[MCOH-EH] MCOH-EH Digest, Vol 252, Issue 140

Corrigan, Mary mary_corrigan at harvard.edu
Thu Apr 27 12:39:54 PDT 2017
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With our 200+ medical students each year,  we have very good results with the 3M 1860 and the Kimberly-Clark Technol (aka "duckbill")...

As part of the registration for the quantitative fit test (TSI Porta-count) we remind the students that they must be clean-shaven, and we also have a supply of razors and shaving cream-- just in case!   We have adopted these respirators for our fit-testing program because they are the ones in use in the hospitals where the vast majority of clinical clerkships are performed.  For our police department, we also include the 3M 1870:  I like that it can be stored and transported flat/folded and also that it is an individually packaged respirator.


Mary


Mary Julie Corigan, CIH, SM
Associate Director
Harvard University
EHS Department
617.496.4746



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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)


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Message: 1
Date: Thu, 27 Apr 2017 12:01:15 -0700
From: Amy Behrman <behrman at mail.med.upenn.edu>
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: <368FC14E-1B1C-48B2-BD34-A83A629E5351 at 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 at 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 at ohsu.edu
>  
> Tues, Thurs, Fri, 8-4:30
>  
> <image001.gif>
>  
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Message: 2
Date: Thu, 27 Apr 2017 19:08:15 +0000
From: "Hinman, Ashley" <ashley-hinman at uiowa.edu>
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:
	<1AB5C9A11443024895EB5A66EFD6C5ED98534D14 at 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 at uiowa.edu<mailto:ashley-hinman at uiowa.edu>

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From: MCOH-EH [mailto:mcoh-eh-bounces+ashley-hinman=uiowa.edu at 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 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

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