The NBS Hyperbaric Safety & Operations Update Series

Enduring Materials

National Baromedical Services is pleased to offer our on-line continuing education program.  Each lecture is worth one (1) NBDHMT Category A Continuing Education Unit (CEU) and one (1) Nursing Contact Hour (CNE).

Hyperbaric Staff Member Injuries & Fatalities: Lessons Learnt

Objectives

 1. Describe physical injuries & fatal events associated with the practice of hyperbaric medicine.

 2. Identify contributing factors, procedural shortcomings & lessons learnt.

 3. Provide recommendations to mitigate against future such events.

Implantable Medical Devices Risk Assessment: Cardiac Assist Devices

Objectives

1. Summarize the current range of implantable cardiac-support related devices.

2. Analyze each device in the context of potential adverse effects related to exposure to hyperbaric hyperoxia.

3. Offer a series of patient and device-specific risk assessment screening guidelines.   

Consequences of Hyperbaric Safety & Operational Lapses

Objectives

1. Present a series of procedural failures that threatened personnel & facility integrity.

2. Analyze the root cause where adequate accident reporting had occurred.

3. Argue for wider mandatory reporting & expert analysis of serious system failures.

Optimizing Monoplace Chamber Fire Safety

Objectives

1. Review the heightened risk of fire & consequences during hyperbaric operations.

2. Describe chamber manufacturing & installation steps to mitigate against fire.

3. Summarize operational policies & procedures that serve to mitigate against fire.

Tissue Oximetry (TCOM) Testing: Why; When; Where?

Objectives

1. Argue the case for tissue oximetry screening of lower extremity wound referrals.

2. Discuss significance of sensor electrode & barometric pressure calibration.

3. Describe optimal skin preparation & recommended sensor electrode site placement.

Implantable Medical Devices Risk Assessment: Gas/Fluid Filled Devices

Objectives

1. Summarize current range of implantable non-cardiac related patient support devices.

2. Analyze each device in the context of potential adverse effects related to hyperbaric hyperoxia exposure.

3. Offer patient & device-specific risk assessment screening guidelines.     

  

Hyperbaric Attendant DCS: Incidence, Risk, & Mitigation

Objectives

1. Review the reported history of inside attendant iatrogenic DCS.

2. Summarize IA ‘bubble’ study data & known iatrogenic DCS risk factors.

3. Describe the evolution of procedures to mitigate iatrogenic DCS risk.

Management of Monoplace Patient Complications & Serious Adverse Events 

Objectives

1. Summarize known risks & complications associated with HBO therapy.

2. Identify hyperbaric-related & hyperbaric-independent SAE’s.

3. Discuss management of in-chamber SAE’s & processes to convert them to normal atmospheric pressure emergencies.

Common Adverse Findings During Hyperbaric Facility Inspections

Objectives

1. Describe a structured approach to site visits that assess institutionally based hyperbaric medicine programs.

2. Summarize common equipment, operational & policy shortcomings that impact safe & effective delivery of HBO therapy.

3. Discuss methods that promote enduring complaint practice standards.

Barotrauma During Hyperbaric Chamber & Diving Exposures

Objectives

1. Summarize the scope of this injury complex, from benign to severe to life-ending.

2. Describe common presentations & differential diagnosis aspects.

3. Discuss preventative measures, immediate and definitive management.

Indication-Specific Hyperbaric Dosing Review for Chamber Operators

Objectives

1. Summarize the historic basis for treatment pressure, duration & frequency.

2. Discuss evolution of laboratory studies & interpretation of clinical data.

3. Present what appears to represent current best evidence for common indications.

Optimizing Hyperbaric Patient Care

Objectives

1. Provide recommendations for management of infants & children during monoplace operations.

2. Rationalize ECG monitoring for CNS oxygen toxicity screening.

3. Summarize blood glucose, confinement anxiety, nutritional & pre-post screening procedures.

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Statements and Notices

Disclosure Statement:  All faculty, planners and anyone in control of content have no relevant relationships to be resolved.

Commercial Support: There was no commercial support received for this educational activity.

Accreditation: 12 Category A CEUs worth one (1) credit hour each have been approved by the National Board of Diving & Hyperbaric Medical Technology (NBDHMT).  12 CNEs worth one (1) credit hour each have been approved by the South Carolina Nurses Association. 

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