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The UHMS Guidelines for Hyperbaric Facility Operations provides UHMS guidance related to training, responsibility, staffing, safety, and quality assurance for hyperbaric medicine facilities. This 3rd Edition includes the following updates: • New section on research, teaching, and publication • Physician/NPP proctorship and credentials • RN guidelines and responsibilities • Enhanced section on LPN/LVN job description • Addition of the CHS /CHWS certifications • Safety changes and updates • Nonclinical manager changes to job description and recommended training These guidelines are essential for facilities that are new to hyperbaric medicine in establishing best practices. Existing facilities will find this reference indispensable in understanding the current standards and recommendations in maintaining an exceptional hyperbaric program. These guidelines are referenced by the UHMS Hyperbaric Facility Accreditation Manual and therefore are vital in planning and preparing for the hyperbaric survey to receive accreditation status.
The field of hyperbaric medicine, along with hyperbaric centers throughout the United States and abroad, continues to grow. This growth has been exponential, touting an increase from 350 centers in 1993 to well over 2,500 programs today. With this progression exists a need to establish a resource guideline for developing complete and comprehensive policies and procedures for clinical hyperbaric units. Hyperbaric policy and procedures provide the guiding principles and foundation for safety, quality, transparency, and cost-effective hyperbaric medical and nursing practice. Every hyperbaric facility needs to follow its specific policies and procedures. Policy and Procedural Guidelines for Hyperbaric Facilities provides needed resource and reference guidelines for new and established hyperbaric facilties. It will serve as a reference for the development of new hyperbaric policies as well as customize and enhance current policies and procedures already in place. Policy and Procedural Guidelines for Hyperbaric Facilities addresses issues of safety and practice for both the multiplace and monoplace environments. It utilizes regulatory guidelines and standards of practice as its foundation. Topics covered in this work include, but are not limited to, governance, administration, emergency procedures, patient care, hyperbaric chamber maintenance, treatment protocols and quality improvement. The appendices include sample forms for both Class A multiplace and Class B monoplace chambers. They are intended to serve as templates for development of hyperbaric unit-specific forms. Also included are acronyms, references, and an index, all specific to hyperbaric medicine. The guidelines provided in this document will benefit the diverse group of physicians, nurses, tecnicians, and allied health-care peronnel in the hyperbaric field as they customize their unit-specific policies and procedures. The contributing authors are comprised of established experts in the field of undersea and hyperbaric medicine. They are a diverse group of physicians, nurses, and technologists who devoted an extensive amount of time and energy into producing this resource document of the highest quality. Specific acknowledgements can be found in the List of Contributors section of the book. Endorsement from Baromedical Nurses Association (BNA) The Baromedical Nurses Association (established 1985) provides a forum for hyperbaric nursing that encompasses quality, safety, teamwork, mentoring, research, education, and nursing guidelines of standards of care for the patient receiving hyperbaric oxygen therapy. The Baromedical Nurses Association endorses the Policy and Procedural Guidelines for Hyperbaric Facilities as guidelines to enable hyperbaric facilities to develop and/or endorse their unit-specific policies.
The Undersea and Hyperbaric Medical Society (UHMS) is an international, non-profit organization serving over 2,400 members from more than 50 countries. The UHMS is the primary source of scientific information for diving and hyperbaric medicine physiology worldwide, the breadth of which is illustrated in the triennial report, Hyperbaric Oxygen Therapy Indications. With leading experts authoring chapters in their respective fields, this publication continues to provide the most current and up to date guidance and support for scientists and practitioners of hyperbaric oxygen therapy. Hyperbaric Oxygen Therapy Indications, currently in its thirteenth edition, has grown in size and depth to reflect the evolution of the literature on the approved use of hyperbarics from both a clinical practice standpoint and insurance coverage perspective. To date, the committee recognizes fourteen indications, including the new indication, idiopathic sudden sensorineural hearing loss. Additionally, this book continues to be used by the Centers for Medicare and Medicaid Services and other third party insurance carriers in determining payment for HBO2 services.
