Certified Hyperbaric Technologist Test CHT Hyperbaric Facility Management and Quality Assurance 2 — Questions and Answers
Question 1: A quality assurance (QA) review in a hyperbaric program should include regular audit of:
- Adverse event rates, treatment interruptions, wound healing outcomes, and equipment maintenance compliance (Correct answer)
- Only billing and reimbursement data
- Staff scheduling and vacation logs
- Vendor invoices for oxygen supply only
Correct answer: Adverse event rates, treatment interruptions, wound healing outcomes, and equipment maintenance compliance
Comprehensive QA reviews cover clinical outcomes, safety events, compliance metrics, and equipment records to drive continuous improvement.
Question 2: The role of the Hyperbaric Technologist during a monoplace chamber treatment primarily includes:
- Monitoring patient condition, managing chamber pressure and gas supply, and responding to emergencies (Correct answer)
- Performing wound debridement during pressurization
- Administering IV medications directly through the chamber hull
- Conducting biopsies while the patient is at depth
Correct answer: Monitoring patient condition, managing chamber pressure and gas supply, and responding to emergencies
The technologist manages all operational aspects of the treatment — pressure, gas supply, patient monitoring — from outside the chamber.
Question 3: What is the significance of maintaining an 'oxygen use log' in a hyperbaric facility?
- It tracks oxygen consumption for safety compliance, supply management, and regulatory documentation (Correct answer)
- It is required only for multiplace chambers using air tables
- It records oxygen delivery only when adverse events occur
- It is optional documentation with no regulatory significance
Correct answer: It tracks oxygen consumption for safety compliance, supply management, and regulatory documentation
Oxygen use logs satisfy safety regulations, ensure adequate supply, and provide documentation required during inspections and audits.
Question 4: In a multiplace hyperbaric chamber, the inside attendant (tender) must:
- Be trained in HBO procedures and first aid and be capable of managing emergencies at pressure (Correct answer)
- Hold a physician's license to legally enter the chamber
- Be a patient receiving concurrent HBO treatment
- Monitor operations only from the external control panel
Correct answer: Be trained in HBO procedures and first aid and be capable of managing emergencies at pressure
Inside tenders must be trained hyperbaric professionals capable of responding to patient emergencies while at treatment pressure.
Question 5: Before a patient is cleared for HBO therapy, a pre-treatment assessment must include:
- Medical history, physical exam, contraindication screening, and physician order (Correct answer)
- Only a signed consent form
- Insurance pre-authorization only
- A blood oxygen saturation reading at rest only
Correct answer: Medical history, physical exam, contraindication screening, and physician order
Thorough pre-treatment screening identifies contraindications and optimizes patient safety before initiating hyperbaric treatment.
Question 6: The UHMS-approved indications list is important for hyperbaric facilities because:
- It defines reimbursable diagnoses and guides clinical decision-making for appropriate HBO use (Correct answer)
- It sets the maximum chamber operating pressure allowed by law
- It replaces individual physician judgment in all treatment decisions
- It lists only unapproved experimental uses of HBO
Correct answer: It defines reimbursable diagnoses and guides clinical decision-making for appropriate HBO use
The UHMS indication list is used by CMS and insurers for reimbursement eligibility and guides clinicians on evidence-based use of HBO.
Certified Hyperbaric Technologist Test CHT Hyperbaric Facility Management and Quality Assurance 2
A quality assurance (QA) review in a hyperbaric program should include regular audit of: