We currently use the 3M1860S, 3M1860 Regular, and Kimberly Clark duckbill (small) and have the same issue. About 1/3 of our staff can not fit to any of the N95 respirators we offer due to facial changes as in pregnancy, facial hair or just not a satisfactory fit and are assigned a PAPR. Our N95s are needed infrequently at our facilities, which also causes the problem of improper mask placement despite annual training. We are in the process of looking at replacing our current PAPR with a MaxAir CAPR. This is a more comfortable, faster donning/doffing, more patient friendly "PAPR." The added benefits would be increased protective factor and an overall cost savings by no longer having to perform fit testing annually. Unfortunately, we would need to continue fit testing OR staff, but I believe that Syntech is in the process of FDA/NIOSH approval of the CAPR for use in sterile environments. 

Hope this helps...my big issue with N95 respirators is the less than optimal protection they provide in light of increased globalization and novel diseases.  

Jayme Kasman RN, MSN

Employee Health Nurse
Barton Occupational Health

P. 775.589.8935  F. 775.589.8987

jkasman@bartonhealth.org

www.bartonhealth.org

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On Thu, Apr 27, 2017 at 12:08 PM, <mcoh-eh-request@mylist.net> wrote:
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Today's Topics:

   1. Re:  Are some brands of N95 masks superior to others?
      (Amy Behrman)
   2. Re:  Are some brands of N95 masks superior to others?
      (Hinman, Ashley)


----------------------------------------------------------------------

Message: 1
Date: Thu, 27 Apr 2017 12:01:15 -0700
From: Amy Behrman <behrman@mail.med.upenn.edu>
To: MCOH/EH <mcoh-eh@mylist.net>
Cc: Tammy Wade <wadeta@ohsu.edu>
Subject: Re: [MCOH-EH] Are some brands of N95 masks superior to
        others?
Message-ID: <368FC14E-1B1C-48B2-BD34-A83A629E5351@mail.med.upenn.edu>
Content-Type: text/plain; charset="us-ascii"

This is also anecdotal, but we are having a positive experience with the 3M 1870+, using the 1860S and 1860 as alternatives for clean shaven staff who can't get a good fit for the first model.

Amy Behrman,MD
University of Pennsylvania
215-662-3192


> On Apr 27, 2017, at 11:46 AM, Tim Crump <crumpt@ohsu.edu> wrote:
>
> Hello Everyone, We have had a frustrating experience in our N95 mask fit testing, in that we find that more than 1/3 cannot wear our brand of N95 mask.  In many cases this is due to men with facial hair, etc, but we also have a large number of employees who just fail the fit test twice and go onto our PAPR list for respirator protection.  For staff in surgical services, where PAPRs may not be an option, we can be really stuck.  We use the Kimberly-Clark N95 mask that comes in a regular and small size.
>
> I have heard anecdotal reports that the 3M N95 has better success rates.  Does anyone have experiences or evidence on this topic?  Given that 3M has several different N95 models, is there one type that works best in the hospital setting?  Thank you for any input or advice.  Best, Tim
>
> Tim Crump, MSN, FNP
> Tim Crump, MSN, FNP
> Family Nurse Practitioner
> Occupational Health
> Healthcare Human Resources
>
> Oregon Health & Science University
> 3181 SW Sam Jackson Park Rd
> Mail code: UHN 89
> Portland, OR 97239-3098
> Department Phone: 503-494-5271
> Office Phone: 503-346-1152
> Fax: 503-494-4457
> Email: crumpt@ohsu.edu
>
> Tues, Thurs, Fri, 8-4:30
>
> <image001.gif>
>
> The information contained in this EMAIL message is confidential and protected by law. The information is intended only for the person or business identified in the document. If you are not the intended recipient, by sharing or copying the information you are breaking the law. If you have received this EMAIL by mistake, please notify the sender of this EMAIL and do not return, copy or keep the information in the EMAIL.
>
> ---------------------------------------
> The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
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Message: 2
Date: Thu, 27 Apr 2017 19:08:15 +0000
From: "Hinman, Ashley" <ashley-hinman@uiowa.edu>
To: MCOH/EH <mcoh-eh@mylist.net>
Cc: Tammy Wade <wadeta@ohsu.edu>
Subject: Re: [MCOH-EH] Are some brands of N95 masks superior to
        others?
Message-ID:
        <1AB5C9A11443024895EB5A66EFD6C5ED98534D14@hc-mailboxc1-n2.healthcare.uiowa.edu>

