2024 UHMS Northeast Chapter Town Hall on Safety

2024 UHMS Northeast Chapter Town Hall on Safety Enduring Material

Originally hosted October 12, 2024

Schedule:

• Introduction Preamble Is a CGM sensor a go or no-go item Chae Bliss, BSN-RN, NREMT, CHT
• Inside Hyperbaric Attendant: Fitness for Duty and Risks Tony Alleman, MD, MPH Safety MEDFAQs – Tales and Tips Andrew Melnyczenko, CHT
• "Go or No-Go" in the Hyperbaric World (Safety concerns for daily operations) R.B. "Gus" Gustavson, MPH, RN, CHRNC, CHT-Admin, CRT, UHMSDSA
• National Fire Protection Association (NFPA) and its Role in Hyperbaric Medicine R.B. "Gus" Gustavson, MPH, RN, CHRNC, CHT-Admin, CRT, UHMSDSA
• The Repetitive Nature of Safety: Why Procedural Practices Create a Static Environment Shawn Parker, CHT
• Accreditation Fail Points Tiffany Hosey, CHT, CHWS

Lecture Descriptions and Objectives:

• Is a CGM sensor a go or no-go item, Chae Bliss, BSN-RN, NREMT, CHT - In this lecture, I will address a critical gap in professional practice concerning the safe use of continuous glucose monitors (CGMs) for patients undergoing hyperbaric therapy. Many healthcare providers and safety directors may not fully understand the functionality, internal components, and performance of various CGMs in hyperbaric conditions. This lack of knowledge can impact informed decision-making regarding whether patients should be allowed to wear their CGMs during treatment.
  
  By examining the top CGMs currently in use and their physical integrity, I aim to provide healthcare professionals with insights that will assist in making safe and effective recommendations. Understanding the advantages and limitations of each device in these conditions is essential for ensuring patient safety and optimizing diabetes management during hyperbaric therapy.
  

1. Identify how various CGMs are constructed and the types of batteries they use.
2. Assess the implications of these components for safety during hyperbaric therapy.
3. Make informed decisions on the use of CGMs for patients in hyperbaric settings.

• Inside Hyperbaric Attendant: Fitness for Duty and Risks, Tony Alleman, MD, MPH - This lecture will cover the important points of the UHMS guideline on fitness for duty as an inside attendant. Until recently, there were no guidelines for fitness for duty for hyperbaric inside attendants.  The UHMS published these guidelines several years ago and they are currently being revised.  
  • The participant should learn about the guidelines published by the UHMS for inside attendants.  The participant should realize the importance of fitness for duty for working as an inside attendant.
• Safety MEDFAQs – Tales and Tips Andrew Melnyczenko, CHT - I will describe the process of submitting frequently asked questions to the UHMS MEDFAQ site and examine the submission process of hyperbaric-related MEDFAQs. Finally, I will review two-to-three recent MEDFAQs submitted by the UHMS Hyperbaric Oxygen Safety Committee.

1. Become familiar with the UHMS MEDFAQ site and MEDFAQ entry
2. Learn how to place a MEDFAQ question properly to ensure a timely reply
3. Review two-to-three recent Safety/Technical MEDFAQs

• "Go or No-Go" in the Hyperbaric World (Safety concerns for daily operations) R.B. "Gus" Gustavson, MPH, RN, CHRNC, CHT-Admin, CRT, UHMSDSA - Adverse and Sentinel events are very rare in the hyperbaric medicine field. This is primarily due to learning from events that resulted in injury and or death of patients while undergoing hyperbaric oxygen treatments. These incidents are extremely rare based on current practices. However, the fact that they are rare may lead practitioners to become complacent and lax in enforcing safety requirements.
  • This lecture will be a reminder of the importance of developing and maintaining a list of items that may or may not go into the hyperbaric oxygen environment.
• National Fire Protection Association (NFPA) and its Role in Hyperbaric Medicine, R.B. "Gus" Gustavson, MPH, RN, CHRNC, CHT-Admin, CRT, UHMSDSA - 

1. Participant will understand the history and the role of NFPA in hyperbaric medicine. 
2. Participant will understand the impact of compliance with NFPA standards in both standards of care and patient safety. 

• The Repetitive Nature of Safety: Why Procedural Practices Create a Static Environment, Shawn Parker, CHT - Safety techniques and procedural reviews should be done in various ways to complete the learning cycle and to meet the needs of the learners at our sites.  Changing techniques can be used to convey the same messaging without sounding repetitive or creating apathy while maintaining the standard of care. Units may not be adequately reviewing their processes, preparing their staff for drill sessions, or providing the proper environment to obtain this training.
  • The learner will be familiar with how to provide appropriate materials, realistic training environments, and understand the staff’s learning styles.
• Accreditation fail points, Tiffany Hosey. CHT - The most common “fails” or mistakes observed during the accreditation process are reviewed with the aim of helping future candidates achieve success. The physicians, nurses, and technicians may lack understanding or compliance to the required standards and protocols. This lecture will bridge the gap between the audience’s current level of knowledge and the necessary level for obtaining accreditation. Identifying the areas where hyperbaric staff are underperforming in accreditation standards and offering guidance on how to overcome the most common mistakes will benefit the entire field of hyperbaric medicine. The most likely causes of gap in educational needs are: lack of understanding of accreditation standards, inadequate training, deficient documentation, inept funding for continued education, and inconsistent implementation of policies/procedures. These gaps highlight a need for focused education and training to bring the audience up to the desired accreditation level.
  

