Chapter 360-4 CLINICAL PERFUSIONIST LICENSURE
Rule 360-4-.01 Applications
| (1) | The application form shall be completed according to the instructions provided in the application. |
| (2) | Applications must be complete, including all required documentation, signatures and seals. Application files are not considered completed until all required information, documentation and fees have been received by the Board. |
| (3) | No application will be considered by the Board until the application is complete. |
| (4) | Applicants shall inform the Board in writing within 10 days of a change of address while an application is pending. |
| (5) | Application fees are nonrefundable. |
| (6) | Deposit of an application fee by the Board does not indicate acceptance of the application or that any other licensing requirements have been fulfilled. |
| (7) | Incomplete applications that have been on file with the Board for more than one year shall be deemed invalid. No further action will take place on applications that have been incomplete for more than a year until a new application is received in accordance with the provisions of this chapter with the appropriate application fee. |
Rule 360-4-.02 Licensure
| (1) | Each applicant
for licensure as a clinical perfusionist shall meet the requirements listed
below:
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| (2) |
Notwithstanding the provisions of Rule
360-4-.02(1), those
applicants who have applied for licensure pursuant to O.C.G.A. § 43-34-173(b)shall
be required to provide verification that the person was operating
cardiopulmonary bypass systems during cardiac surgical cases in a licensed
health care facility as the person's primary function for at least six of the
eight years immediately preceding the date of application.
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| (3) | The Board may waive the examination and
educational requirements for any applicant who, at the time of application:
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| (4) | Nothing in this rule shall be construed to prevent the Board from denying or conditionally granting an application for licensure. |
Rule 360-4-.03 Provisional Licenses
| (1) |
A provisional license may be issued to a person who:
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| (2) | A provisional licensed clinical
perfusionist shall be under the supervision and direction of a licensed
clinical perfusionist at all times during which the provisional licensed
clinical perfusionist performs perfusion. The licensed clinical perfusionist
responsible for providing such supervision and direction shall be responsible
to providing a level of supervision and direction that will ensure that the
holder of the provisional license performs or provides all such perfusion
services in accordance with generally accepted standards of proper professional
practice. Specifically the licensed clinical perfusionist providing supervision
and direction for the holder of a provisional license:
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| (3) | Any change in supervision must be submitted to the Board in writing. The signature of the supervising licensed clinical perfusionist must be included in the written notice. In the event of termination of supervision, the supervising licensed perfusionist must submit written notification of termination of supervision to the Board within 14 days of when supervision has ceased. A provisional licensed clinical perfusionist shall not engage in the practice of perfusion without having a Board approved supervising licensed clinical perfusionist. |
| (4) | A provisional license shall be valid for two years from the date it is issued and may not be renewed. |
| (5) | If a provisional licensee fails to meet the requirements for licensure on or before the expiration date of his or her provisional license, the provisional license to practice perfusion shall be automatically revoked and surrendered to the Board. A person who holds an expired provisional license shall not engage in the practice of perfusion or represent himself or herself as a provisional licensed clinical perfusionist or licensed clinical perfusionist until such time as the Board has approved his or her application for licensure as a licensed clinical perfusionist. |
Rule 360-4-.04 Change of Name or Address
| (1) | A licensee shall notify the Board in writing within 30 days after the licensee's name is legally changed. At the time of notification, the licensee shall submit a certified copy of the official document evidencing the name change. If the name change occurred during naturalization, the application must also include the naturalization number, the name and address of the court, the date of naturalization, and the name change. After receipt of the required notification and documentation, the Board will issue a duplicate license in the new name. |
| (2) | A licensee shall notify the Board in writing within 30 days after a change in the licensee's address of record. Failure to so notify the Board of an address change is a violation of O.C.G.A. § 43-34-174 and grounds for disciplinary action. |
| (3) | A licensee who utilizes a post office box as the address of record shall also provide a street address where the Board may contact the licensee. |
Rule 360-4-.05 Duplicate Licenses
| (1) | Duplicate licenses may be issued upon approval by the Board if the original certificate is lost, stolen, or destroyed, or if the certificate holder has had a legal change of name. |
| (2) | To request a duplicate certificate, the certificate holder must submit a notarized application stating the reason the duplicate certificate is requested. If the application is based on a name change, the certificate holder must provide the documentation required by Rule 360-4-.04. |
| (3) | All applications must include the duplicate license fee. The duplicate license fee shall be designated in the fee schedule. |
Rule 360-4-.06 Renewal
| (1) | All active licenses must be renewed on a biennial basis. Clinical Perfusionist licenses will expire on the last day of the month in which the licensee's birthday renewal falls. In order to renew the license, the licensee must have completed the Board-approved continuing education requirements provided in Rule 360-4-.07. |
| (2) | Approximately 60 days prior to the expiration date, the Board may as a courtesy, mail a notice for license renewal to the last address on file in the Board's records to every person holding a current license. Failure to receive such notification shall not relieve the licensee of the obligation to renew and pay the required fee prior to the expiration date of the license. Deposit of the renewal fee by the Board does not indicate acceptance of the renewal application or that any renewal requirements have been fulfilled. |
| (3) | Failure to meet the requirements for renewal is a basis for nonrenewal. |
| (4) | A license that is not renewed by the expiration date may be late renewed for a period of three (3) months following the expiration date. In order to late renew, the licensee must submit an application, pay the late renewal fee established by the Board and show completion of the required continuing professional education. |
| (5) | Licenses that are not renewed within three (3) months of expiration shall be revoked for failure to renew. In order to obtain a license after revocation for failure to renew, an applicant must reapply for licensure in accordance with rule 360-4-.02. |
| (6) | A person who holds an expired license shall not engage in the practice of perfusion or represent himself or herself as a licensed clinical perfusionist until such time as the Board has renewed, reinstated or relicensed such person. |
| (7) | All applicants must provide an affidavit and a secure and verifiable document in accordance with O.C.G.A. 50-36-1(f). If the applicant has previously provided a secure and verifiable document and affidavit of United States citizenship, no additional documentation of citizenship is required for renewal. If the applicant for renewal is not a United States citizen, he/she must submit documentation that will determine his/her qualified alien status. The Board participates in the DHS-USCIS SAVE (Systematic Alien Verification for Entitlements or "SAVE") program for purpose of verifying citizenship and immigration status information of non-U.S. citizens. If the applicant for renewal is a qualified alien or non-immigrant under the Federal Immigration and Nationality Act, he/she must provide the alien number issued by the Department of Homeland Security or other federal agency. |
Rule 360-4-.07 Continuing Education Requirements
| (1) | Each license must be renewed biennially
by the last day of the month in which the license's birthday falls and the
licensee must complete at least thirty (30) hours per biennium of continuing
education in courses, programs or activities approved for continuing education
credit by the American Board of Cardiovascular Perfusion.
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| (2) | Each licensee will be required to answer questions on the renewal form that establish compliance with the continuing education requirement. Licensees will not be required to send documentation of compliance with continuing education requirements for renewal, unless requested by the Board pursuant to Rule 360-4-.07(4). False statements regarding satisfaction of continuing education on the renewal form or any other document connected with the practice of perfusion may subject the licensee to disciplinary action by the Board. |
| (3) | Each licensee who must meet the
requirements of this chapter must maintain a record of attendance and
supporting documents for Board approved continuing education for a period of 5
years from the date of attendance. At a minimum, the following information must
be kept:
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| 4) | The Board will audit a fixed percentage of randomly selected renewal applications to monitor compliance with the continuing education requirements. Any licensee so audited shall be required to furnish documentation of compliance including name of provider, name of program, continuing education hours completed and date of completion. Any licensee so audited that has been found to be out of compliance with the Board's continuing education requirements may be subject to disciplinary action. |
| (5) | If the licensee has not complied with the continuing education requirement by the expiration of the license, his or her license shall not be renewed and the licensee shall not engage in the practice of perfusion. A licensee may late renew as provided in Rule 360-4-.06 by presenting satisfactory evidence to the Board of completion of the continuing education requirements and the late renewal fee. Licenses that are not renewed within three months of the expiration date shall be revoked for failure to renew. Unless the provisions of Rule 360-4-06(6) are applicable, an applicant must reapply for licensure in accordance with rule 360-4-.02 in order to obtain a license after revocation for failure to renew. |
| (6) | Continuing education hours that are used to satisfy a deficiency may not be used for purposes of renewal of the licensed clinical perfusionist's license for the next biennium. |
| (7) | Any licensed clinical perfusionist
seeking renewal of his or her license who has not fully complied with the
Board's continuing education requirements and who wishes for the Board to waive
this requirement shall:
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Rule 360-4-.08 Unlicensed Practice
| (1) | No person shall engage or offer to engage in perfusion or use the title or represent or imply that the person has the title of "licensed clinical perfusionist" or "provisional licensed clinical perfusionist" or use the letters "L.C.P." or "P.L.C.P." and/or any facsimile of such titles in any manner to indicate or imply that the persons is a licensed clinical perfusionist, unless the person holds such an active license or is exempted under the provisions of O.C.G.A. § 43-34-178. |
| (2) | The Board may refuse the license of any applicant who has engaged in the unlicensed practice of perfusion or administer other discipline pursuant to O.C.G.A. § 43-34-179 upon the issuance of a license to an applicant who has engaged in the unlicensed practice of perfusion. |
Rule 360-4-.09 Composition and Responsibilities of the Clinical Perfusionist Advisory Committee
| (1) |
The composition of the Clinical Perfusionist Advisory Committee ("Advisory
Committee") shall be comprised as follows:
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| (2) | . Shall serve a two year term and may be reappointed for an additional two year term by a majority vote of the Board, but may not serve more than two consecutive terms. |
| (2) | Requirements for
Perfusion Advisory Members:
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| (3) | The
Advisory Committee shall advise the Board on matters pertaining to the
appointment of the Advisory Committee members and on all matters within the
purview of the Clinical Perfusionist Licensure Act. The Board, in consultation
with the Advisory Committee, shall:
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| (4) | Advisory
Committee members, who are not members of the Board, must be available to meet
on as an needed basis and may not miss more than three (3) consecutive meetings
of the Advisory Committee, or four (4) meetings in a calendar year, without an
excused absence from either the Executive Director of the Board or the Board
Chairperson.
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| (5) | Advisory Committee vacancies may be filled by the Board. The Advisory Committee may make a recommendation on who shall be appointed to the Advisory Committee. All applicants must meet any deadline set by the Board and shall have on file with the Executive Director of the Board, or with his/her designee, a resume and three (3) letters of recommendation, (one of which may be from a physician familiar with the applicant's practice of clinical perfusion). |
Rule 360-4-.10 Notice of Inability to Practice with Reasonable Skill and Safety
Any person licensed to practice as a licensed clinical perfusionist or a provisional licensed clinical perfusionist shall notify the Board within 30 days of becoming unable to practice perfusion with reasonable skill and safety by reason of illness or the use of alcohol, drugs, narcotics, chemicals or any other type of material.
Rule 360-4-.11 Temporary Licenses
Temporary licenses may be issued to an applicant at the discretion of the Executive Director, with the approval of the Chairman of the Board. Such licenses shall have the effect of a permanent license until the next regular Board meeting, when the temporary license shall become void. The temporary license fee shall be designated in the fee schedule. The temporary license does not apply for applicants for provisional license.