[MCOH-EH] Are some brands of N95 masks superior to others?

Schirle, Rebecca Rebecca.Schirle at kingcounty.gov
Thu Apr 27 12:29:27 PDT 2017


We have had the same experience. Most staff are fit tested to 3M 1870+, then we go to 3M 1860 or 1860S. I have a few employees who use the Wilson T Fit XL as they need a larger respirator. We do use the Kimberly Clark with the safety seal for a few people, but mostly the 3M. 

Rebecca Schirle RN MN MPH COHN-S
Employee Health and Safety Coordinator
Public Health Seattle and King County
401 Fifth Ave. Suite 1300
Seattle, WA 98104
Office: (206) 263-8735
Fax:      (206) 205-5430
Mailstop: CNK-PH-1300


-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Wyatt, Melissa
Sent: Thursday, April 27, 2017 12:22 PM
To: mcoh-eh at mylist.net
Subject: Re: [MCOH-EH] MCOH-EH Digest, Vol 252, Issue 138

Several years ago we switched to Kimberly-Clark when we were having back order issues w/3M. We had the same issues w/Kimberly-Clark that you are experiencing  and switched to 3M 1870/1870+ Aura. 
I estimate 95-97% of our staff are able to pass with the 1870+ Aura. The remaining few wear the 3M 1860 or 1860S and a handful require use of a larger N95 mask from 3M - Melissa

Melissa Wyatt RN BS COHN-S
Director Employee Health/Workers Compensation
205 Camden, IHE Bldg.  #101, San Antonio, TX 78215 Office = 210-297-7861 Mobile = 210-884-7793 Fax = 210-297-0094

PART OF TENET HEALTHCARE


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Subject: MCOH-EH Digest, Vol 252, Issue 138

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Today's Topics:

   1.  Are some brands of N95 masks superior to others? (Tim Crump)
   2. Re:  Are some brands of N95 masks superior to others?
      (Thanassi, Wendy)
   3. Re:  Are some brands of N95 masks superior to others?
      (Hodgson, Michael - OSHA)


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

Message: 1
Date: Thu, 27 Apr 2017 18:46:23 +0000
From: "Tim Crump" <crumpt at ohsu.edu>
To: "'MCOH/EH'" <mcoh-eh at mylist.net>
Cc: "Tammy Wade" <wadeta at ohsu.edu>
Subject: [MCOH-EH] Are some brands of N95 masks superior to others?
Message-ID: <5136180F3C8AB8408C0CCFC4430CD2E374591FEB at EXMB10.ohsu.edu>
Content-Type: text/plain; charset="us-ascii"

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 at ohsu.edu<mailto:crumpt at ohsu.edu>

Tues, Thurs, Fri, 8-4:30

[cid:3381310330_334556]

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Message: 2
Date: Thu, 27 Apr 2017 18:51:15 +0000
From: "Thanassi, Wendy" <Wendy.Thanassi at va.gov>
To: MCOH/EH <mcoh-eh at mylist.net>
Cc: Tammy Wade <wadeta at ohsu.edu>
Subject: Re: [MCOH-EH] Are some brands of N95 masks superior to
	others?
Message-ID:
	<1C146C062A1C154EB3FC66642F006D630721C7F8 at VAPNSMSGD51S09.vha.med.va.gov>
	
Content-Type: text/plain; charset="us-ascii"

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

From: MCOH-EH [mailto:mcoh-eh-bounces at 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 at ohsu.edu<mailto:crumpt at ohsu.edu>

Tues, Thurs, Fri, 8-4:30

[cid:3381310330_334556]

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Message: 3
Date: Thu, 27 Apr 2017 18:54:23 +0000
From: "Hodgson, Michael - OSHA" <Hodgson.Michael at dol.gov>
To: MCOH/EH <mcoh-eh at mylist.net>
Cc: Tammy Wade <wadeta at ohsu.edu>
Subject: Re: [MCOH-EH] Are some brands of N95 masks superior to
	others?
Message-ID: <F822B9F0BD3C7AA3BB328869CAF002A6F53C877B at unknown>
Content-Type: text/plain; charset="windows-1252"

There

________________________________
On: 27 April 2017 14:52, "Thanassi, Wendy" <Wendy.Thanassi at va.gov> wrote:
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 at 01CE4591.3F9AB100]
Providing the best Occupational Medicine Care Anywhere?for VHA Employees and Veterans VHAOccupationalEnviroMedConsult at va.gov<mailto:VHAOccupationalEnviroMedConsult at va.gov>  or https://vaww.portal.va.gov/sites/ohshg/OEMedicineConsults

From: MCOH-EH [mailto:mcoh-eh-bounces at 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 at ohsu.edu<mailto:crumpt at ohsu.edu>

Tues, Thurs, Fri, 8-4:30

[cid:3381310330_334556]

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