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DPH Respiratory Protection During Emergencies Shawn Holle Occupational Safety & Health Section N95 PAPR
What is a Respirator? Protects Against Multiple Airborne Contaminants
Respirators   vs. Surgical Masks Surgical Masks Protect By Keeping It IN Respirators Protect By Keeping it OUT
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
Cal-OSHA Requirements: Title 8, 5144 Written Respiratory Protection Program Medical Evaluation Proper Use Procedures Recurrent Fit Testing & Training Inspection & Maintenance Procedures Program Evaluation
Written Respiratory Protection Program Defines Responsibilities Provides Information on Respirator Selection Provides Information on Program Implementaton & Maintenance
Roles & Responsibilities Administration Implement Program OSH Section Review Questionnaires Provide Annual & in Time Fit Testing Provide Annual & in Time Training
Roles & Responsibilities Employees Attend Medical Evaluations, Training, & Fit Testing No Facial Hair  Inform Supervisor:  Unable to Wear Respirator Does Not Fit Malfunctions
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
Potential Exposures  Airborne Transmissible Diseases TB Pandemic Flu Outbreak Avian Flu SARS Smallpox
DPH Selected Respirators N 95 Facepiece Filtering Respirators High Efficiency Particulate Air (HEPA) Powered Air Purifying Respirators (PAPRs)
N95 Facepiece Filtering Respirator Recommended by CDC for Use Against ATDs User Draws Air Through the Facepiece 95% of Particles Blocked .80 Cents Each
N95 Limitations They Leak Risk Reduced But Not Eliminated Facial Hair Compromises Seal  Don’t Work O2 Deficient Atmospheres  Breathing Resistance Increases Over Time
PAPRs Battery Motor Sucks Air Through Filters 99.97% of Particles Blocked Pushes Fresh Air Into the Headpiece $800 Each For Complete Ensemble
PAPR Limitations Can’t Be Used in O2 Deficient Atmospheres 8 - 10 Hour Battery Life Noisy Expensive
Improper Fit, Usage or Maintenance Can Compromise Respirator Protection Right Tool the Right Way
Respirator Training   Required Emergency Workers Retrained As Needed Isolation Unit Workers Annually Trained
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)
N95 Usage Inspections Visual Inspection Before & After Use Check Strap Integrity Check for Facepiece Tears or Cuts Check For Deformities
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
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
Removing N95 Place Gloved Hand Over Front of Facepiece Pull Straps Over Head Remove Respirator From Face Discard In Glove
Respirator Storage Routine Use Respirators Located On Site Emergency Use Respirators Cached Throughout DPH System
Summary Use Respirator As Trained Facial Hair Decreases Protection Inform Supervisor of Any Respirator Problems

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  • 1. DPH Respiratory Protection During Emergencies Shawn Holle Occupational Safety & Health Section N95 PAPR
  • 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
  • 10. Potential Exposures Airborne Transmissible Diseases TB Pandemic Flu Outbreak Avian Flu SARS Smallpox
  • 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