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 10.32.20.07 - Scope of Practice
Universal Citation: MD Code Reg 10.32.20.07
Current through Register Vol. 51, No. 19, September 20, 2024
A. A licensed perfusionist may practice only under the supervision of a licensed physician.
B. The scope of practice of a licensed perfusionist is performance of 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.
C. The scope of practice of a licensed perfusionist includes the following special procedures, performed on the order of and under the supervision of a licensed physician:
(1) Cardiopulmonary bypass for adult,
pediatric, and neonatal patients;
(2) Extracorporeal circulatory support for
renal, neurological, hepatic, and vascular surgery;
(3) Extracorporeal resuscitation;
(4) Extracorporeal circulation for long-term
support of failing respiratory or cardiac function;
(5) Extracorporeal membrane
oxygenation;
(6) Extracorporeal
carbon dioxide removal;
(7)
Myocardial protection;
(8)
Perfusion-assisted direct coronary artery bypass;
(9) Hemofiltration and
hemodialysis;
(10) Anticoagulation
and hemostasis monitoring, analysis, and intervention;
(11) Thermal regulation;
(12) Blood gas and blood chemistry
monitoring, analysis, and intervention;
(13) Physiological monitoring, analysis, and
intervention;
(14) Administration
of blood components and pharmaceuticals;
(15) Administration of anesthetic agents
through a heart lung machine at the direction of an anesthesiologist;
(16) Ventricular assist device and mechanical
circulatory support management;
(17) Intra-aortic balloon
counterpulsation;
(18) Temporary
pacemaker management;
(19) Periodic
flow augmentation therapy;
(20)
Autotransfusion;
(21) Platelet gel
production, autologous hemocyte tissue matrix production;
(22) Nondifferentiated progenitor cell
harvest bone marrow aspirate concentration;
(23) Acute normovolemic
hemodilution;
(24) Isolated limb or
organ delivery of chemotherapeutics, progenitor cells, gene therapy vectors,
and other items;
(25) Organ
procurement and preservation;
(26)
Thermogenic lavage;
(27)
Electrophysiological analysis;
(28)
Therapeutic hyperthermia;
(29)
Intravascular membrane oxygenation; and
(30) Renal perfusion.
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