Makes appropriate changes to equipment, supplies and techniques to best meet the needs of the patient including but not limited to: total bypass, off-pump procedures, cardioplegia delivery, MUF, circulatory arrest, R.A.P., maintenance of cardiac output, maintenance of blood volume, maintenance of CPB gas flow rates, auto-transfusion, ventricular assist device, activated clotting time maintained above 480 seconds during CPB. Experience in the care of the patients ranging from pediatrics to geriatrics; knowledge and operating skills of perfusion related equipment but not limited to the following procedures: cardiac surgery, liver transplantation, rapid infusion, intra-aortic balloon pump, cell salvage, ventricular assisted support system, ECMO and emergency cardiopulmonary support outside the OR.