[MCOH-EH] Are some brands of N95 masks superior to others?
Jayme Kasman
jkasman at bartonhealth.org
Thu Apr 27 12:16:58 PDT 2017
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 at bartonhealth.org
www.bartonhealth.org
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On Thu, Apr 27, 2017 at 12:00 PM, <mcoh-eh-request at mylist.net> wrote:
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> 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 at dekalbmedical.org)
>
>
> ----------------------------------------------------------------------
>
> Message: 1
> Date: Thu, 27 Apr 2017 18:55:48 +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: <6CCAAB329D1FCFB1D4469F4BD1F22967ABF3D3F2 at 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 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<mailto:crumpt at ohsu.edu>
>
> Tues, Thurs, Fri, 8-4:30
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> [cid:3381310330_334556]
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> ------------------------------
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> Message: 2
> Date: Thu, 27 Apr 2017 14:57:17 -0400
> From: Kathy.Dayvault at dekalbmedical.org
> To: MCOH/EH <mcoh-eh at mylist.net>
> Cc: "MCOH-EH" <mcoh-eh-bounces at mylist.net>, Tammy Wade
> <wadeta at ohsu.edu>
> Subject: Re: [MCOH-EH] Are some brands of N95 masks superior to
> others?
> Message-ID:
> <OFF17420AB.9C388F35-ON8525810F.006786CD-8525810F.
> 00681AC4 at 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 at dekalbmedical.org
>
>
>
>
> From: "Tim Crump" <crumpt at ohsu.edu>
> To: "'MCOH/EH'" <mcoh-eh at mylist.net>,
> Cc: Tammy Wade <wadeta at 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 at 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 at ohsu.edu
>
> Tues, Thurs, Fri, 8-4:30
>
>
>
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