction of an anesthesiologist;
(xvi) Ventricular assist device and
				  mechanical circulatory support management;
(xvii) Intra-aortic balloon
				  counterpulsation;
(xviii) Temporary
				  pacemaker management;
(xix)
				  Periodic flow augmentation therapy;
(xx) Autotransfusion;
(xxi) Platelet gel production, autologous
				  hemocyte tissue matrix production;
(xxii) Nondifferentiated progenitor cell
				  harvest bone marrow aspirate concentration;
(xxiii) Acute normovolemic
				  hemodilution;
(xxiv) Isolated limb
				  or organ delivery of chemotherapeutics, progenitor cells, gene therapy vectors,
				  and other items;
(xxv) Organ
				  procurement and preservation;
(xxvi) Thermogenic lavage;
(xxvii) Electrophysiological
				  analysis;
(xxviii) Therapeutic
				  hyperthermia;
(xxix) Intravascular
				  membrane oxygenation; and
(xxx)
				  Renal perfusion.
(18) "Student" means an individual who, in
				  accordance with Health Occupations Article, § 14-5 E-09(c), Annotated Code
				  of Maryland, is:
(a) Enrolled in an accredited
				  educational program to qualify for a license; and
(b) Performing perfusion services within the
				  accredited program under the supervision of a licensed perfusionist and without
				  compensation.
(19)
				  "Supervision" means the responsibility of a licensed physician to exercise
				  on-site direction or immediately available direction for a licensed
				  perfusionist to ensure the safety and welfare of patients during the course of
				  perfusion.