So, you’ve completed a 40-hour course. Now what? As hyperbaric professionals, it can be difficult to know where to go next for the safety information you need to bring back to your workplace. Hear from the foremost Medical and Technical leaders in Hyperbaric Safety as we discuss safety considerations that you may encounter in your career as a hyperbaric professional.
This course is designed for hyperbaric Nurses, Technicians, Physicians, and allied health professionals who are fairly new to the world of hyperbaric safety.
Date: Thursday, June 15
Time: 8am-5pm
Posted: 11/15/22*. See agenda tab below
*subject to change
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Andrew Melnyczenko's combined military and civilian experience in Hyperbaric Medicine spans 23 years. He is the Technical and Safety Director of the Hyperbaric and Altitude Medicine Program at the Mayo Clinic. He is also a UHMS member and serves as the chair of the UHMS safety committee. Andrew’s professional interests lie in education, emergency preparedness, and advancing the practical use of Hyperbaric Oxygen Therapy.
Current UHMS Hyperbaric Facility Accreditation Director for the UHMS Derall Garrett has been involved in the industry for more than 20 years, working with both multiplace and monoplace chambers in free-standing clinics and hospital-based centers. He is a graduate of the College of Oceaneering with a degree as a Commercial Diver with further specialization as a Diver Medic. He has also been certified by the National Board of Diving Hyperbaric Technologist as Hyperbaric Technician since 2000Garrett is factor- trained in both ETC and Perry Chambers. His areas of training include maintenance and repair for the ETC XD and Select monoplace chamber models and all Perry Sigma models. He has provided maintenance and repair services in the United States and for several companies overseas. When he was the Vice President of Hyperbaric Services for Innovative Healing Systems from 2006 – 2012, Garrett also helped conduct training programs for hyperbaric technicians and safety directors. He has written policy and procedures for the company as well as playing a part of many startup programs for hyperbaric and wound care centers in the United States, India and Dubai. He was involved in the planning, construction, and finishing stages of getting the facilities operational. Garrett has also participated in several UHMS survey teams as a UHMS accreditation surveyor for both monoplace and multiplace facilities since 2013. He has been a UHMS member since 2003.
After compulsory service in the South African Navy and a long career in the nuclear industry, he then served (and later led) Divers Alert Network in South Africa from 1996 to 2016. He is currently the VP of Safety Services at Divers Alert Network in Durham, NC. His career in diving started in 1994 as the operations director of a company that designed, manufactured and supported a wide range of commercial diving systems, including producing hyperbaric facilities. This expertise was later put into use when he was tasked with performing on-site safety assessments at more than 150 recompression and hyperbaric medicine chamber facilities around the world. He has managed a range of organizations and companies in parallel throughout his career, enjoying involvement in many fields, including technical, investigative, educational and out-reach capacities. His primary function at DAN is to promote safety and accident prevention through education, training and awareness, and with this, to also assist and help develop global remote recompression chamber facilities that accept injured divers for treatment. He has authored a series of books, chapters, articles and guidance documents, including risk assessment publications for recompression chamber facilities, clinical hyperbaric facilities, and for dive operators and dive professionals, all now accepted as industry standards. He is fortunate to represent industry in several international organizations, including the UHMS safety and the FDA regulatory committees, the NFPA-99 (hyperbaric healthcare facilities) and NFPA-53 (safe practice in oxygen-enriched atmospheres) committees, the ASME PVHO standards committees, the European Code of Good (hyperbaric) Practice committee, the Canadian Standards committee for hyperbaric facilities, and several ISO committees (all related to pressure equipment). Francois is the technical advisor to the Southern African Undersea & Hyperbaric Association (SAUHMA) and leads the hyperbaric facility accreditation program for SAUHMA. He is very active in safety education programs for DAN, serves on educational faculties at four international universities, regularly presents papers at a range of internal scientific meetings, and has been faculty of a medical educational organization in Texas for more than 21 years.
Welcome/Introduction to the course Burning Down the Bandwagon—The Catastrophic Potential of a Casual Approach to Hyperbaric Safety On-label safety for off-label therapy: Approaches to the delivery of hyperbaric oxygen therapy for off-label indications.
