Definitions of Qualifying Primary Clinical Perfusion Activities

1P - Cardiopulmonary Bypass (CPB)

The primary operator of the heart-lung machine, used during cardiac surgery and other surgeries that require extra-corporeal circulation, used to manage the patient’s physiological status. A cardiopulmonary bypass case requires the following:

• Pre-op patient assessment
• Equipment selection
• Circuit Preparation
• Initiation of Cardiopulmonary bypass
• Physiologic management of the patient on CPB
• Termination of CPB
• Post bypass instructor debriefing

A pediatric cardiopulmonary bypass observation requires the following:

• Equipment selection briefing
• Observation of circuit preparation
• Observation of initiation of CPB
• Observation of physiologic management during CPB
• Observation of termination of CPB
• Post bypass debriefing
• Must be physically present in the room

3P - Extra-Corporeal Membrane Oxygenation (ECMO)

The primary operator of Extra-Corporeal Membrane Oxygenation (ECMO) circuit that provides life support for respiratory and/or cardiac failure. The CCP candidate must be documented at the institution as a member of the patient care team for that period and a physician name must accompany the case in the Clinical Activity Report. An ECMO case requires the following:

• ECMO patient assessment;
• ECMO circuit preparation; and
• ECMO initiation, stabilization, and management for four hours
or ECMO patient assessment and six hours of bedside monitoring (in place of
other options above)

6P - Ventricular Assist Device (VAD)

The primary operator of the Ventricular Assist Device (VAD) that provides cardiac support for the failing heart. A VAD case  requires the following:

• VAD patient assessment;
• VAD preparation or observation of preparation; and
• VAD initiation, stabilization, and management for four hours
or VAD patient assessment and six hours of bedside monitoring (in place of other
options above

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