Hospital refusing HBOT privileges

[Retrograde_Nail]

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Running into issues with obtaining privileges for HBOT dives. Leadership questioning podiatry training and scope of practice. I would do the 40 hour course required and even get ACLS certified but they are still refusing to grant or comment on privileging.

This is where the APMA would be helpful in intervening but they wouldn't. Which makes them a completely useless organization.

Is this going to come down to getting a lawyer? Anybody have experience filing a lawsuit against a hospital they are employed at? Does not seem like the smartest idea but again I am feeling disrespected.

 

[air bud]

LCR to the rescue!

 

[Weirdy]

@diabeticfootdr

 

[diabeticfootdr]

See these guidelines with sample delineation of privileges for podiatrists. You will need the 40-hour safety course. You don't need ACLS. BLS is standard.

It's considered "in the scope of practice" in most states. A few explicitly allow it, a few explicitly prohibit it, most state statutes are silent on it (which generally means allowed if you are privileged).

You can only supervise in your scope of practice (for foot and ankle conditions). Medicare allows podiatrists to supervise and bill for the service.

You shouldn't need a lawsuit. It's usually just an education issue with the medical staff office. Let me know if you need more help.

 

[diabeticfootdr]

And if someone argues with you that it's "unsafe" for a podiatrist to supervise patients in HBOT, this study (presented in poster at DFCon 2024, but not yet published) reviewed the adverse events of >200,000 dives and found that patients supervised by a podiatrist actually had a lower complication rate than if supervised by MD/DO/APP. This is likely due to the fact we are treating lower acuity patients, but it's still real data that shows it's not a safety concern for a podiatrist to supervise HBOT.

 

[Retrograde_Nail]

And if someone argues with you that it's "unsafe" for a podiatrist to supervise patients in HBOT, this study (presented in poster at DFCon 2024, but not yet published) reviewed the adverse events of >200,000 dives and found that patients supervised by a podiatrist actually had a lower complication rate than if supervised by MD/DO/APP. This is likely due to the fact we are treating lower acuity patients, but it's still real data that shows it's not a safety concern for a podiatrist to supervise HBOT.

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Thank you this was very helpful. I will let you know what comes of this.

 

[Feeter]

See these guidelines with sample delineation of privileges for podiatrists. You will need the 40-hour safety course. You don't need ACLS. BLS is standard.

It's considered "in the scope of practice" in most states. A few explicitly allow it, a few explicitly prohibit it, most state statutes are silent on it (which generally means allowed if you are privileged).

You can only supervise in your scope of practice (for foot and ankle conditions). Medicare allows podiatrists to supervise and bill for the service.

You shouldn't need a lawsuit. It's usually just an education issue with the medical staff office. Let me know if you need more help.

Is there a list somewhere of which states do not explicitly allow it?

 

[diabeticfootdr]

Is there a list somewhere of which states do not explicitly allow it?

APMA used to have a list, but it wasn't really updated.