Ga. Comp. R. & Regs. R. 360-4-.03 - Provisional Licenses
(1) A provisional license may be issued to a
person who:
(a) Submits a fully completed
certificate of education that is mailed directly from a perfusion education
program required for licensure under O.C.G.A. ยง
43-34-173 and Rule
360-4-.02.
(b) Files with the Board a fully completed
application that is signed by any and all licensed clinical perfusionists who
are to supervise the applicant upon the applicant's receipt of a provisional
clinical perfusionist license;
(c)
Submits payment of the application fee;
(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:
(a) Shall be responsible for evaluating and
documenting the professional competence, skill and experience of the holder of
the provisional license;
(b) Shall
be responsible for determining the nature and level of supervision required for
the holder of the provisional licensee's level of competence, skill and
experience;
(c) Shall not be
required to provide direct, on-site supervision at all times, but shall be
immediately and readily available for consultation and assistance whenever the
provisional licensee is performing or providing perfusion services;
(d) Shall meet with the provisional licensee
to whom he or she is providing supervision and direction at least weekly to
review the provisional licensee's clinical and administrative practices. A
written record of such supervision meetings shall be kept by the supervising
licensed clinical perfusionist, and shall be made available to any duly
authorized representative of the Board upon request.
(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.
Notes
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