The scope of practice of perfusion includes the following
(1) The use of
extracorporeal circulation, long-term cardiopulmonary membrane oxygenation, and
associated therapeutic and diagnostic techniques.
(2) Counterpulsation, ventricular assistance,
autotransfusion, blood conservation, management and processing techniques,
myocardial and organ preservation, isolated limb perfusion, and surgical
(3) The administration
of pharmacological and therapeutic agents, and blood products or anesthetic
agents, through the extracorporeal circuit or through an intravenous line in
conjunction with extracorporeal support.
(4) The performance and use of
anticoagulation monitoring and analysis, physiologic monitoring and analysis,
blood gas and chemistry monitoring and analysis, hematologic monitoring and
analysis, induction and hypothermia and hyperthermia with reversal,
hemoconcentration and hemodilution, and hemodialysis.
(5) 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
and selection of equipment to perform the functions set forth in subs. (1) to