Chapter Med 22

Med 22.04(5)(a) (a) The applicant has a medical condition which impairs or limits the applicant’s ability to practice perfusion with reasonable skill and safety.

Med 22.04(5)(b) (b) The applicant uses chemical substances so as to impair the applicant’s ability to practice perfusion with reasonable skill and safety.

Med 22.04(5)(c) (c) The applicant has been disciplined or had licensure denied by a licensing or regulatory authority in this state or another jurisdiction.

Med 22.04(5)(d) (d) The applicant has been convicted of a crime the circumstances of which substantially relate to the practice of perfusion.

Med 22.04(5)(e) (e) The applicant has practiced perfusion for 1,200 hours or less during the 3-year period preceding the date of application.

Med 22.04(5)(f) (f) The applicant has practiced perfusion for more than 1,200 hours during the 3-year period preceding the date of application, but practice was limited.

Med 22.04(5)(g) (g) The applicant has been found negligent in the practice of perfusion or has been a party in a lawsuit in which it was alleged that the applicant has been negligent in the practice of perfusion.

Med 22.04(5)(h) (h) The applicant has been diagnosed as suffering from pedophilia, exhibitionism, or voyeurism.

Med 22.04(5)(i) (i) The applicant has, within the past 2 years, engaged in the illegal use of controlled substances.

Med 22.04(5)(j) (j) The applicant has been subject to adverse formal action during the course of perfusion education, postgraduate training, hospital practice, or other perfusion employment.

Med 22.04(5)(k) (k) The applicant has violated s. Med 22.07 (5m).

Med 22.04(6) (6) The council shall conduct oral examinations. At the request of the council, the board shall provide a medical consultant to assist in evaluating applicants examined under sub. (5) (a) or (b). The passing score for an oral examination is 75 percent.

Med 22.04(7) (7) All examinations shall be conducted in English.

Med 22.04(8) (8) Where both written and oral examinations are required, they shall be graded separately and the applicant shall achieve a passing grade on all examinations to qualify for a license.

Med 22.04(9) (9) An applicant who fails to receive a passing grade on an examination under sub. (4) or (5) may reapply by payment of the fee specified in s. 440.05, Stats. If an applicant fails the examination under sub. (4) 3 times, the applicant may not retake the examination unless the applicant submits evidence of having completed further professional training or education as the board may prescribe. An applicant may reapply for an oral examination twice at not less than 4-month intervals.

Med 22.04(10) (10) An oral examination concerning the circumstances described in sub. (5) (a) or (b) shall be limited to a determination of whether, at the time of application, risk to the health, safety, or welfare of a patient or the public arises from the applicant’s demonstrated inability to safely carry out necessary duties and responsibilities inherent to the practice of perfusion.

Med 22.04 History History: CR 03-023: cr. Register March 2004 No. 579, eff. 4-1-04; CR 18-074: r. (1), (2), am. (3), (4), (5), cr. (5) (k), am. (6), (9), (10) Register July 2019 No. 763, eff. 8-1-19; corrections in (10) made under s. 35.17, Stats., Register July 2019 No. 763.

Med 22.05 Med 22.05 Temporary licenses.

Med 22.05(1) (1) An applicant for licensure may apply to the board for a temporary license to practice perfusion prior to licensure if the applicant submits all of the following:

Med 22.05(1)(a) (a) A completed application on a form provided by the board.

Med 22.05(1)(b) (b) The fee specified in s. 440.05, Stats.

Med 22.05(1)(c) (c) Evidence the applicant has successfully completed an educational program under s. Med 22.03 (3).

Med 22.05(1)(e) (e) Evidence the applicant has passed the examination under s. Med 22.04 (4).

Med 22.05(1m) (1m) The board may not issue a license under this section if any of the following applies:

Med 22.05(1m)(a) (a) The applicant has failed either of the examinations under s. Med 22.04 (3) and has not subsequently passed the examination.

Med 22.05(1m)(b) (b) The applicant is required to complete an oral examination.

Med 22.05(2) (2) Except as provided under sub. (3) (b), practice during the period of a temporary license shall be under the general supervision of a licensed perfusionist. A person holding a temporary license shall consult at least weekly with the supervising perfusionist who shall at least once a month endorse the activities of the person holding the temporary license.

