CHAPTER 381b
PERFUSIONISTS

Table of Contents

Sec. 20-162r. Definitions.
Sec. 20-162s. Licensure as perfusionst. Application and examination. Limited period for licensure without examination. Exceptions. Annual license renewal.
Sec. 20-162t. Disciplinary action for improper professional conduct.

      Sec. 20-162r. Definitions. As used in sections 20-162r to 20-162t, inclusive, and subsection (c) of section 19a-14:

      (1) "Commissioner" means the Commissioner of Public Health.

      (2) "Department" means the Department of Public Health.

      (3) "Extracorporeal circulation" means the diversion of a patient's blood through a heart-lung machine or a similar device that assumes the functions of the patient's heart, lungs, kidney, liver or other organs.

      (4) "Perfusion" means the functions necessary for the support, treatment, measurement or supplementation of the cardiovascular, circulatory or respiratory system or other organs, or a combination of such activities, and to ensure the safe management of physiologic functions by monitoring and analyzing the parameters of the systems under an order and under the supervision of a licensed physician, including, but not limited to:

      (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 technologies;

      (B) Counterpulsation, ventricular assistance, autotransfusion, blood conservation techniques, myocardial and organ preservation, extracorporeal life support and isolated limb perfusion;

      (C) The use of techniques involving blood management, advanced life support and other related functions; and

      (D) In the performance of the following activities:

      (i) The administration of pharmacological and therapeutic agents, or blood products or anesthetic agents through the extracorporeal circuit or through an intravenous line as ordered by a physician;

      (ii) The performance and use of anticoagulation monitoring and analysis; physiologic monitoring and analysis; blood gas and chemistry monitoring and analysis; hematologic monitoring and analysis; hypothermia; hyperthermia; hemoconcentration and hemodilution; or modified extracorporeal circulatory hemodialysis; or

      (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 emergency procedures.

      (5) "Perfusionist" means a person who is licensed to practice perfusion pursuant to the provisions of sections 20-162r to 20-162t, inclusive.

      (6) "Direct supervision" means a supervising physician is physically present in the location where the perfusionist trainee is performing routine perfusion functions.

      (P.A. 05-280, S. 69.)

      History: (Revisor's note: In codifying section 69 of public act 05-280 as this section, the Revisors deemed a reference to "sections 48 to 50, inclusive, of this act" in Subdiv. (5), which defines "perfusionist", to be a reference to "sections 69 to 71, inclusive, of this act", as appearing at the beginning of the section, and accordingly codified the reference as "sections 20-162r to 20-162t, inclusive.")

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      Sec. 20-162s. Licensure as perfusionst. Application and examination. Limited period for licensure without examination. Exceptions. Annual license renewal. (a) No person shall practice perfusion in this state unless the person holds a valid license from the department to practice perfusion in this state. No person shall use the title "perfusionist" or make use of any title, words, letters or abbreviations that may reasonably be confused with licensure as a perfusionist unless such person holds a valid license from the department to practice perfusion in this state.

      (b) Each person seeking licensure to practice perfusion in this state shall make application on forms prescribed by the department, pay an application fee of two hundred fifty dollars and present to the department satisfactory evidence that such person (1) successfully completed a perfusion education program with standards established by the Accreditation Committee for Perfusion Education and approved by the Commission on Accreditation of Allied Health Education Programs; (2) completed a minimum of fifty cases after graduating from a perfusion education program accredited or approved pursuant to subdivision (1) of this subsection; and (3) after completing the requirements set forth in subdivision (2) of this subsection, successfully completed the certification examination offered by the American Board of Cardiovascular Perfusion, or its successor. The commissioner shall grant a license as a perfusionist to any applicant who meets the requirements of this subsection.

      (c) From the period beginning October 1, 2005, and ending December 31, 2006, an applicant for licensure as a perfusionist may, in lieu of the requirements set forth in subsection (b) of this section, submit to the department satisfactory evidence that the applicant has (1) actively engaged in the practice of perfusion in this state since October 1, 2005, or earlier, and (2) been operating a cardiopulmonary bypass system during cardiac surgical procedures in a licensed health care facility as part of the applicant's primary job duties since October 1, 2005. The commissioner shall grant a license as a perfusionist to any applicant who meets the requirements of this subsection.

      (d) Nothing in this section shall be construed to apply to the activities and services of a person who (1) has successfully completed a perfusion education program that meets the criteria of subdivision (1) of subsection (b) of this section from gaining experience in the practice of perfusion, provided such activities (A) are necessary to satisfy the requirements of subdivision (2) of said subsection (b), (B) are performed under direct supervision, and (C) such person is designated as an intern or trainee or other such title indicating the training status appropriate to such person's level of training, or (2) is enrolled in an accredited perfusion education program and performing such work as is incidental to the course of study.

      (e) The provisions of this section do not apply to any practicing physician or surgeon licensed under chapter 370.

      (f) No license shall be issued under this section to any applicant against whom professional disciplinary action is pending or who is the subject of an unresolved complaint in this or any other state or territory.

      (g) Licenses shall be renewed annually in accordance with the provisions of section 19a-88 for a fee of two hundred fifty dollars.

      (P.A. 05-280, S. 70.)

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      Sec. 20-162t. Disciplinary action for improper professional conduct. The Commissioner of Public Health may take any disciplinary action set forth in section 19a-17 against a perfusionist for any of the following reasons: (1) Failure to conform to the accepted standards of the profession; (2) conviction of a felony; (3) fraud or deceit in obtaining or seeking reinstatement of a license to practice perfusion; (4) fraud or deceit in the practice of the profession; (5) negligent, incompetent or wrongful conduct in professional activities; (6) physical, mental or emotional illness or disorder resulting in an inability to conform to the accepted standards of the profession; (7) alcohol or substance abuse; (8) wilful falsification of entries in any hospital, patient or other record pertaining to the profession; or (9) violation of any provision of sections 2-162r to 20-162t, inclusive. The commissioner may order a license holder to submit to a reasonable physical or mental examination if the physical or mental capacity of the license holder to practice safely is the subject of an investigation. The commissioner may petition the superior court for the judicial district of Hartford to enforce such order or any action taken pursuant to said section 19a-17. The commissioner shall give notice and an opportunity to be heard on any contemplated action under said section 19a-17.

      (P.A. 05-280, S. 71.)

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