Maryland Code § HO-14-5E-01

Section HO-14-5E-01
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(a) In this subtitle the following words have the meanings indicated.
(b) "Board" means the State Board of Physicians.
(c) "Committee" means the Perfusion Advisory Committee established
under § 14-5E-05 of this subtitle.
(d) "License" means a license issued by the Board to practice perfusion.
(e) "Licensed perfusionist" means a perfusionist who is licensed by the
Board under this subtitle to practice perfusion.
(f) (1) "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.
(2) "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 concentrate;
(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.
(g) "Student" means an individual who, in accordance with § 14-5E-09(c)
of this subtitle, is:
(1) Enrolled in an accredited educational program to qualify for a
license under this subtitle; and
(2) Performing perfusion services within the accredited program
under the supervision of a licensed perfusionist and without compensation.
(h) "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.

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