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From: Date: 03 Jun 2006 Time: 12:31:21 +1100 Remote Name: 60.226.181.89 Comments: The document you refer to (PS27) says: "6.1 Staffing 6.1.1 The Head of the major ECP Service is responsible for all aspects of the administration and quality in delivery of the service as detailed in this document. He/she will be responsible for decisions relating to equipment selection and ordering. 6.1.2 The Head of the Service should ensure that the extracorporeal perfusion service is staffed at all times with appropriately trained staff to cover in hours and out-of- hours requirements, including emergencies. 6.1.3 Other staff will include appropriately trained personnel to support the service. " So the ANZCA document says the "head" of the service is responsible for administration and quality. As regards the individual responsibility for an individual case, then that would be expected to be the particular perfusionist involved (certainly if medical, and presumably so even if non-medical). In any case, these are decisions for each individual hospital perfusion service (& its "head") to decide and possibly they could decide differently. However, do you say "responsibility" when you mean "blame" (if something goes wrong) or in the context of "control" (ie a power struggle). The situation is supposed to work as a team for the benefit of the patient.