The following words and terms, when used in this chapter, shall have the following meanings, unless the context clearly indicates otherwise.     
       (1) Act--The Licensed Perfusionists Act, Title 3, Subtitle K, Texas Occupations Code Annotated Chapter 603.      
       (2) Active duty--A person who is currently serving as full-time military service member in the armed forces of the United States or active duty military service as a member of the Texas military forces, as defined by §437.001, Government Code, or similar military service of another state.      
       (3) Address of record--The mailing address of each licensee or applicant as provided to the agency pursuant to the Act.      
       (4) Advisory committee--The Perfusionist Licensure Advisory Committee, an informal advisory committee to the board whose purpose is to advise the board regarding rules relating to the licensure, enforcement, and discipline of perfusionists.      
       (5) APA--Administrative Procedure Act, Texas Government Code, Chapter 2001 as amended.      
       (6) Applicant--A person seeking a perfusionist license from the board.      
       (7) Armed forces of the United States--Army, Navy, Air Force, Coast Guard, or Marine Corps of the United States or a reserve unit of one of those branches of the armed forces.      
       (8) Board--The Texas Medical Board.      
       (9) Delegating physician--A physician licensed by the board who delegates, to a licensed perfusionist, the practice of perfusion.      
       (10) Health care professional--A licensed perfusionist, provisional licensed perfusionist, or any person licensed, certified, or registered by the state in a health-related profession.      
       (11) Military service member--A person who is on active duty.      
       (12) Military spouse--A person who is married to a military service member.      
       (13) Military veteran--A person who served on active duty and who was discharged or released from active duty.      
       (14) Perfusion--The function necessary for the support, treatment, measurement, or supplementation of the cardiovascular, circulatory, or respiratory system, or a combination of those activities, and to ensure the safe management of physiologic functions by monitoring the parameters of the system under an order and under the supervision of a licensed physician, including:                (A) the use of extracorporeal circulation, cardiopulmonary support techniques, and other therapeutic and diagnostic technologies;                 (B) counterpulsation, ventricular assistance, or autotransfusion (including blood conservation techniques), administration of cardioplegia, 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 subparagraph:                    (i) the administration of:                        (I) pharmacological and therapeutic agents; or                         (II) 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:                        (I) anticoagulation analysis;                         (II) physiologic analysis;                         (III) blood gas and chemistry analysis;                         (IV) hematocrit analysis;                         (V) hypothermia;                         (VI) hyperthermia;                         (VII) hemoconcentration; and                         (VIII) hemodilution; and                       (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.          
       (15) Perfusionist--A person licensed as a perfusionist by the board.      
       (16) Perfusion protocols--Perfusion-related policies and protocols developed or approved by a licensed health facility or a physician through collaboration with administrators, licensed perfusionists, and other health professionals.      
       (17) Provisional licensed perfusionist--A person provisionally licensed as a perfusionist by the board.      
       (18) Submit--The term used to indicate that a completed item has been actually received and date-stamped by the board along with all required documentation and fees, if any.      
       (19) Supervision--Supervision of a provisionally licensed perfusionist by a licensed perfusionist or a physician who is licensed by the Texas Medical Board and certified by the American Board of Thoracic Surgery or certified in cardiovascular surgery by the American Osteopathic Board of Surgery. Supervision includes overseeing the activities of, and accepting responsibility for, the perfusion services rendered by a provisionally licensed perfusionist.      
     Source Note:        The provisions of this §188.2 adopted to be effective July 7, 2016, 41 TexReg 4828