Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XLV - Medical Professions › Subpart 2 - Licensure and Certification › Chapter 27 - Perfusionists › Subchapter A - General Provisions › Section XLV-2703 - Definitions

Current through Register Vol. 50, No. 6, June 20, 2024
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.
AUTHORITY NOTE:
						Promulgated in accordance with R.S. 37:1331-1343 and
						37:1270(B)(6).