Code of Massachusetts Regulations › 267 CMR - BOARD OF REGISTRATION OF PERFUSIONISTS › Title 267 CMR 2.00 - Purpose, Authority, Definitions and Board Procedures › Section 2.03 - Definitions

Current through Register 1525, July 5, 2024
The following definitions apply to all of 267 CMR.
Accreditation Committee for Perfusion Education or
				ACPE
means the national organization responsible for establishing
				and implementing educational standards for perfusion education programs and
				approving perfusion education programs which meet those standards.
American Association of Blood Banks or
				AABB
means the national organization responsible for establishing
				standards and guidelines for the operation of blood banks and the performance
				of blood transfusions.
American Board of Cardiovascular Perfusion or
				ABCP
means the national organization for certification and
				re-certification of clinical perfusionists.
Applicant
means any individual who has
				applied to the Board for full licensure as a perfusionist, or for a provisional
				license to practice perfusion.
Board
means the Board of Registration
				of Perfusionists.
Cardiopulmonary Bypass System
means a
				heart-lung machine, or similar device which assumes the functions of a
				patient's heart and lungs, through which a patient's blood is diverted during
				the performance of a surgical procedure on the patient's heart.
Certification
means the certification
				granted to a perfusionist who achieves a passing score on the examination
				administered by the American Board of Cardiovascular Perfusion and who
				otherwise meets the standards set by the ABCP for that certification.
Commission on Accreditation of Allied Health
				Education Programs or CAAHEP
means the national organization
				responsible for the accreditation and approval of educational programs in
				various allied health care professions including, but not limited to,
				perfusion.
Extracorporeal Circulation
means the
				diversion of a patient's blood through a heart-lung machine, cardiopulmonary
				bypass system, or similar device which assumes the functions of a patient's
				heart, lungs, kidney, liver or other circulatory or respiratory system
				organs.
Licensed Perfusionist
means a person
				who has met all of the requirements for licensure as a perfusionist established
				pursuant to M.G.L. c. 112, §§ 213 and 214, and
				267 CMR
				3.04:
Application for Full Licensure
or 3.05:
Application for Full Licensure by
				Reciprocity
, and who is therefore authorized by law to perform
				perfusion services.
Licensed Physician
means a physician
				duly licensed to practice medicine in the Commonwealth of Massachusetts
				pursuant to M.G.L. c. 112, § 2 and 243 CMR:
Board of Registration
				in Medicine
.
Perfusion
means the functions and
				services which are necessary for the support, treatment, measurement or
				supplementation of a patient's cardiovascular, circulatory or respiratory
				systems or other organs; or which ensure the safe management of that patient's
				physiological functions through the monitoring and analysis of those bodily
				systems; and which are performed pursuant to an order from, and under the
				supervision of, a licensed physician. Such functions and services
				include:
(a) use of extracorporeal circulation and associated
				therapeutic and/or diagnostic technologies;
(b) use of long-term cardiopulmonary support techniques,
				including extracorporeal carbon dioxide removal and extracorporeal membrane
				oxygenation and associated therapeutic and/or diagnostic technologies;
(c) use or performance of counterpulsation;
(d) use or performance of ventricular assistance;
(e) use or performance of autotransfusion;
(f) use or performance of blood conservation techniques;
(g) use or performance of myocardial preservation and/or organ
				preservation techniques in connection with the performance of procedures
				involving cardiopulmonary bypass;
(h) use or performance of extracorporeal life support services
				or techniques;
(i) use or performance of isolated limb perfusion
				services;
(j) use or performance of techniques involving blood
				management, advanced life support and other related functions;
(k) administration of pharmacological and therapeutic agents
				through the extracorporeal circuit or through an intravenous line pursuant to
				an order from a duly licensed physician;
(1) administration of anesthetic agents through the
				extracorporeal circuit or through anintravenous line pursuant to an order from,
				and under the direct supervision of, an anesthesiologist;
(m) use or performance of physiologic monitoring;
(n) use or performance of central hypothermia or
				hyperthermia;
(o) use or performance of hemoconcentration, hemodilution or
				hemofiltration;
(p) performance of anticoagulation monitoring;
(q) performance of blood gas and blood chemistry monitoring
				and/or analysis;
(r) performance of hematologic monitoring and/or
				analysis;
(s) the observation of signs and symptoms related to perfusion
				services, the determination of whether such signs or symptoms exhibit abnormal
				characteristics, and the implementation of appropriate reporting of the same;
				and
(t) the implementation of perfusion protocols, initiation of
				emergency procedures or implementation of changes in such emergency procedures
				in connection with any of the functions or services described in 267 CMR 2.03:
Perfusion
(a) through (j).
Perfusion Protocols
means
				perfusion-related policies and protocols which are developed in accordance with
				the requirements of
				267 CMR
				4.01(4)  and adopted or
				approved by a health care facility, and which address the conditions and
				circumstances in which a perfusionist may perform particular perfusion
				functions or services and the manner in which such functions or services will
				be performed.
Provisionally Licensed Perfusionist
means a person to whom a provisional license to practice perfusion has been
				granted by the Board pursuant to 267 CMR3.06:
Provisional Licensure,
and who is thereby authorized to perform perfusion services only under
				the supervision of a fully-licensed perfusionist.