Hyperbaric Oxygen Therapy Center Evacuation Form

Emergency situations at hyperbaric oxygen therapy facilities require specialized protocols that go far beyond standard evacuation procedures. When patients are undergoing treatment in pressurized chambers, immediate evacuation isn't possible—safe decompression procedures must be followed to prevent decompression sickness or embolism, even during fires, natural disasters, or other critical emergencies.

This Hyperbaric Oxygen Therapy Center Evacuation Form provides a structured, step-by-step checklist for clinical staff, chamber operators, and emergency coordinators to document the evacuation process in real time. The form captures critical information about patients currently in chambers, tracks pressure equalization procedures, monitors oxygen supply shutdown protocols, and maintains an accurate headcount of both patients and staff throughout the emergency.

Built for the unique demands of hyperbaric facilities

Hyperbaric treatment centers, wound care clinics with HBOT capabilities, diving medicine facilities, and hospital-based hyperbaric units face unique evacuation challenges. This template is designed specifically for healthcare administrators, hyperbaric safety officers, chamber operators, and medical staff who need to:

• Document patients in active treatment with current chamber pressure, treatment time remaining, and medical status
• Track controlled decompression procedures to ensure patient safety during emergency evacuation
• Monitor oxygen supply systems and emergency shutdown protocols
• Maintain accountability for all staff members, patients, and visitors during the crisis
• Record critical timestamps for incident reporting and regulatory compliance
• Coordinate with emergency services while managing specialized medical equipment

Streamlined emergency documentation when seconds matter

During a hyperbaric facility emergency, documentation must be fast, accurate, and accessible to multiple team members. This Paperform template allows staff to complete the evacuation checklist on any device—desktop computer at the nurses' station, tablet carried by the safety officer, or smartphone during the evacuation process itself.

The form uses conditional logic to show relevant fields based on the type of emergency and current operational status. If chambers are occupied, the form reveals detailed patient tracking sections. If the oxygen system requires emergency shutdown, specific safety protocols appear automatically. This intelligent structure prevents information overload while ensuring nothing critical is missed.

All submissions are instantly recorded and can be viewed by authorized personnel, exported for incident reports, or integrated with your hospital management system. For facilities managing multiple chambers or treatment rooms, the form scales to document complex scenarios involving multiple patients at different stages of decompression.

Integration with healthcare workflows using Stepper

For healthcare facilities with comprehensive emergency management systems, this form can trigger automated workflows through Stepper. When an evacuation form is submitted, Stepper can automatically notify the hospital emergency operations center, alert off-duty hyperbaric staff, update the facility status board, and create incident reports in your healthcare documentation system—all without manual intervention.

This automation ensures that even during high-stress emergencies, critical information flows to the right people at the right time, and documentation requirements for regulatory bodies like The Joint Commission or state health departments are automatically satisfied.

Professional, compliant emergency documentation

Trusted by healthcare facilities worldwide, this Paperform template meets the documentation standards required by hyperbaric safety guidelines and emergency preparedness regulations. The SOC 2 Type II compliance ensures your sensitive patient and incident data is protected, while the flexible structure adapts to your facility's specific emergency protocols and organizational requirements.

Whether you're managing a standalone hyperbaric clinic, a hospital-based wound care center, or a multi-chamber diving medicine facility, this evacuation form template provides the professional, structured documentation system you need when every second counts.