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Go-No-Go Lists / Prohibited Items

Go-No-Go Lists / Prohibited Items

Go-No-Go Lists / Prohibited Items

DISCLAIMER

The following Go-No-Go lists are provided as a resource for reference only. It is the responsibility of each hyperbaric facility to complete the risk assessment as stated in the NFPA 99 Chapter 14 appendix  (see “Risk Assessment Algorithm”)

GO-NO-GO LISTS

Approved for use in Monoplace chamber materials list

Concern categories: Energy Source, Fire / Flashpoint, Pressure, Pharmacologic, Patient Comfort, Acrylic Damage, Infection Control, and Choking Hazard


Table 1. Approved for use      

MATERIAL

DESCRIPTION

CONCERN

REFERENCE

Breathing system equipment
(built-in)

Supply hose with door connection, demand valve mask, face tent, trach collar, non-rebreather masks

Comfort, Pharmacologic

Midwest Hyperbaric Operations Manual

Catheter, (indwelling urinary cath
or wound drainage system)

Flexible tubing with collapsible reservoir
Empty excess drainage, purge air

Comfort, Pressure

Midwest Hyperbaric Policy & Procedure Manual 

Midwest Hyperbaric Operations Manual

Cloth restraints

No velcro or metal components, use kerlix roll for restraint

Energy, Fire,
Acrylic Damage

Midwest Hyperbaric Policy & Procedure Manual 

Midwest Hyperbaric Operations Manual

Contact lenses
(soft and gas permeable)

Comfort

Cotton gauze dressings

Pads, packing, wraps, island-type with non-stick surface

Comfort, Pharmacologic

Diaper (adult/infant) / Kotex

Should remain against patient skin, moist, no velcro closures

Comfort, Infection

Midwest Hyperbaric Policy & Procedure Manual 

Dressings (aqueous)
or topical medication

Hydrocel

Pharmacologic,
Fire, Comfort

Midwest Hyperbaric Policy & Procedure Manual 

ECG and pressure line
monitoring cables

Biomed approved/maintained

Use of pass-through to connect to monitor outside chamber.

Energy

NFPA 99 14.2.7.6  [1]

Eyeglasses

Plastic or metal composition, lenses

Comfort

Midwest Hyperbaric Safety Discussion

Feeding tube (Dobhoff)

Flushed and clamped

Comfort, Pressure, Pharmacologic

Midwest Hyperbaric Policy & Procedure Manual 

Gowns, hospital issue

100% cotton, unit supplied, pocket less, no metal snaps
or Velcro, uncontaminated.

Must check for concealed items

Comfort, Fire

NFPA 99 14.3.1.5.4

[1]

Heimlich Valve

Attached to indwelling chest tube and sterile glove
or urinary drainage bag

Pharmacologic, Comfort, Pressure

Midwest Hyperbaric Operations Manual

IV extension tubing for
Monoplace Hyperbaric chamber

Use of pass-through to connect to hyperbaric IV pump
outside chamber

Pressure

Midwest Hyperbaric Operations Manual

Midwest Hyperbaric Policy & Procedure Manual 

Mattress, wedges, pillows

Only those recommended by chamber manufacturer

Comfort, Fire, Pressure

Midwest Hyperbaric Policy & Procedure Manual 

Nail polish, acrylic nails Allowable if applied no less than 12 hours prior to treatment Fire Midwest Hyperbaric Policy & Procedure Manual 

Nasogastric tube

Un-clamped with end loosely covered

Comfort, Pressure

Midwest Hyperbaric Policy & Procedure Manual 

Nebulizer equipment
(in-chamber)

Disposable nebulizer, 5-in-1 adapter, liquid medication

Pharmacologic, Comfort

Midwest Hyperbaric Policy & Procedure Manual 

Plastic drink cup

No-spill style, vented, unit supplied, only approved
unit-supplied fluid

Comfort, Pressure, Fire, Pharmacologic

Midwest Hyperbaric Safety Discussion

Plastic tape

No paper or silk tape

Fire, Energy

NFPA 99 14.3.1.5.4.1 [1]

Pressure infuser with spacer

Ethox Surgi-Press, oxygen-safe lubricant (silicon base)

Pressure, Pharmacologic

NFPA 99 14.3.6.2.1.4 [1]