Content-Type: text/plain; charset="us-ascii"

We've had great luck with the 3M 1870+ and 3M VFLEX 1805 (small and regular).  We also offer the 3M 1860 (small and regular).


Thanks,

Ashley Hinman, RN MSN
Nurse Clinician, Employee Health Clinic
University of Iowa Hospitals and Clinics
200 Hawkins Drive, 1097-1 Boyd Tower
Iowa City, IA 52242
Phone: (319) 356-3631 or (319) 353-7853; Fax: (319) 384-9697
Pager #: 1690
E-mail: ashley-hinman@uiowa.edu<mailto:ashley-hinman@uiowa.edu>

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From: MCOH-EH [mailto:mcoh-eh-bounces+ashley-hinman=uiowa.edu@mylist.net] On Behalf Of Thanassi, Wendy
Sent: Thursday, April 27, 2017 1:51 PM
To: MCOH/EH
Cc: Tammy Wade
Subject: Re: [MCOH-EH] Are some brands of N95 masks superior to others?

We do not have evidence, but the VFLEX 1805 by 3M is much more moldable/flexible and therefore in our experience has better fit profile. We switched to this one.
[https://www.healthykin.com/images/Product/large/4787.jpg]
Wendy

Wendy Thanassi MA, MD
Chief, Occupational Health Service
Office of the Deputy Director
Palo Alto VAHCS, California
650-493-5000 x 11-65214

Associate Professor Affiliated
Stanford Hospital and Clinics

[Description: Description: cid:image001.jpg@01CE4591.3F9AB100]
Providing the best Occupational Medicine Care Anywhere-for VHA Employees and Veterans
VHAOccupationalEnviroMedConsult@va.gov<mailto:VHAOccupationalEnviroMedConsult@va.gov>  or https://vaww.portal.va.gov/sites/ohshg/OEMedicineConsults

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Tim Crump
Sent: Thursday, April 27, 2017 11:46 AM
To: 'MCOH/EH'
Cc: Tammy Wade
Subject: [EXTERNAL] [MCOH-EH] Are some brands of N95 masks superior to others?

Hello Everyone, We have had a frustrating experience in our N95 mask fit testing, in that we find that more than 1/3 cannot wear our brand of N95 mask.  In many cases this is due to men with facial hair, etc, but we also have a large number of employees who just fail the fit test twice and go onto our PAPR list for respirator protection.  For staff in surgical services, where PAPRs may not be an option, we can be really stuck.  We use the Kimberly-Clark N95 mask that comes in a regular and small size.

I have heard anecdotal reports that the 3M N95 has better success rates.  Does anyone have experiences or evidence on this topic?  Given that 3M has several different N95 models, is there one type that works best in the hospital setting?  Thank you for any input or advice.  Best, Tim

Tim Crump, MSN, FNP
Tim Crump, MSN, FNP
Family Nurse Practitioner
Occupational Health
Healthcare Human Resources

Oregon Health & Science University
3181 SW Sam Jackson Park Rd
Mail code: UHN 89
Portland, OR 97239-3098
Department Phone: 503-494-5271
Office Phone: 503-346-1152
Fax: 503-494-4457
Email: crumpt@ohsu.edu<mailto:crumpt@ohsu.edu>

Tues, Thurs, Fri, 8-4:30

[cid:3381310330_334556]

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