Indian Society of Extracorporeal Technology

Indian Perfusionists

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Guidelines

Guideline is a recommendation that should be considered and may assist in the development and implementation of protocols. The following documents were created based on clinical evidence and currently accepted perfusion practices

Perfusionists are the only allied healthcare professionals formally trained and educated in the field of extracorporeal science and whose scope of practice expressly includes the utilization of extracorporeal devices. The documents are intended to serve as a useful guide for teams developing institution-specific protocols to improve the reliability, safety, and effectiveness of extracorporeal support services.

Below are a list of Standards and Guidelines:

The Clinical Perfusionist Professional is an individual qualified by professional credentialing and academic and clinical education to provide extracorporeal patient care services. The scope of practice of the Clinical Perfusionist Professional includes those procedures, acts and processes permitted by law, for which the individual has received education and clinical experience, and in which he/she has demonstrated competency.

Scope of Practice of the Profession

Extracorporeal Support

  • Cardiopulmonary bypass for Adult, Pediatric, and Neonatal Patients.

  • Cardiopulmonary bypass for congenital and acquired cardiovascular disorders.

  • Extracorporeal circulatory support for renal, neurological, hepatic and vascular surgery.

  • Extracorporeal resuscitation.

  • Extracorporeal circulation for long term support of failing respiratory and/or cardiac function.

Associated Extracorporeal Support Functions

  • Myocardial protection.

  • Hemofiltration.

  • Anticoagulation and hemostasis monitoring, analysis, and intervention.

  • Thermal regulation..

  • Blood gas and blood chemistry monitoring, analysis, and intervention.

  • Physiological monitoring, analysis, and intervention.

  • Administration of blood components, pharmaceuticals, and anesthetic agents

Heart Failure Therapy and Support

  • Ventricular Assist Device management

  • Intra-aortic Balloon Counterpulsation

  • Temporary Pacemaker management

  • External counterpulsation.

  • Transportation of Extracorporeal Supported Patients.

Blood Management

  • Auto transfusion

  • Acute Normovolemic Hemodilution

  • Hemostasis monitoring and analysis

Other Clinical

  • Isolated Limb/Organ perfusion

  • Isolated limb/organ delivery of chemotherapeutics, progenitor cells, gene therapy vectors, etc.

  • Organ Procurement

  • Organ Preservation

  • Therapeutic Hyperthermia.

  • Therapeutic Hypothermia

  • Intravascular membrane oxygenation

Non-Clinical Responsibilities

  • Documentation of duties via the official medical record

  • Education, including the establishment and management of educational programs for new and current clinical perfusionists, other healthcare providers, and consumers.

  • Administration, including managing all aspects-technical, fiscal, workflow, and human resources-of Clinical Perfusion operations.

  • Quality Control and Assurance

  • Regulatory Compliance.

  • Competency/Performance Evaluation