A European code of good practice for hyperbaric oxygen by Working Group Safety of the COST Action B 14 Hyperbaric

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By Working Group Safety of the COST Action B 14 Hyperbaric Oxygen Therapy

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6 X X 6 Harm/Consequences P A O Cross Ref. 6 X X X 6 X X X 6 P A O m) Erroneous data transfer Items Treatment number Pressure Treatment duration Hazard/Type of error False reporting Unjustified Treatment (under/over) failure, false billing False reporting Medico legal (under/over) implications in case of permanent disability in patient False reporting Medico legal (under/over) implications in case of permanent disability in patient X o) Incompatibility with consumables/accessories/other devices Items Ventilator Infusion pumps Infusions Vacuum bottles May 2004 Hazard/Type of error Harm/Consequences Insufficient ventilation Insufficient treatment False volume delivery Insufficient treatment X X Cross Ref.

Fire Purity of Air Contamination Poisoning of inside personnel/ hypoxia. Fire Compressor air Incorrect position Contamination of intakes height etc. atmosphere Compressor Faulty contaminated Poisoning of chamber high pressure air personnel Compressor Faulty contaminated Poisoning of chamber Low pressure air personnel Purity of oxygen Contamination Poisoning of inside personnel/ hypoxia. Fire Liquid Oxygen Position / safe Injury / off-gassing / Fire distances Cleanliness Purity of helium Contamination Poisoning of inside personnel/ hypoxia.

When multiplace chambers are used, the Hyperbaric Centre must have qualified personnel to manage the hyperbaric facilities. These functions must be preferably carried out by specialised chamber Operators. The functions of the Chamber Operator of a Multiplace facility will be: 1. Operation of the internal and external devices of the Chamber. 2. Control and operation of the mechanisms for compression and decompression, and for delivering gas mixtures and oxygen. 3. Control and application of the safety regulations concerning prevention of fire, and oxygen toxicity.

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