A European Code Of Good Practice For Hyperbaric Oxygen Therapy

A EUROPEAN CODE OF GOOD PRACTICE FOR HYPERBARIC OXYGEN THERAPY CENTRE FOR HYPERBARIC MEDICINE Hospital Critical care unit Emergency room Medical services HYPERBARIC FACILITY HYPERBARIC SYSTEM HYPERBARIC CHAMBER Pressure vessel Mono or multiplace Air compressors Air and Oxygen storage Chamber operators Technicians Supervisors Physicians Attendants Nurses Prepared by the Working Group «SAFETY» of the COST Action B14 «HYPERBARIC OXYGEN THERAPY» May 2004 A EUROPEAN CODE OF GOOD PRACTICE FOR HBO THERAPY A EUROPEAN CODE OF GOOD PRACTICE FOR HYPERBARIC OXYGEN THERAPY List of content Page List of authors.............................................................................................................. 1 Acknowledgements ..................................................................................................... 1 1. Introduction ............................................................................................................. 1 2. Definitions ............................................................................................................... 2 3. Staffing ....................................................................................................................4 3.1. Responsibilities................................................................................................. 4 3.2. Competencies and education ........................................................................... 4 3.3. Minimum team during a hyperbaric session for multiplace chambers .............. 5 3.4. Minimum team during a hyperbaric session for monoplace chambers ............. 5 3.5. Fitness and health surveillance ........................................................................ 5 4. Equipment ............................................................................................................... 6 5. Gas supply .............................................................................................................. 6 5.1. Quality .............................................................................................................. 6 5.2. Quantity ............................................................................................................ 7 6. Risk management ................................................................................................... 7 6.1. Process............................................................................................................. 7 6.2. Generic hazards ............................................................................................... 8 6.3. Specific hazards ............................................................................................... 9 7. Procedures............................................................................................................ 11 7.1. Standard Operating Procedures ..................................................................... 12 7.2. Emergency Operating Procedures ................................................................. 12 7.3. Maintenance ................................................................................................... 12 7.4. Record keeping .............................................................................................. 12 7.5. Patient safety.................................................................................................. 13 8. Annexes ................................................................................................................ 16 Annex 1 – ECHM Educational and Training Standards for the Staff of Hyperbaric Medical Centres 1997 (informative)....................................................................... 16 Annex 2 – ECHM Recommendation for Safety in Multiplace Medical Hyperbaric Chamb