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Credentialing

Questions pertaining to credentialing

We have a new CRNP starting at our Wound and Hyperbaric center and she has recently completed a 40 hour UHMS introductory HBO course. I am a physician and have been providing HBO for the past 9 years. I have currently been supervising the CRNP with HBO treatments provided in our clinic. Our hospital does not have a policy yet, can you please recommend the number of treatments or hours that she must complete before she can provide HBO independently. That way we can put a policy together.
Published: 15 July 2020

We have a new CRNP starting at our Wound and Hyperbaric center and she has recently completed a 40 hour UHMS introductory HBO course. I am a physician and have been providing HBO for the past 9 years. I have currently been supervising the CRNP with HBO treatments provided in our clinic. Our hospital does not have a policy yet, can you please recommend the number of treatments or hours that she must complete before she can provide HBO independently. That way we can put a policy together.

Posted: 7/16/2020


Q:

We have a new CRNP starting at our Wound and Hyperbaric center and she has recently completed a 40 hour UHMS introductory HBO course. I am a physician and have been providing HBO for the past 9 years. I have currently been supervising the CRNP with HBO treatments provided in our clinic. Our hospital does not have a policy yet, can you please recommend the number of treatments or hours that she must complete before she can provide HBO independently. That way we can put a policy together.

A:

Page 15, of the UHMS Guidelines for Supervision and Credentialing of Hyperbaric Medicine - https://www.uhms.org/images/Position-Statements/UHMS_Cred_and_Priv_Guide_-_V30_Aug_2019.pdf does address your question specifically, I believe. 

All HBO2 providers shall undergo a period of proctored experience after completing a UHMS approved Introductory Course in Hyperbaric Medicine prior to working without direct, in-person oversight by an Independent Supervisor of HBO2. Health care facilities have discretion to formulate their own criteria/training parameters, but the following guidelines provide a reasonable standard. 

  • A minimum of five (5) proctored consultations and attend more than twenty-five (25) hyperbaric sessions (see Note iii), which shall be overseen by an appropriately qualified HBO2 facility Medical Director or other Independent Supervisor of HBO2.
  • Face-to-face supervision should be followed by a review of the subsequent one hundred (100) treatments. This can be accomplished through a chart review or through the center’s electronic health record, as part of a Focused Professional Practice Evaluation (FPPE) process recommended and outlined by The Joint Commission.11

Providers with Previous Experience in HBO2 from Outside Institutions Education requirements necessary for the safe and appropriate supervision of HBO2 treatments have been described above. Proctoring requirements may be modified by the health care facility Medical Director or credentialing/privileging committee if the provider submits evidence of having supervised at least fifty (50) treatments and performed a minimum of five (5) hyperbaric consultations within the last two (2) years, or provides documentation from a training program director or director of a hyperbaric center (i.e., a signed letter with primary source verification) attesting to the demonstration of adequate HBO2 care case volume and competency during the past two (2) years.7