Med 22.05(3) (3) 

Med 22.05(3)(a) (a) A temporary license expires one year from the date of its issuance. Upon application, and upon submission of evidence of having passed the perfusion basic scientific examination, the temporary license may be renewed for an additional period of one year. The board may extend the term of the temporary license for an additional 6 months if the applicant was unable to complete the perfusion basic scientific examination within the one-year period due to hardship, including illness of the applicant, illness or death of a family member of the applicant, or an accident or natural disaster. A written affidavit of the hardship shall be provided.

Med 22.05(3)(b) (b) If the applicant fails the perfusion basic science examination prior to the expiration of the temporary license, the applicant shall work under the direct supervision of a licensed perfusionist who is available on the hospital premises to assist.

Med 22.05(3)(c) (c) If the applicant fails the clinical application in perfusion examination prior to the expiration of the temporary license, the temporary license expires.

Med 22.05(4) (4) The application and required documents for licensure and the application for temporary licensure prior to regular licensure will be reviewed by 2 members of the council to determine eligibility. The council may issue a temporary license prior to licensure as a perfusionist to an applicant who meets the requirements of sub. (1).

Med 22.05 History History: CR 03-023: cr. Register March 2004 No. 579, eff. 4-1-04; CR 18-074: am. (1) (intro.), (a), (b), (c), r. (1) (d), am. (1) (e), r. (1) (f), cr. (1m), am. (2), (3) (a) Register July 2019 No. 763, eff. 8-1-19.

Med 22.06 Med 22.06 Locum tenens license.

Med 22.06(1) (1) An applicant who holds certification in clinical perfusion granted by the American Board of Cardiovascular Perfusion may apply to the board for a temporary locum tenens license.

Med 22.06(2) (2) An applicant for a locum tenens license shall submit all of the following:

Med 22.06(2)(a) (a) A completed application on a form provided by the board.

Med 22.06(2)(b) (b) A letter from a physician licensed to practice medicine and surgery in this state or a perfusionist licensed to practice perfusion in this state requesting the applicant’s services.

Med 22.06(2)(c) (c) Verified evidence of certification in clinical perfusion granted by the American Board of Cardiovascular Perfusion.

Med 22.06(2)(d) (d) A verified statement by the applicant that the applicant is familiar with the health laws of this state and rules of the department of health services related to communicable diseases.

Med 22.06(2)(e) (e) The fees required under s. 440.05, Stats.

Med 22.06(3) (3) All applicants shall pass the examination under s. Med 22.04 (4).

Med 22.06(4) (4) The holder of a locum tenens license may engage in the practice of perfusion only in the geographical area for which the license is issued.

Med 22.06(5) (5) A locum tenens license expires 90 days from the date of its issuance. For cause shown to the satisfaction of the board, the board may renew the locum tenens license for additional periods of 90 days each, but a license may not be renewed more than 3 consecutive times.

Med 22.06 History History: CR 03-023: cr. Register March 2004 No. 579, eff. 4-1-04; correction in (2) (d), (e) made under s. 13.92 (4) (b) 6., Stats., Register November 2011 No. 671; CR 18-074: am. (1), (2) (intro.), (a), (d), (e), (3), (5) Register July 2019 No. 763, eff. 8-1-19.

Med 22.07 Med 22.07 Examination review by applicant.

Med 22.07(1) (1) An applicant who fails the oral or statutes and rules examination may make a request to review that examination by filing a written request and required fee with the board within 30 days of the date on which examination results were received by the applicant.

Med 22.07(2) (2) Examination reviews shall be by appointment only.

Med 22.07(3) (3) An applicant may not review the statutes and rules examination for more than one hour.

Med 22.07(4) (4) An applicant may not review the oral examination for more than 2 hours.

Med 22.07(5) (5) An applicant shall review an examination in the presence of a board-assigned proctor. No other person may accompany an applicant during a review.

Med 22.07(5m) (5m) 

Med 22.07(5m)(a) (a) An applicant may not use any device capable of recording audio, photographic, or video content, or capable of viewing or playing back such content, during a review. A violation of this subsection shall void the applicant’s application and require the applicant to reapply for licensure.

Med 22.07(5m)(b) (b) A violation of this subsection constitutes knowingly engaging in fraud, misrepresentation, or dishonesty in applying for or procuring a license.

Med 22.07(6) (6) At the beginning of a review, the proctor shall provide the applicant with all of the following:

Med 22.07(6)(a) (a) A copy of the examination questions.