Sheets, pillow cases,
towels, wash cloths, blankets

100% cotton, unit supplied

Comfort, Fire

NFPA 99 14.3.1.5.4.2 [1]

TCOM electrode with cord

Radiometer – Max 28v and 4w in class B chamber
Use of pass-through to connect to monitor outside chamber

Energy

NFPA 99 14.2.7.6.1,
14.2.7.6.1.1 [1]

Urinal, bedpan

Disposable, plastic

Comfort

Ventilator breathing circuit (hyperbaric)

Sechrist Model 500A

Use of gas port to connect to control module outside chamber

Pressure, Pharmacologic

Midwest Hyperbaric Operations Manual

Midwest Hyperbaric Policy & Procedure Manual 

Table modified from National Baromedical Services, 2012  [2]

Use with caution in a Monoplace chamber material list

Concern categories: Energy Source, Fire / Flashpoint, Pressure, Pharmacologic, Patient Comfort, Acrylic Damage, Infection Control, and Choking Hazard

Table 2. Use with caution       

MATERIAL

Risk Assessment – Action to be taken

CONCERN

REFERENCE

The physician in charge, with the concurrence of the safety director, shall be permitted to use ONE of the following prohibited items in the chamber:

Suture material           Surgical dressings

Alloplastic devices      Synthetic textiles

Bacterial barriers        Biological interfaces



  1. Is there a more suitable alternative to this dressing?
  2. Does this dressing produce heat in the chamber?
  3. Does this dressing produce too much static electricity?
  4. Does this dressing have a low ignition temperature/flashpoint?
  5. Is the total fuel load too high?
  6. Is there an adverse effect when this product is used inside the hyperbaric chamber?

Physician with Safety Lead may approve individual material
on specific patient;

Pressure, Fire, Pharmacologic

NFPA 99 14.3.1.5.4.3 [1]

Cast or splint
(freshly applied - fiberglass material)

Wait until exothermic reaction in material has subsided; at least 8 hours

Fire, Energy

Compression bandages: ACE wrap,
Shur-band wrap, Profore, Surepress, Coban wrap

If not removed cover with moist towel

Energy, Fire, Pharmacologic

NFPA 99 14.3.1.5.4.3 [1]

Epidural infusion catheter.

Catheter may remain in place, clamped

Pump is not allowed

Pharmacologic

Midwest Hyperbaric Policy & Procedure Manual 

Hair color or perm (newly applied)

Not allowed if < 24 hours since application due to off gassing of fumes

Fire

Hair extensions (synthetic)

If unable to remove COVER WITH MOIST TOWEL

Fire, Energy

Implanted pacer, defibrillator,
or intrathecal pump, transducer

Consider each device individually by manufacturer and model

Must obtain specific details in writing before approval can be given

Pressure,

Pharmacologic,

Midwest Hyperbaric Safety Discussion

Insulin infusion

Plasma glucagon levels decrease during HBO, Hypoglycemia risk;
treat with caution

Pharmacologic

Midwest Hyperbaric Policy & Procedure Manual 

Petroleum or oil based topical or impregnated dressings: Adaptic, Xeroform, Bacitracin



The risk assessment process for hyperbaric wound dressings
are as follows:

  1. Is there a more suitable alternative to this dressing?
  2. Does this dressing produce heat in the chamber?
  3. Does this dressing produce too much static electricity?
  4. Does this dressing have a low ignition temperature/flashpoint?
  5. Is the total fuel load too high?
  6. Is there an adverse effect when this product is used inside the hyperbaric chamber?

Physician with Safety Lead may approve individual material
on specific patient.

If not removed material must be covered with a moist towel

Fire, Pharmacologic

Midwest Hyperbaric Safety Discussion

Midwest Hyperbaric Policy & Procedure Manual 

Transdermal medication patches

Consider each medication individually, efficacy with vasoconstriction, flammability of base product; consider alternative route

If not removed material must be covered with a moist towel

Fire, Comfort,

Pharmacologic

Midwest Hyperbaric Safety Discussion

BP (NIBP) cuff with tubing

Use of pass-through to connect to Oscillomate 1630 monitor
outside chamber.

