Baromedical Nurses Association (BNA) Announces Release of Updated Guidelines

  • Jolene Cormier and Dana Winn
  • Volume 09 - Issue 3

Information provided by Jolene Cormier and Dana Winn, Director at Large representatives in the BNA.

The Baromedical Nurses Association (BNA) announces the release of the updated 2018 Guidelines of Nursing Care for the Patient Receiving Hyperbaric Oxygen Therapy. Find it at:

It was formerly called the Nursing Standards of Care, first published in 2007. Baromedical nursing’s origins began in 1950s Europe, quickly moving outward.

In addition to a new title, many things inside the book have changed. One of the most exciting developments is the increased focus on offering up-to-date evidence-based guidelines. In 2001 the Institute of Medicine recommended a stronger focus on evidence-based practice in its report, “Crossing the Quality Chasm”1. This was reiterated in the 2003 report, “Health Professions Education”2.


In light of these recommendations, the BNA has established a formal process to ensure ongoing review and revision of these guidelines.

“The BNA supports nursing research and closing the research-practice gap,” notes Jolene Cormier, who helped draft the revised guidelines, “and we have always strived to use evidence to support our guidelines.”

As in the previous release of the document, a detailed and updated reference section is provided.

The BNA has enhanced the guidelines to include the nursing management of potential problems related to the hyperbaric patient’s medical condition(s). New guidelines for conditions
related to hyperbaric therapy include the potential for vision changes and for unstable blood glucose levels related to hyperbaric oxygen therapy. The guidelines continue to take a whole-person view and address potential problems that are not strictly related to the hyperbaric chamber environment. These include imbalanced nutrition/lower than body requirements, anxiety, pain, physical mobility, and coping. This holistic approach to the care of the patient receiving hyperbaric therapy exemplifies the BNA focus on integrating evidence-based practice with the art of nursing and person-centered care. It also encourages compliance with CMS requirements about caring for patients with foot ulcers complicated by diabetes by requiring optimized vascular status, glucose control, nutrition status, appropriate offloading, comprehensive wound care and resolving infection.


  1. Institute of Medicine. Crossing the quality chasm: A new health system for the 21st century. 2001. Retrieved from:
  2. Health professions education: A bridge to quality. 2--3/ Retrieved from:

About the BNA

The BNA was established in June 1985 to provide registered nurses practicing in hyperbaric medicine a formal organization within which they can develop a network and provide professional support. This organization has grown and expanded outside the boundaries of the United States. Today, the BNA has members in Canada, Europe, Asia, South and Central America, and the South Pacific. The BNA remains dedicated to offering educational opportunities, supporting nursing research efforts, representing the BNA to other national organizations in committees and board participation, having a public voice in general and specialty issues impacting nursing, and providing networking and information exchange opportunities.

Hyperbaric Medicine

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