The off-label use of medications is a widely accepted and common practice, involving as many as 20% of prescriptions provided in the United States. The provision of off-label Hyperbaric Oxygen Therapy is equally as prevalent but remains controversial within the field. This presentation will examine how the use of Hyperbaric Oxygen Therapy is regulated and what differentiates on-label and off-label therapy. It will provide guidance on how to assess the safety of providing off-label therapy and mitigation strategies for any unique risks. Approaches to safety in the delivery of hyperbaric oxygen therapy to critical care patients BREAK Unravelling our Hyperbaric Codes and Standards:
The ongoing, real-time development of hyperbaric industry rules is intended to be transparent. Interested parties have access to either pre-published code revisions or standards committees and are welcomed to provide input. In most cases they may attend committee meetings to observe deliberations over suggested updates, revisions, and even new materials. The committees that develop these publications are made up of a balanced number of individuals representing all aspects of our industry: medicine, engineering and technology, operational management, design and manufacture, research, and governmental institutions. Despite all of this, most of our colleagues regard regulatory documents as strict compliance mandates, often formulated either by parties with their own interests, or administrative organizations with little or no knowledge of our field. This presentation will hopefully peel back some of the layers to allay such concerns and ultimately invite more participation by all hyperbaric industry stakeholders. The AHJ. Who are they? LUNCH BREAK - ON OWN Where to defibrillate – In the HBO Room or Not? Hyperbaric staff competencies Checklists, complacency, and human nature BREAK Retrospective analysis of monoplace and multiplace chamber accidents Hyperbaric Medicine Emergencies:
Description: This lecture is to review emergent hyperbaric medicine conditions, and why HBO may benefit these patients. There will be a Quick review of the pathophysiology of HBOT and how it can affect these conditions given many of the UHMS approved indications are for emergent medical and surgical conditions. Many patients with emergency conditions are clinically stable, and treatment for these patients can be easily performed in monoplace and multiplace hyperbaric chambers. Questions/ Course Evaluation / Closing
Event Properties
Event Start Date
06-15-2023
Event End Date
06-15-2023
Location
Sheraton San Diego Hotel & Marina
Categories
UHMS Directly Provided Course
Andrew Melnyczenko
CHT
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Anthony Johnston
ACHRN
Derall Garrett
CHT
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Francois Burman
Pr Eng, BSc (Eng), MSc
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Originally from Cape Town (South Africa) Francois currently resides in Durham, NC. He graduated from the University of Cape Town in 1983 with a BSc in Mechanical Engineering, is a registered international professional engineer, and in 2014 graduated from the University of Stellenbosch with a MSc in Baromedical Sciences.
Jason Kelly
MD
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Dr. Jason Kelly is a board-certified Undersea and Hyperbaric Medicine physician and Family Medicine physician. He underwent fellowship training through the United States Air Force’s fellowship program and subsequently has served as the Undersea and Hyperbaric Medicine Consultant to the Air Force Surgeon General and the fellowship Program Director. He is at the end of a 20-year military career and is currently transitioning to civilian employment at the University of Texas Health Science Center of San Antonio.
Kevin Hardy
DSc hc
Matthew Kelly
MD
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After growing up in Michigan, Dr. Kelly went to medical school at Ross University, on the island of Dominican the West Indies. He did his residency in emergency medicine at Charity Hospital, Louisiana State University in New Orleans. Dr. Kelly did a fellowship in Undersea and Hyperbaric medicine/Wound Care at Charity Hospital, LSU finishing in 2004. After his fellowship training, he spent several years in the San Francisco/Bay area working at several hospitals working in emergency medicine, and hyperbaric medicine/wound care. He missed academic medicine, and was recruited to come to the University of Alabama at Birmingham to initiate a hyperbaric and wound care program in 2008. The hyperbaric and wound care program at the University of Alabama was initiated 2012. In 2014 he was recruited to the University of Pennsylvania, and he spent 5 years acting as Chief of Undersea and Hyperbaric medicine at the University of Pennsylvania. In 2020 he decided to return back to UAB. Since that time, he has been acting as Co-medical director of the Hyperbaric and Wound Care program. He also work in the Emergency Department at UAB and has been active in developing the Snakebite Program at UAB.
Nick Marosek
BSN, RN, ACHRN
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Nick Marosek is the Nurse Manager of the Hyperbaric and Altitude Medicine program at Mayo Clinic in Rochester, Minnesota, and is an Advanced Certified Hyperbaric Registered Nurse. He has 15 years’ experience in critical care nursing and nine in hyperbaric medicine. Marosek says he loves his job and the people that he is privileged to work with.
Richard Barry
Ph.D., STS, CHT-Admin
Rob Sheffield
CHT
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Rob is the Director of Education for International ATMO in San Antonio, TX. He started his career in hyperbaric medicine in 1985. He is an expert in wound center design and development, reimbursement, hyperbaric safety, and transcutaneous oximetry. He is a certified hyperbaric technologist (CHT).
Roma Tremblay
APRN
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Doctorate of Nursing Practice University of South Florida, 2016 Dissertation: Advanced Wound Care Assessment: Improving Diabetic Foot Ulcer Outcomes Master of Science (Nursing) University of South Florida, 2015 Family Nurse Practitioner, BSN to MSN program Associate of Science (Nursing) Pasco-Hernando State College, 2005
0800-0815
Andrew Melnyczenko, CHT
0815-0900
Gary Toups, MD
0900-0945
Col. Jason Kelly, MD
0945-1030
Nicholas Marosek, CHRN
1030-1045
BREAK
1045-1130
Francois Burman
1130-1200
Derall Garrett, CHT
11200-1300
LUNCH BREAK
1300-1345
Richard C. Barry, Ph.D., STS, CHT-Admin
1345-1430
Anthony Johnston, ACHRN
1430-1530
Rob Sheffield, CHT
1530-1545
BREAK
1545-1630
Roma Tremblay, APRN
1630-1715
Matthew Kelly, MD
1715-1730
Andrew Melnyczenko, CHT