Energy

NFPA 99 14.2.7.6 [1]

Table modified from National Baromedical Services, 2012  [2]

Do not use in a Monoplace chamber material list

Concern categories: Energy Source, Fire / Flashpoint, Pressure, Pharmacologic, Patient Comfort, Acrylic Damage, Infection Control, and Choking Hazard

Table 3. Do not use   

MATERIAL

DESCRIPTION

CONCERN

REFERENCE

Battery powered devices

Holter monitor, external pacer, TENS unit, watch,
hearing aid, VAC device, voice box, house arrest band,

Energy

NFPA 99 14.7.6.1 [1]

Midwest Hyperbaric Policy & Procedure Manual 

Cell phones, pagers, iPad, shuffle

All electronic devices never allowed
in monoplace

Energy

NFPA 99 14.3.1.5.1.2 [1]

Cerium, magnesium, or magnesium alloys

Metals found in equipment

Fire

NFPA 99 14.3.2.5 [1]

Clothing, personal (including socks)

Use clean hospital issue, HBO approved, only

Fire, Energy

NFPA 99 14.3.1.5.7 [1]

Contact lens (hard, non-gas permeable)

In compressed air environment only

Pressure

Cosmetics, lotions, creams, oils,
deodorant, perfume, body splash

Make-up, skin care products,
after shave, perfume

Fire

NFPA 99 14.3.1.5.5.2 [1]

Dental appliance (removable)

Dentures, partial, retainer

Choking hazard

Electronic devices

Photoflash, flood lamps, laser equipment

Fire

NFPA 99 14.3.2.1.3,4 [1]

Entertainment devices

Headset, games, radio, CD player, TV remote

Energy

NFPA 99 14.3.1.5.1.2 [1]

Flammable hair sprays or hair oils

Mousse, gel, wax, pomade, spray

Fire

NFPA 99 14.3.1.5.5 [1]

Flammable liquids, gases, or vapors

Alcohol skin preps/pads, perfume, nail polish remover, alcohol based deodorant/antiperspirant

Fire

NFPA 99 14.3.1.5.2.3 [1]

Food, gum, candy, chewable pills

Choking Hazard

Hair (synthetic) Wigs

Must be Removed

Fire, Energy

Linens (heated)

Blanket from warmer or microwave

Fire

NFPA 99 14. 3.1.5.1.1,2 [1]

Linens (non-HBO approved linen)

Silk, wool, or synthetics (only 100% cotton)

Fire, Energy

NFPA 99 14.3.1.5.4.1 [1]

Matches, cigarette lighter

Tobacco products, flammable

Fire, Energy

NFPA 99 14.3.1.5.1.1 [1]

Metal

Jewelry, snaps, knives, keys, coins, body piercing,
external skeletal fixation devices

Acrylic Damage,
Energy

Midwest Hyperbaric Policy & Procedure Manual 

Paper products

Newspaper, books, magazines

Fire

Personal warming devices

Chemical heating pads, hand or pocket warmers

Fire, Energy

NFPA 99 14.3.1.5.1.2 [1]

Silk and paper tape

Use plastic tape instead

Energy, Comfort

NFPA 99 14.3.1.5.4.3 [1]

Sulfamylon topical

Mafenide Acetate, use Silvadene instead

Fire,

Midwest Hyperbaric Policy & Procedure Manual 

Toys

Sparking, choking hazard

Energy

NFPA 99 14.3.1.5.1.2 [1]

Table modified from National Baromedical Services, 2012  [2]

RISK ASSESSMENT ALGORITHM

Figure 1 -Risk Assessment Process [1]

Official reprint from WoundReference® woundreference.com ©2018 Wound Reference, Inc. All Rights Reserved
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NOTE: This is a controlled document. This document is not a substitute for proper training, experience, and exercising of professional judgment. While every effort has been made to ensure the accuracy of the contents, neither the authors nor the Wound Reference, Inc. give any guarantee as to the accuracy of the information contained in them nor accept any liability, with respect to loss, damage, injury or expense arising from any such errors or omissions in the contents of the work.

REFERENCES

  1. Technical Committee on Hyperbaric and Hypobaric Facilities (HEA-HYP), et al. Nfpa 99: Health Care Facilities Code Handbook . Date of publication 2017;.
  2. National Baromedical Services. Introduction to Hyperbaric Medicine Primary Training Manual .;.
Topic 46 Version 1.0