Policies and Procedural Guidelines for Hyperbaric Facilities

Book Format



Laura Josefsen, RN, ACHRN
June 29, 2017
Owen J. O'Neill, MD, FUHM


About the Book

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.  

Administrator talking with Medical team at the Hospital19006680Small

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, Image17607teamwork, 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. 


Customized Versions

Two customizable options are available:

1) Fully customizable digital template. We provide you with fully editable digital files of the policy and procedural guidelines, your internal team can customize the template to fit your clinic's needs.

To order, select "Customizable digital template" on the order options above and add to cart.


2) Branded version. We place your corporate/clinic logo and information on the existing, copyrighted publication. This package includes up to 2 hours of professional design time; five printed copies of your customized version; plus an electronic version (non-editable PDF) that includes your branding.

The branded version is available and includes the following:

  • Your corporate/clinic logo and information.

  • Up to 2 hours of professional design time.

  • Five printed copies of your branded version.

  • Plus an electronic version (non-editable PDF) that includes your branding.

  • 50% discount on 2nd edition customized version package.

To order, select "Branded version" in the order options above and add to cart.

Or, for more information, please contact us at This email address is being protected from spambots. You need JavaScript enabled to view it. or 561-776-6066.


Quantity Discount Pricing

To place a quantity order of 5 or more books, please contact 561-776-6066 or This email address is being protected from spambots. You need JavaScript enabled to view it.



1) Online, click above to place your order
2) Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
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** Pre-sale discount does not apply to quantity discount pricing





100 Mission, Vision and Goals 
101 Clinical Standards 
102 Hyperbaric Scope of Practice and Services 
103 Regulatory Agencies
104 Staff Training, Education and Competencies
105 Hyperbaric Teaching and Publishing 
106 Clinical Research


200 Administration Program
201 Policy and Procedure Guidelines
202 Medical Record Retention 
203 Billing Documentation 
204 Patient Acceptance for Hyperbaric Oxygen Treatment 
205 Missed Appointments 
206 Incident Reports
207 Visitors in the Hyperbaric Center 
208 Hyperbaric Indications 

300 HBO2 Emergency Procedures 
301 Prevention and Management of Oxygen Toxicity – CNS and Pulmonary 
302 Prevention and Management of Barotrauma 
303 Prevention and Management of Confinement Anxiety/Claustrophobia 
304 Blood Glucose Parameters 
305 Contraindications – Absolute and Relative 
306 Bomb Threat 
307 Patient Restraints during Hyperbaric Treatments
308 Cell Phone and Other Personal Electronic Devices

400 Patient Admission Screening 
401 Patient Informed Consent 
402 Patient Orientation and Teaching
403 Hyperbaric Oxygen Treatment 
404 Hyperbaric Treatment Documentation 
405 Air Breaks during HBO2 Treatment 
406 Patient Assessment 
407 Patient Discharge Planning 
408 HBO2 Safety Time-Out Stops

500 Hyperbaric Chamber Maintenance
501 Acrylic Window Inspection of Class B Monoplace and Class A Multiplace 
502 Cleaning of Hyperbaric Chamber, Related Equipment and Room 
503 Compressed Gas Cylinder, Color Codes and Index System

600 Quality Improvement 
601 Hyperbaric Monthly Staff Meetings
602 Patient Care Conferences 
603 Patient and Staff Satisfaction Surveys
604 Infection Control

Appendix I: Sample Forms for Class A Multiplace and Class B Monoplace Chambers
Chamber Operator Daily Start-Up Checklist 
Maintenance Form Samples 
Pretreatment Checklist 
U.S. Navy Treatment Table 9
Appendix II: Acronyms 


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