WoundReference improves clinical decisions
 Choose the role that best describes you
WoundReference logo

Prohibited Items Vs Restricted?

Prohibited Items Vs Restricted?

Prohibited Items Vs Restricted?

Wound dressings are commonly used inside hyperbaric chambers. They play an important role in infection control and patient outcome. However, wound dressings, devices and other objects that go in the hyperbaric chamber with the patient may raise important safety concerns, including production of heat, production of static electricity, production of flammable vapor, ignition temperature, and total fuel load.

How do we know which wound dressings, devices and objects are prohibited, restricted or allowed inside a hyperbaric chamber during a hyperbaric oxygen therapy (HBOT) treatment? 

The NFPA 99, chapter 14 Hyperbaric Facilities – provides our guidance for safety and operational issues. According to the NFPA 99 - Chapter 14, “Physician and safety director approval to use prohibited items shall be stated in writing for all prohibited materials employed”. The Cambridge Dictionary defines prohibited as - to officially refuse to allow something.”  So…the question that frequently arises…

“If the item, device or product is prohibited then why is it allowed into the chamber?”

That is a great question!  To avoid boring you with a long winded response we will get right to the point:

Since we cannot disregard the language used by the NFPA, it is important to use language that provides clarity to clinicians when establishing policies, operational procedures or “GO-NO GO" lists. We utilize three categories for items that require specific authorization when introduced or restricted for use into the hyperbaric chamber in our “GO – NO GO" lists.  For the sole purpose of clarity we use the following:

  • GO – Items approved for use in a Monoplace Hyperbaric Chamber
  • RESTRICTED – Items that may be used with CAUTION in a Monoplace Hyperbaric Chamber.
  • STOP – DO NOT USE in a Monoplace hyperbaric chamber

In addition to this list, it is important to keep documentation on file explaining the risk assessment for each item. This will prevent future duplication of effort. It also serves as evidence that due diligence was used.  It was this statement that motivated the WoundReference team to develop the Go-No-Go assessment tool.  The  Go-No-Go assessment tool is an interactive process that enables the user to document the product information necessary to complete the risk assessment process.  Upon completion of the process, the user will have the ability to print or email the document and upload documentation to the electronic medical record. 

The take – away points are:

  • Understand the intent of the NFPA 99 guidelines and avoid getting caught up in the verbiage. 
  • Establish a process for determining what can or can not go in the chamber and without exception adhere to that process. 

Resources


Official reprint from WoundReference® woundreference.com ©2018 Wound Reference, Inc. All Rights Reserved
Use of WoundReference is subject to the Subscription and License Agreement. ​
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.
Topic 872 Version 1.0