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 12:00 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?
      (Hodgson, Michael - OSHA)
   2. Re:  Are some brands of N95 masks superior to others?
      (Kathy.Dayvault@dekalbmedical.org)


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

Message: 1
Date: Thu, 27 Apr 2017 18:55:48 +0000
From: "Hodgson, Michael - OSHA" <Hodgson.Michael@dol.gov>
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: <6CCAAB329D1FCFB1D4469F4BD1F22967ABF3D3F2@unknown>
Content-Type: text/plain; charset="us-ascii"

Chris Coffee from NIOSH has a publication in his from ~15 years ago

________________________________
On: 27 April 2017 14:47, "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<mailto:crumpt@ohsu.edu>

Tues, Thurs, Fri, 8-4:30

[cid:3381310330_334556]

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Message: 2
Date: Thu, 27 Apr 2017 14:57:17 -0400
From: Kathy.Dayvault@dekalbmedical.org
To: MCOH/EH <mcoh-eh@mylist.net>
Cc: "MCOH-EH" <mcoh-eh-bounces@mylist.net>,     Tammy Wade
        <wadeta@ohsu.edu>
Subject: Re: [MCOH-EH] Are some brands of N95 masks superior to
        others?
Message-ID:
        <OFF17420AB.9C388F35-ON8525810F.006786CD-8525810F.00681AC4@dekalbmedical.org>

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

According to OSHA regulations, you have to offer more than 1 type of
respirator.

We Use the duck bill and  the 3M 1860 regular and small.

For very small faces, the 3M 1870s, works very well.

Men are required to shave (not clean) so that there is no hair between the
seal of the mask and the skin...also in the OSHA reg.

Very full beards are an Infection control issue as well and in patient
facing areas such as nursing units, their beards should be well trimmed.

If a male has a religious or medical reason for not shaving, they are sent
to HR, employee relations for an accommodation.

Hope this helps!

Kathy Dayvault, RN, BSN, MPH
 Manager, Occupational Health and Safety
 WorksWell Onsite
 Dekalb Medical  2701 North Decatur Road
 Decatur, GA 30033
ph: 404.501.4972 Fax:404-501-2045
kathy.dayvault@dekalbmedical.org




From:   "Tim Crump" <crumpt@ohsu.edu>
To:     "'MCOH/EH'" <mcoh-eh@mylist.net>,
Cc:     Tammy Wade <wadeta@ohsu.edu>
Date:   04/27/2017 02:47 PM
Subject:        [MCOH-EH] Are some brands of N95 masks superior to others?
Sent by:        "MCOH-EH" <mcoh-eh-bounces@mylist.net>



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



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