rpp training

DPHRespiratory Protection During Emergencies

Shawn HolleOccupational 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 UsageInspections

Visual Inspection Before & After Use

Check Strap Integrity

Check for Facepiece Tears or Cuts

Check For Deformities

N95 UsagePutting 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