Med 22.07(6)(b) (b) A copy of or, if the applicant is reviewing an oral examination, audio recording of the applicant’s answers to the examination questions.

Med 22.07(6)(c) (c) If an applicant is reviewing the statutes and rules examination, a copy of the master answer sheet.

Med 22.07(6)(d) (d) A form on which the applicant may write comments, questions, or claims of error regarding the examination.

Med 22.07(7) (7) An applicant may consult bound reference materials during a review. The form under sub. (6) (d) and any other notes taken by an applicant during a review shall be retained by the proctor and, if requested by the applicant, made available to the applicant for use at a hearing. A proctor may not defend the examination or attempt to refute claims of error during a review.

Med 22.07(8) (8) An applicant may not review an examination more than once.

Med 22.07 History History: CR 03-023: cr. Register March 2004 No. 579, eff. 4-1-04; CR 18-074: am. (1) to (5), cr. (5m), renum. (6) to (6) (intro.), cr. (6) (a) to (d), am. (7), (8) Register July 2019 No. 763, eff. 8-1-19.

Med 22.08 Med 22.08 Board review of examination error claim.

Med 22.08(1) (1) An applicant claiming examination error shall file a written request for board review in the board office within 30 days of the date the examination was received. The request shall include all of the following:

Med 22.08(1)(a) (a) The applicant’s name and address.

Med 22.08(1)(b) (b) The type of license for which the applicant applied.

Med 22.08(1)(c) (c) A description of the mistakes the applicant believes were made in the examination content, procedures, or scoring, including the specific questions or procedures claimed to be in error.

Med 22.08(1)(d) (d) The facts the applicant intends to prove, including reference text citations or other supporting evidence for the applicant’s claim.

Med 22.08(2) (2) The board shall review the claim, make a determination of the validity of the objections, and notify the applicant in writing of the board’s decision and any resulting changes to the applicant’s exam score.

Med 22.08(3) (3) If the board confirms the failing status following its review, the application shall be deemed incomplete, and the applicant may be reexamined.

Med 22.08 History History: CR 03-023: cr. Register March 2004 No. 579, eff. 4-1-04; CR 18-074: am. (2) Register July 2019 No. 763, eff. 8-1-19.

Med 22.09 Med 22.09 Scope of practice. The scope of practice of perfusion includes the following functions:

Med 22.09(1) (1) The use of extracorporeal circulation, long-term cardiopulmonary membrane oxygenation, and associated therapeutic and diagnostic techniques.

Med 22.09(2) (2) Counterpulsation, ventricular assistance, autotransfusion, blood conservation, management and processing techniques, myocardial and organ preservation, isolated limb perfusion, and surgical assistance.

Med 22.09(3) (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.

Med 22.09(4) (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.

Med 22.09(5) (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 emergency procedures.

Med 22.09(6) (6) Evaluation and selection of equipment to perform the functions set forth in subs. (1) to (5).

Med 22.09 History History: CR 03-023: cr. Register March 2004 No. 579, eff. 4-1-04; CR 18-074: am. (4) Register July 2019 No. 763, eff. 8-1-19.

Med 22.10 Med 22.10 Continuing education.

Med 22.10(1) (1) Definitions. In this section:

Med 22.10(1)(a) (a) “ABCP” means the American Board of Cardiovascular Perfusion.

Med 22.10(1)(am) (am) “AC-PE” means the Accreditation Committee-Perfusion Education.

Med 22.10(1)(b) (b) “Contact hour” means not less than 50 minutes spent by a licensee in actual attendance at and completion of an approved continuing education activity.

Med 22.10(1)(c) (c) “Continuing education” means planned, organized learning activities designed to maintain, improve, or expand a licensee’s knowledge and skills relevant to the practice of perfusion.

Med 22.10(1)(d) (d) “Continuing education unit” means one contact hour of continuing education.

Med 22.10(1)(e) (e) “Licensee” means a person licensed to practice perfusion in this state.

Med 22.10(2) (2) Certification statement. Each licensee shall, at the time of applying for renewal of a license under s. 448.07, Stats., certify that, in the 2 years preceding the renewal due date, at least 30 continuing education units of acceptable continuing education were completed. At least 10 continuing education units shall be completed in Category I activities.

Med 22.10(3) (3) Limitation on claiming continuing education units. Additional continuing education units may not be given for subsequent presentations of the same content.