Chapter Med 22

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.

Med 22.10(4) (4) Categories of continuing education. Continuing education units shall be accumulated through professional activities related to perfusion in all of the following categories:

Med 22.10(4)(a) (a) Category I. ABCP-approved perfusion meetings and related activity, including all of the following:

Med 22.10(4)(a)1. 1. Attendance at ABCP-approved international, national, regional, or state perfusion meetings, programs, and seminars at which a minimum of 75% of the contact hours consist of perfusion-related material. One continuing education unit may be claimed for each contact hour.

Med 22.10(4)(a)2. 2. Publication of a perfusion-related book chapter or paper in a professional journal. Five continuing education units may be claimed for each published book chapter or paper, subject to a limit of 10 continuing education units in any given renewal period.

Med 22.10(4)(a)3. 3. Presenting a workshop or lecture at an international, national, regional, or state perfusion meeting. Five continuing education units may be claimed for each presentation, subject to a limit of 10 continuing education units in any given renewal period.

Med 22.10(4)(a)4. 4. Presentation of a poster or other exhibit at an international, national, regional, or state perfusion meeting. Two continuing education units may be claimed for each presentation, subject to a limit of 4 continuing education units in any given renewal period.

Med 22.10(4)(a)5. 5. Participation in an AC-PE site visitor workshop or volunteering as an AC-PE site visitor. Five continuing education units may be claimed for each workshop or site visit, subject to a limit of 10 continuing education units in any given renewal period.

Med 22.10(4)(a)6. 6. Participation in an ABCP knowledge base survey. Two continuing education units may be claimed for each survey.

Med 22.10(4)(a)7. 7. Self-directed continuing education meeting ABCP requirements. One continuing education unit may be claimed for each contact hour.

Med 22.10(4)(b) (b) Category II. Non-accredited perfusion meetings and other medical meetings, including all of the following:

Med 22.10(4)(b)1. 1. Attendance at international, national, regional, or state perfusion or medical meetings, programs, and seminars not approved by ABCP, at which a minimum of 75% of the contact hours consist of perfusion-related material. One-half of a continuing education unit may be claimed for each contact hour, subject to a limit of 10 continuing education units in any given renewal period.

Med 22.10(4)(b)2. 2. Manufacturer-specific and company-sponsored educational activities. One continuing education unit may be claimed for each contact hour.

Med 22.10(4)(c) (c) Category III. Individual education and other self-study activities, including all of the following:

Med 22.10(4)(c)1. 1. Serving as a clinical instructor in an accredited perfusion training program. Two continuing education units may be claimed for this service in each year of a renewal period.

Med 22.10(4)(c)2. 2. Serving as a didactic instructor in an accredited perfusion training program. One continuing education unit may be claimed for each contact hour, subject to a limit of 4 continuing education units in any given renewal period.

Med 22.10(4)(c)3. 3. Participation in an ABCP examination development workshop or survey. Two continuing education units may be claimed for each contact hour, subject to a limit of 4 continuing education units in any given renewal period.

Med 22.10(4)(c)4. 4. Self-learning activities and self-study modules, including use of audiovisual devices or electronic forums, reading scientific journals, and participation in degree-oriented, professionally related course work. One continuing education unit may be claimed for each contact hour, subject to a limit of 10 continuing education units in any given renewal period.

Med 22.10(4)(c)5. 5. Presentation at an international, national, regional, or state perfusion or medical meeting that is not approved by ABCP. One continuing education unit may be claimed for each hour of presentation.

Med 22.10(4)(c)6. 6. Participation in a grand round. One continuing education unit may be claimed for each contact hour, subject to a limit of 2 continuing education units in any given renewal period.

Med 22.10(4)(c)7. 7. Completion of Advanced Cardiac Life Support training. Two continuing education units may be claimed for completion of this training.

Med 22.10(5) (5) Audit. An applicant for renewal shall certify completion of required continuing education. The board shall audit for compliance with the continuing education requirements any licensee who is under investigation by the board for alleged misconduct.

Med 22.10 History History: CR 03-023: cr. Register March 2004 No. 579, eff. 4-1-04; CR 18-074: cr. (1) (title), (am), am. (2), (3), cr. (4) (title), am. (4) (a) to (c), (5) Register July 2019 No. 763, eff. 8-1-19; corrections in (4) (a) 1., 2., (b) 1., (c) 2. made under s. 35.17, Stats., Register July 2019 No. 763.