Authorization of Centres, Services and Sanitary Establishments

Royal Decree 12772003, of 10 October, establishing the general bases for the authorisation of health centres, services and establishments.

U.92 Hyperbaric Medicine: Care unit linked to a hospital, which under the responsibility of a physician, administrates oxygen to the organism, in a pressurized environment, for diagnostic or therapeutic purposes.

Diving companies, diving clubs, diving resorts, schools and, in general, any public or private entity, with the exception of the military, that carries out any activity in which people are subjected to a hyperbaric environment:

  • Ensure that all “plants and equipment” used or to be used in or related to hyperbaric operations are reviewed, tested, controlled and repaired or replaced in accordance with current legislation, due to keeping the corresponding review documentation up to date.
  • Have a “Record Book / Equipment Control” which specifies the facilities and equipment available to the entity to perform this activity, as well as the controls performed on such equipment.

Article 25. Medical examinations of persons who are subjected to a hyperbaric environment.

  • Any person who undergoes a hyperbaric environment must first carry out a specialized medical examination.
  • This examination or subsequent recognitions must be performed by physicians who possess a degree, specialty, diploma or certificate, related to underwater activities, issued by an official body.
  • Periodic examinations shall be compulsory in order to gain access to any qualification or certificate that qualifies for a hyperbaric environment, apart from the initial examination (this must be included in an official medical certificate).

Article 23. Hyperbaric Chamber.

    • The hyperbaric chamber is used to perform or complete periods of surface decompression, or to perform recompression as part of diving operations.
    • In professional diving, access to a hyperbaric chamber is guaranteed at the following time intervals and in relation to the respective depths:
      • Within a maximum of six hours when the professional diving activity has taken place at a depth of less than 10 metres and with a decompression time of less than 20 minutes.
      • Within a maximum of two hours when the professional diving activity has taken place between 10 and 50 meters deep and with a decompression time of less than 20 minutes.
      • A hyperbaric chamber shall be available at the same location as professional diving when working at depths greater than 50 metres or when planning dives with a decompression time of 20 minutes or more.
    • The hyperbaric chamber will be operated by a qualified operator.
    • The application of treatment, if deemed necessary, shall be prescribed by medical personnel, either in person or by remote assistance.

Article 25. Medical examinations of persons who are subjected to a hyperbaric environment.

    • Any person who undergoes a hyperbaric environment must first carry out a specialized medical examination.
    • This examination or subsequent recognitions must be performed by physicians who possess a degree, specialty, diploma or certificate, related to underwater activities, issued by an official body.
    • Periodic examinations shall be compulsory in order to gain access to any qualification or certificate that qualifies for a hyperbaric environment, apart from the initial examination (this must be included in an official medical certificate).
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