This document summarizes the respiratory protection program at the Department of Public Health. It discusses the roles of respirators and surgical masks, Cal-OSHA requirements for a written program, roles and responsibilities, medical evaluations, potential exposures, selected respirator types including N95 and PAPR, training requirements, fit testing, inspections, usage, storage and highlights the importance of proper use and notifying supervisors of any issues.
2. What is a Respirator? Protects Against Multiple Airborne Contaminants
3. Respirators vs. Surgical Masks Surgical Masks Protect By Keeping It IN Respirators Protect By Keeping it OUT
4. Why Respiratory Protection? Isolation Unit Workers Exposed to Airborne Transmissible Diseases (ATDs) Emergency Planning & Preparedness DPH Wants to Be Prepared in Any Contingency Respiratory Protection Included in Long Range Planning
5. Cal-OSHA Requirements: Title 8, 5144 Written Respiratory Protection Program Medical Evaluation Proper Use Procedures Recurrent Fit Testing & Training Inspection & Maintenance Procedures Program Evaluation
6. Written Respiratory Protection Program Defines Responsibilities Provides Information on Respirator Selection Provides Information on Program Implementaton & Maintenance
7. Roles & Responsibilities Administration Implement Program OSH Section Review Questionnaires Provide Annual & in Time Fit Testing Provide Annual & in Time Training
8. Roles & Responsibilities Employees Attend Medical Evaluations, Training, & Fit Testing No Facial Hair Inform Supervisor: Unable to Wear Respirator Does Not Fit Malfunctions
9. Medical Evaluations Required Questionnaire Reviewed by HCP Further Medical Examination at SFGH OHS Clinic Employee May Use Personal Physician Confidential Medical Results Employer Is Told if Employee Can Wear a Respirator
11. DPH Selected Respirators N 95 Facepiece Filtering Respirators High Efficiency Particulate Air (HEPA) Powered Air Purifying Respirators (PAPRs)
12. N95 Facepiece Filtering Respirator Recommended by CDC for Use Against ATDs User Draws Air Through the Facepiece 95% of Particles Blocked .80 Cents Each
13. N95 Limitations They Leak Risk Reduced But Not Eliminated Facial Hair Compromises Seal Don’t Work O2 Deficient Atmospheres Breathing Resistance Increases Over Time
14. PAPRs Battery Motor Sucks Air Through Filters 99.97% of Particles Blocked Pushes Fresh Air Into the Headpiece $800 Each For Complete Ensemble
15. PAPR Limitations Can’t Be Used in O2 Deficient Atmospheres 8 - 10 Hour Battery Life Noisy Expensive
16. Improper Fit, Usage or Maintenance Can Compromise Respirator Protection Right Tool the Right Way
17. Respirator Training Required Emergency Workers Retrained As Needed Isolation Unit Workers Annually Trained
18. Fit Testing Required Quantitative: Compares Outside Particles to Inside Particles Qualitative: Fit Determined Subjectively Fit Testing Will Be Conducted at Multiple DPH Sites As Needed (Just In Time Fit Testing)
19. N95 Usage Inspections Visual Inspection Before & After Use Check Strap Integrity Check for Facepiece Tears or Cuts Check For Deformities
20. N95 Usage Putting on the Respirator Cup Respirator in Hand With Straps Hanging Place Respirator Onto Face (Chin First) Pull Top Strap Over & Position At Back of Head Pull Bottom Strap Over on Neck Below Ears Use Fingertips to Shape Nose Clip
21. How Long Can I Wear an N95? 8 to 12 Hours if Kept Clean Not Damaged Permitted by Infection Control Practices Discard Respirator Immediately If Damaged Wet Increased Breathing Resistance
22. Removing N95 Place Gloved Hand Over Front of Facepiece Pull Straps Over Head Remove Respirator From Face Discard In Glove
23. Respirator Storage Routine Use Respirators Located On Site Emergency Use Respirators Cached Throughout DPH System
24. Summary Use Respirator As Trained Facial Hair Decreases Protection Inform Supervisor of Any Respirator Problems