  Estimated time to complete this activity: 5 hours

  Termination Date: November 21, 2027 

  Registration: 

  • Non-Member: $112.25
  • Regular UHMS Member: $87.50
  • Associate UHMS Member: $62.50

   Accreditation Statement: The Undersea and Hyperbaric Medical Society is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

  Designation Statements:

   Physician CME: The Undersea and Hyperbaric Medical Society designates this enduring material for a maximum of 5.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  Nursing/RRT Contact Hours: This enduring material is approved for 5.00 CE hours provided by Florida Board of Registered Nursing/RRT Provider #50-10881. License types: RN, LPN, CNS, ARNP, CNA, CRT, RRT, RCP Provided through the Florida State Board of Nursing and the CE credits are reciprocal and approved for nurses within all states. Receiving credit for Florida providers is simple, attend the course and our staff will upload your credits directly to the Florida State database. For out of state credit, we provide this letter for you to file with the respective nursing board.

  NBDHMT: This live activity is approved for 5.00 Category A credit hours by National Board of Diving and Hyperbaric Medical Technology, P.O. Box 758, Pelion, South Carolina 29123.   

  NBDHMT Accreditation Statement: For CHT recertification purposes, the NBDHMT requires a minimum of nine of the minimum 12 required Category A credits relate directly to any combination of hyperbaric operations, related technical aspects and chamber safety.

  Full Disclosure Statement: All faculty members and planners participating in continuing medical education activities sponsored by Undersea and Hyperbaric Medical Society are expected to disclose to the participants any relevant financial relationships with ineligible companies. Full disclosure of faculty and planner relevant financial relationships will be made at the activity.

  Disclosure: The following individuals have disclosed a relevant financial relationship with ineligible companies. Financial relationships are relevant if the following three conditions are met for the individual who will control content of the education:

  A financial relationship, in any amount, exists between the person in control of content and an ineligible company and; 

  • The content of the education is related to the products of an ineligible company with whom the person has a financial relationship and;
  • The financial relationship existed during the past 24 months.
  • All of the relevant financial relationships listed for these individuals have been mitigated

   None of the individuals in control of content (planners/faculty/reviewers/authors) for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

  No commercial support was received for this activities:

  Disclaimer: The information provided at this CME activity is for Continuing Medical Education purposes only. The lecture content, statements or opinions expressed however, do not necessarily represent those of the Undersea and Hyperbaric Medical Society.

  CME For MOC Program Guide Designation Statements for ABMS Boards

  Required instructions to learners on how to obtain CME for MOC

  CME For MOC points are earned through completing a comprehensive evaluation component that assesses individual learner competence, performance, and/or the impact on patient outcomes. Some boards require evaluation feedback that will include a summary of what was discussed and the best next steps for the learner. The evaluation feedback will be provided to you upon submitting the evaluation form.

  As an accredited ACCME provider, the UHMS is now responsible to submit physician learner CME credits into the ACCME PARS system. However, it is the physician’s responsibility to submit the necessary information required to match with the ACCME PARS system. It is also the physicians responsibility to check with their respective board(s) to see that the credits were applied accordingly.

  American Board of Anesthesiology (ABA)

  “This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in AnesthesiologyTM (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.”

  American Board of Internal Medicine (ABIM)***

  “Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 5.00 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.”

  American Board of Otolaryngology – Head and Neck Surgery (ABOHNS) ***

  “Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn their required annual part II self-assessment credit in the American Board of Otolaryngology – Head and Neck Surgery’s Continuing Certification program (formerly known as MOC). It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of recognizing participation.”

  American Board of Orthopaedic Surgery (ABOS) ***

  “Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME of the American Board of Orthopaedic Surgery’s Maintenance of Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABOS credit."

  American Board of Pathology (ABPath)

  This activity has been registered to offer 5.00 AMA PRA Category 1 CreditsTM towards the American Board of Pathology’s Continuing Certification program Lifelong Learning credits.

  American Board of Pediatrics (ABP) ***

  “Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn up to 5.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.”

  American Board of Surgery (ABS) ***

  “Successful completion of this CME activity [which includes participation in the evaluation component], enables the learner to earn credit toward the CME [and Self-Assessment] requirement(s) of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit."

  American Board of Thoracic Surgery (ABTS) ***

  “Successful completion of this CME activity [which includes participation in the evaluation component,] enables the learner to earn credit toward the CME [and Self-Assessment] of the American Board of Thoracic Surgery’s Maintenance of Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABTS credit."

  ***Will require evaluation feedback