[MCOH-EH] PAPR USE IN ACUTE CARE SETTING

[Karen Chase]

Training and information. This paragraph requires the employer to provide effective training to employees who are required to use respirators. The training must be comprehensive, understandable, and recur annually, and more often if necessary. This paragraph also requires the employer to provide the basic information on respirators in Appendix D of this section to employees who wear respirators when not required by this section or by the employer to do so.
1910.134(k)(1) 
The employer shall ensure that each employee can demonstrate knowledge of at least the following:
1910.134(k)(1)(I) 
Why the respirator is necessary and how improper fit, usage, or maintenance can compromise the protective effect of the respirator;
1910.134(k)(1)(ii) 
What the limitations and capabilities of the respirator are;
1910.134(k)(1)(iii) 
How to use the respirator effectively in emergency situations, including situations in which the respirator malfunctions;
1910.134(k)(1)(iv) 
How to inspect, put on and remove, use, and check the seals of the respirator;
1910.134(k)(1)(v) 
What the procedures are for maintenance and storage of the respirator;
1910.134(k)(1)(vi) 
How to recognize medical signs and symptoms that may limit or prevent the effective use of respirators; and
1910.134(k)(1)(vii) 
OSHA General Industry Standard on Respiratory Protection  29 CFR 1910.134

The general requirements of this section.
1910.134(k)(2) 
The training shall be conducted in a manner that is understandable to the employee.
1910.134(k)(3) 
The employer shall provide the training prior to requiring the employee to use a respirator in the workplace.
1910.134(k)(4) 
An employer who is able to demonstrate that a new employee has received training within the last 12 months that addresses the elements specified in paragraph (k)(1)(i) through (vii) is not required to repeat such training provided that, as required by paragraph (k)(1), the employee can demonstrate knowledge of those element(s). Previous training not repeated initially by the employer must be provided no later than 12 months from the date of the previous training.
1910.134(k)(5) 
Retraining shall be administered annually, and when the following situations occur:
1910.134(k)(5)(i) 
Changes in the workplace or the type of respirator render previous training obsolete;
1910.134(k)(5)(ii) 
Inadequacies in the employee's knowledge or use of the respirator indicate that the employee has not retained the requisite understanding or skill; or
1910.134(k)(5)(iii) 
Any other situation arises in which retraining appears necessary to ensure safe respirator use.
1910.134(k)(6) 
The basic advisory information on respirators, as presented in Appendix D of this section, shall be provided by the employer in any written or oral format, to employees who wear respirators when such use is not required by this section or by the employer.


Karen Chase RN
Manager Infection Prevention & Control
Employee Health
New London Hospital
273 County Road
New London, NH 03257
tel 603-526-5548
fax 603-526-5176
email   Karen.Chase at NewLondonHospital.org 


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>>> "Senior, Cathy (DRMC)" <CESenior at phhealthcare.org> 08/06/2014 2:00 PM >>>

We have all employees do this questionnaire on hire.  That is what I want to know if it is an annual requirement for PAPR use.  I realize that is it an annual requirement for fit testing for the N95 but wanted to omit the annual questionnaire for those using a paper.  Also how do you do your annual training on the paper?

Cathy Senior RN BSN CDE
Employee Health Director
Penn Highlands DuBois
100 Hospital Avenue
P.O. Box 447
DuBois Pa 15801
Phone 814-375-3392
Fax 814-372-2610
cesenior at phhealthcare.org 
www.phhealthcare.org 

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Murphy, Andrea
Sent: Wednesday, August 06, 2014 1:43 PM
To: 'MCOH/EH'
Subject: Re: [MCOH-EH] PAPR USE IN ACUTE CARE SETTING

I interpret OSHA's regs to mean  anyone using a respirator   (N 95 or PAPR) must fill out the medical evaluation. This is not an annual requirement though.  The only annual requirement is fit testing for the N 95.

Andrea Murphy  RN
Infection Prevention/Employee Health Coordinator

[cid:image002.jpg at 01CFB17E.BD126A10] 
North Conway, NH 03860
Ext 2288  or
603 356 0626 office
603 356 6475 fax

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Senior, Cathy (DRMC)
Sent: Wednesday, August 06, 2014 1:37 PM
To: 'MCOH/EH'
Subject: [MCOH-EH] PAPR USE IN ACUTE CARE SETTING





We use Max Air System Powered Air Purifying Respirators at our facility. Recently it was brought to my attention that these cannot be used in the operating room or the MRI dept. Therefore we started doing fit testing for these departments so they can use the N95 mask. We do  the OSHA Respirator Medical Evaluation Questionnaire for all employees however I wanted to know do other facilities just to the questionnaire for only employees who use the N95 or for all employees?
Cathy Senior RN BSN CDE
Employee Health Director
Penn Highlands DuBois
100 Hospital Avenue
P.O. Box 447
DuBois Pa 15801
Phone 814-375-3392
Fax 814-372-2610
cesenior at phhealthcare.org<mailto:cesenior at phhealthcare.org>
www.phhealthcare.org<http://www.phhealthcare.org>