Missouri § 324.128 - Definitions.

§ 324.128. Definitions.

As used in sections 324.125 to 324.183, the following terms mean:

(1)  "Board", the state board of registration for the healing arts;

(2)  "Division", the division of professional registration;

(3)  "Extracorporeal circulation", 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)  "Licensed clinical perfusionist", a person licensed pursuant to sections 324.125 to 324.183;

(5)  "Perfusion", the functions necessary for the support, treatment, measurement or supplementation of the cardiovascular, circulatory, respiratory systems 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:

(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 acts described in this subdivision:

a.  The administration of:

(i)  Pharmacological and therapeutic agents;

(ii)  Blood products or anesthetic agents through the extracorporeal circuit or through an intravenous line as ordered by a physician;

b.  The performance and use of:

(i)  Anticoagulation monitoring and analysis;

(ii)  Physiologic monitoring and analysis;

(iii)  Blood gas and chemistry monitoring and analysis;

(iv)  Hematologic monitoring and analysis;

(v)  Hypothermia and hyperthermia;

(vi)  Hemoconcentration and hemodilution;

(vii)  Hemodialysis;

c.  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, clinical perfusion protocols or changes in, or the initiation of, emergency procedures;

(6)  "Perfusion protocols", perfusion-related policies and protocols developed or approved by a licensed health care facility or a physician through collaboration with administrators, licensed clinical perfusionists and other health care professionals;

(7)  "Provisional clinical licensed perfusionist", a person provisionally licensed pursuant to sections 324.125 to 324.183.

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(L. 1997 S.B. 141 § 16, A.L. 1999 H.B. 343, A.L. 2008 S.B. 788)

---- end of effective  28 Aug 2008 ----

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