<?xml version='1.0' encoding='utf-8'?>
<section article="gho" article_name="Health Occupations" number="14-5E-01" title_number="14" title_name="Physicians" subtitle_number="5E" subtitle_name="Perfusionists">
  <level label="a">
    <text>In this subtitle the following words have the meanings indicated.</text>
  </level>
  <level label="b">
    <text>“Board” means the State Board of Physicians.</text>
  </level>
  <level label="c">
    <text>“Committee” means the Perfusion Advisory Committee established under § 14–5E–05 of this subtitle.</text>
  </level>
  <level label="d">
    <text>“License” means a license issued by the Board to practice perfusion.</text>
  </level>
  <level label="e">
    <text>“Licensed perfusionist” means a perfusionist who is licensed by the Board under this subtitle to practice perfusion.</text>
  </level>
  <level label="f">
    <level label="1">
      <text>“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.</text>
    </level>
    <level label="2">
      <text>“Practice perfusion” includes:</text>
      <level label="i">
        <text>Cardiopulmonary bypass for adult, pediatric, and neonatal patients;</text>
      </level>
      <level label="ii">
        <text>Extracorporeal circulatory support for renal, neurological, hepatic, and vascular surgery;</text>
      </level>
      <level label="iii">
        <text>Extracorporeal resuscitation;</text>
      </level>
      <level label="iv">
        <text>Extracorporeal circulation for long–term support of failing respiratory or cardiac function;</text>
      </level>
      <level label="v">
        <text>Extracorporeal membrane oxygenation;</text>
      </level>
      <level label="vi">
        <text>Extracorporeal carbon dioxide removal;</text>
      </level>
      <level label="vii">
        <text>Myocardial protection;</text>
      </level>
      <level label="viii">
        <text>Perfusion–assisted direct coronary artery bypass;</text>
      </level>
      <level label="ix">
        <text>Hemofiltration and hemodialysis;</text>
      </level>
      <level label="x">
        <text>Anticoagulation and hemostasis monitoring, analysis, and intervention;</text>
      </level>
      <level label="xi">
        <text>Thermal regulation;</text>
      </level>
      <level label="xii">
        <text>Blood gas and blood chemistry monitoring, analysis, and intervention;</text>
      </level>
      <level label="xiii">
        <text>Physiological monitoring, analysis, and intervention;</text>
      </level>
      <level label="xiv">
        <text>Administration of blood components and pharmaceuticals;</text>
      </level>
      <level label="xv">
        <text>Administration of anesthetic agents through a heart lung machine at the direction of an anesthesiologist;</text>
      </level>
      <level label="xvi">
        <text>Ventricular assist device and mechanical circulatory support management;</text>
      </level>
      <level label="xvii">
        <text>Intra–aortic balloon counterpulsation;</text>
      </level>
      <level label="xviii">
        <text>Temporary pacemaker management;</text>
      </level>
      <level label="xix">
        <text>Periodic flow augmentation therapy;</text>
      </level>
      <level label="xx">
        <text>Autotransfusion;</text>
      </level>
      <level label="xxi">
        <text>Platelet gel production, autologous hemocyte tissue matrix production;</text>
      </level>
      <level label="xxii">
        <text>Nondifferentiated progenitor cell harvest bone marrow aspirate concentrate;</text>
      </level>
      <level label="xxiii">
        <text>Acute normovolemic hemodilution;</text>
      </level>
      <level label="xxiv">
        <text>Isolated limb or organ delivery of chemotherapeutics, progenitor cells, gene therapy vectors, and other items;</text>
      </level>
      <level label="xxv">
        <text>Organ procurement and preservation;</text>
      </level>
      <level label="xxvi">
        <text>Thermogenic lavage;</text>
      </level>
      <level label="xxvii">
        <text>Electrophysiological analysis;</text>
      </level>
      <level label="xxviii">
        <text>Therapeutic hyperthermia;</text>
      </level>
      <level label="xxix">
        <text>Intravascular membrane oxygenation; and</text>
      </level>
      <level label="xxx">
        <text>Renal perfusion.</text>
      </level>
    </level>
  </level>
  <level label="g">
    <text>“Student” means an individual who, in accordance with § 14–5E–09(c) of this subtitle, is:</text>
    <level label="1">
      <text>Enrolled in an accredited educational program to qualify for a license under this subtitle; and</text>
    </level>
    <level label="2">
      <text>Performing perfusion services within the accredited program under the supervision of a licensed perfusionist and without compensation.</text>
    </level>
  </level>
  <level label="h">
    <text>“Supervision” means the responsibility of a licensed physician to exercise on site or immediately available direction for a licensed perfusionist to ensure the safety and welfare of patients during the course of perfusion.</text>
  </level>
</section>