Since its first appearance in 1977, the UHMS Hyperbaric Oxygen Therapy Indications has served as a guide for practitioners and scientists interested in hyperbaric and undersea medicine. Past UHMS president Richard E. Moon, chair of the Hyperbaric Oxygen Therapy Committee and editor for the 14th edition, along with additional Committee members and leading experts in the field, authored chapters in their respective fields. This publication continues to provide the most current and up-to-date guidance and support in hyperbaric medicine. Updates in the 14th Edition - Revised and updated references - A new chapter summarizing recently published data on trails of HBO2 for chronic traumatic brain injury (TBI) and post-traumatic stress disorder (PTSD) - Addition of flowcharts to specific chapters to aid in treatment of decision-making Table of Contents Preface Members of the Hyperbaric Oxygen Therapy Committee I. Background II. Hyperbaric Oxygen: Definition III. Utilization Review For Hyperbaric Oxygen Therapy IV. Acceptance (Addition) of New Indications for Hyperbaric Oxygen Therapy V. List of Abbreviations VI. Author Biographies PART I. Indications 1. Hyperbaric Treatment of Air or Gas Embolism: Current Recommendations 2. Arterial Insufficiencies A. Central Retinal Artery Occlusion B. Hyperbaric Oxygen Therapy for Selected Problem Wounds 3. Carbon Monoxide Poisoning 4. Clostridial Myonecrosis (Gas Gangrene) 5. The Effect of Hyperbaric Oxygen on Compromised Grafts and Flaps 6. The Role of Hyperbaric Oxygen for Acute Traumatic Ischemias 7. Decompression Sickness 8. Delayed Radiation Injuries (Soft Tissue and Bony Necrosis) and Potential for Future Research 9. Sudden Sensorineural Hearing Loss 10. Intracranial Abscess 11. Necrotizing Soft Tissue Infections 12. Refractory Osteomyelitis 13. Severe Anemia 14. Adjunctive Hyperbaric Oxygen Therapy in the Treatment of Thermal Burns PART II. Additional Considerations 15. Mechanisms of Action of Hyperbaric Oxygen Therapy 16. Side Effects of Hyperbaric Oxygen Therapy 17. Oxygen Pretreatment and Preconditioning 18. Randomized Controlled Trials in Diving and Hyperbaric Medicine 19. Hyperbaric Oxygen for Symptoms Following Mild Traumatic Brain Injury Appendix A. Approved Indications for HBO2 Therapy Index
This comprehensive volume captures the latest scientific evidence, technological advances, treatments and impact of biotechnology in hyperbaric oxygen therapy. Divided into three distinct sections, the book begins with basic aspects that include history, equipment, safety and diagnostic approaches; this is followed by clinical applications for hyperbaric oxygen therapy in various modalities; the last section provides an overview of hyperbaric medicine as a specialty with best practices from around the world. Integration of multidisciplinary approaches to complex disorders are also covered. Updated and significantly expanded from previous editions, Textbook of Hyperbaric Medicine, 6th Edition will continue to be the definitive guide to this burgeoning field for students, trainees, physicians and specialists.
Since its first appearance in 1977, the UHMS Hyperbaric Oxygen Therapy Indications has served as a guide for practitioners and scientists interested in hyperbaric and undersea medicine.
Written by internationally recognized leaders in hyperbaric oxygen therapy (HBOT) research and practice, this exciting new book provides evidence-based, practical, useful information for anyone involved in HBOT. It outlines the physiologic principles that constitute the basis for understanding the clinical implications for treatment and describes recent advances and current research, along with new approaches to therapy. This book is an essential tool for anyone who cares for patients with difficult-to-heal wounds, wounds from radiation therapy, carbon monoxide poisoning, and more. Provides comprehensive coverage of pathophysiology and clinically relevant information so you can master the specialty. Covers the relevance of HBOT in caring for diverse populations including critical care patients, infants and pediatric patients, and divers. Features a section on the technical aspects of HBOT to provide insight into the technology and physics regarding HBO chambers. Presents evidence to support the effectiveness of HBOT as well as the possible side effects. Describes situations where HBOT would be effective through indication-specific chapters on chronic wounds, radiation and crush injuries, decompression sickness, and more.