Access standard for hyperbaric oxygen department
(1) Personnel access
1. Hyperbaric oxygen practitioners, like other clinical professional staff, require good medical ethics. Good health, able to work under high pressure environment.
2. The hyperbaric oxygen department (room) should be staffed strictly in accordance with Table 1
Table 1 Staffing table of hyperbaric oxygen department (room)
Cabin-type medical doctor nurse technician
Oxygen pressurized chamber
(Single cabin) Infant cabin 1 full-time or part-time 1 full-time 1 part-time 1
Adult cabin full-time or part-time 1 full-time 1-2 full-time 1 part-time
Air pressurized cabin
(Multi-occupant cabin) Small multi-occupant cabin Full-time 1-2 full-time 2 full-time 1 full-time
Medium multi-occupant cabin Full-time ≥2 Full-time ≥2 Full-time 1
Large multi-occupant cabin Full-time ≥2 Full-time ≥2 Full-time 1-2
Note: Refer to the 2004 “Medical Hyperbaric Oxygen Chamber Management and Application Specification” of the Chinese Medical Association Hyperbaric Medicine Branch
3. Hospitals in all regions and cities with hyperbaric oxygen chambers with more than 12 people must establish an organizational hyperbaric oxygen department, and deploy medical, nursing, and technical staff according to these requirements.
4. Physicians in the hyperbaric oxygen department (room) require a bachelor’s degree or above in clinical medicine from a higher education institution; nurses require a college degree or above in nursing specialty; technicians require a technical secondary school degree or above in mechanical and electrical engineering.
5. Hyperbaric medical staff and technicians must go to the training center of the Shandong Hyperbaric Medical Quality Control Center designated by the Medical Administration Department of the Provincial Health and Family Planning Commission to receive training, and pass the examination and obtain the “Hyperbaric Training Qualification Certificate” before they can work ( (See Ministry of Health document in November 2007).
6. The maintenance and management technicians of the hyperbaric oxygen chamber must be trained and evaluated by an institution recognized by the State Quality and Technical Supervision Bureau, and pass the examination to obtain the “Special Equipment Practitioner Certificate” before they can start their jobs and review them on schedule. (See the 2003 State Council Order of the People’s Republic of China, Article 373 <Article 77 of the Regulations on Safety Supervision of Special Equipment>). Units that use medical hyperbaric oxygen chambers without a certificate shall not use oxygen chambers.
(2) Access to equipment and facilities
1. The medical hyperbaric oxygen chamber must be inspected and accepted by the local quality and technical supervision department, and the “Special Equipment Use Permit” can be obtained before the chamber can be opened to admit patients. The unit using the oxygen chamber shall report the use of the oxygen chamber to the provincial and municipal hyperbaric oxygen medical quality control centers as required.
2. The hyperbaric oxygen department (room) should strictly follow the following requirements for house configuration:
(1) Air pressurized cabin:
①Treatment hall (with sufficient cabin area), machine room (including air storage, power distribution, oxygen room, etc.), (the height of the bilge maintenance floor ≥2000mm)
②The office area has independent medical, nursing and technical offices, duty rooms, washrooms, toilets, and warehouses; the diagnosis and treatment area has a waiting room, diagnosis room, rescue room, men’s and women’s changing rooms, disinfection rooms, and toilets. Departments where conditions permit should set up scientific research sites such as animal laboratories. The internal space and path layout of the department are reasonable, which is convenient for the rescue of critically ill patients and patients who need to be isolated for special infections to enter and exit the oxygen chamber.
③There are emergency passages in the waiting area, and fire passages around it, and the distance from the oxygen supply station, sewage treatment station, morgue, garbage dump, etc. is more than 100 meters.
(2) Oxygen pressurized cabin: ① Including oxygen cabin treatment room and oxygen room. ② The adult oxygen cabin should have a shared medical office, separate dressing room and toilet. ③Oxygen cabins for infants and young children can be implemented with reference to adult oxygen cabins, or only oxygen cabin treatment rooms and oxygen rooms can be provided.
3. The inside and outside of the hyperbaric oxygen chamber shall be equipped with fire-fighting facilities in strict accordance with requirements and have eye-catching fire-fighting signs.
4. Before opening a hyperbaric oxygen chamber, a medical oxygen chamber certificate, a pressure vessel use certificate, and a medical oxygen chamber use certificate must be obtained.
(3) Management system and job responsibilities
1. Various management systems: including hyperbaric oxygen section (room) safety management system, hyperbaric oxygen section (room) work system, cabin personnel management system, oxygen chamber disinfection and isolation system, computer room management system, oxygen supply room management system, storage Gas tank management system, power distribution panel and power distribution box management system, oxygen cabin equipment maintenance and repair system, infant oxygen cabin safety management system, and employee health protection system (see Appendix 1).
2. Job responsibilities at all levels: including the job responsibilities of the department director, medical technicians, cabin operators, and cabin crew.