[MCOH-EH] N95 Fit Testing Process
Davis, Sue
Sue.Davis at nmhs.org
Wed May 31 08:16:11 PDT 2017
Actually the Medical Evaluation Questionnaire only has be completed when: 1910.134 (e)(7)
1) If the employee reports signs and symptoms related to the respirator use
2) RN, Sup, Prog adm informs employer that employee needs to be re-eval
3) Observation determines need for re-evaluation
4) Change in workplace conditions (physical work effort, protective clothing, temp) may restuls in substantial increase in physiological burden.
So the full questionnaire doesn't need to be completed annually.
Thank you,
Sue Davis MS, BSN, RN, CVRN - BC, NE-BC, CCRN-K
Service Leader, Learning Center & Employee Health
Methodist Health System
8601 West Dodge Road, Suite 18, Omaha, NE 68114
Phone: (402) 354-5694
Learning Center Fax: (402) 354-5466
Employee Health Fax: (402) 354-8819
sue.davis at nmhs.org<mailto:sue.davis at nmhs.org>
Making life easier, one day at a time :)
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Nancy Rodway
Sent: Tuesday, May 30, 2017 1:45 PM
To: MCOH/EH
Subject: [EXTERNAL] Re: [MCOH-EH] N95 Fit Testing Process
Regardless of the logic, it is still mandatory....but fit testing of non-PAPR respirators is (surprisingly) not despite the occupational urban legend that it is.
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From: MCOH-EH <mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>> on behalf of Senior, Cathy (Employee Health) <CESenior at phhealthcare.org<mailto:CESenior at phhealthcare.org>>
Sent: Tuesday, May 30, 2017 2:38 PM
To: 'MCOH/EH'
Subject: Re: [MCOH-EH] N95 Fit Testing Process
Yes, I understand that the questionnaire is for medical stability but most of the questions refer to wearing a tight fitting mask that may make if difficult for some to breath whereas a hood is not constrictive. The biggest challenge is if the worker is claustrophobic and even then I have not found anyone who has difficulty with the PAPR. Is anyone aware of a different questionnaire depending on what mask you are going to wear? I also understand that the questionnaire is an OSHA mandate, therefore we do the questionnaire annually but use the same questionnaire for both PAPR and for N95. We use PAPR's except for the OR staff who must be tested for use of N95 masks. Thanks for your input.
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>
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From: MCOH-EH [mailto:mcoh-eh-bounces+cesenior=phhealthcare.org at mylist.net] On Behalf Of Nancy Rodway
Sent: Tuesday, May 30, 2017 1:46 PM
To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: Re: [MCOH-EH] N95 Fit Testing Process
Yes. the questionnaire is for medical stability, not fit testing
Nancy Rodway MD MPH FACOEM
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From: MCOH-EH <mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>> on behalf of Senior, Cathy (Employee Health) <CESenior at phhealthcare.org<mailto:CESenior at phhealthcare.org>>
Sent: Tuesday, May 30, 2017 12:56 PM
To: 'MCOH/EH'
Subject: Re: [MCOH-EH] N95 Fit Testing Process
Does everyone do the annual questionnaires even when using the PAPRs?
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<https://urldefense.proofpoint.com/v2/url?u=http-3A__www.phhealthcare.org&d=DwMF-g&c=kxdwc7HB3AJZ-oqYwvvR_w&r=ZWIacbfpzd_Lky_E1VB9dV9MNUM6AL2UUAw2IHT0RsM&m=p1sBUdKrgChlAGDsNkL5RCXOXV1CccYNAiX8Znmoh-0&s=mYyasxydM1Is0TTrwvzZOMNuSUdeqbd9-lPO4Yzycu4&e=>
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From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Hanna, Raye Nell
Sent: Tuesday, May 30, 2017 11:56 AM
To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: Re: [MCOH-EH] N95 Fit Testing Process
We do them every year with the fit test.
Raye Nell
Raye Nell Hanna, RN, MPH, COHN-S
Manager Employee Health Services
Covenant Health
3615 19th St
Lubbock, TX 79410
Phone- 806-725-0098 or 806-725-0629
Fax 806-725-0581
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Elizabeth.Moline at capellahealth.com<mailto:Elizabeth.Moline at capellahealth.com>
Sent: Tuesday, May 30, 2017 10:51 AM
To: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] N95 Fit Testing Process
How often do you review respirator questionnaires? Every year with fit testing?
Beth
Beth Colbert Moline, MSN, FNP-BC
Nurse Practitioner, Occupational Medicine
National Certified Medical Examiner
WIllamette Valley Medical Center
(503) 435 6556 FAX (503) 435-6555
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From: MCOH-EH [mailto:mcoh-eh-bounces+elizabeth.moline=capellahealth.com at mylist.net] On Behalf Of Yvonne Noel
Sent: Tuesday, May 30, 2017 7:57 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] N95 Fit Testing Process
We do new hires when they come for Occupational Health visit. A vendor comes in to do the annuals once per year in July. Individuals who were not previously fitted and have have a job transfer during the year
To a position that requires the fit testing, schedule an appointment with Occupational Health to complete that requirement.
Yvonne Noel
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Diane Shaw
Sent: Friday, May 19, 2017 4:48 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] N95 Fit Testing Process
[This email was sent from an external source.]
Amy,
We are very limited on the number of people that do fit testing, so we moved the fit testing to due by date of hire. This prevented the clumping of 300+ people all trying to get fit tested in the same month that everyone's performance review was due. All new hires are tested at the time of the post offer pre-employment exam.
Diane M. Shaw, BSN, RN, COHN-S
Employee Health Nurse/Employee Health Services
Tuality Healthcare
OHSU Partner
335 S.E. 8th Ave.
Hillsboro, OR 97123
diane.shaw at tuality.org<mailto:diane.shaw at tuality.org>
tel: 503-681-1444 l fax: 503-681-4170
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From: MCOH-EH [mailto:mcoh-eh-bounces+diane.shaw=tuality.org at mylist.net] On Behalf Of Amy Olson
Sent: Friday, May 19, 2017 12:42 PM
To: 'MCOH/EH'
Subject: [MCOH-EH] N95 Fit Testing Process
Happy Friday,
We are moving to a new performance management system. Currently employees are evaluated in the month of their hire date. All of their annual requirements (fit testing, competencies, etc.) are to be completed prior to their review and if they are not completed the employee does not receive any increases they may be entitled to until it is completed. This has worked fairly well in ensuring people keep up on their requirements. The new system will have everyone being reviewed in the same time frame. We are looking at whether it would make sense to do the same with our fit testing. Designate a month and crank out all the fit tests and be done. Then you address new hires as they start. There are pros and cons to either method.
What are you all doing? What has worked well? Would you change? Have you recently switched to one system or the other? If so, why? Really any pearls relative to this experience would be most appreciated.
Amy Olson, BSN, MS, COHN-S
Director, Employee Health and Wellness
Johns Hopkins All Children's Hospital
500 Seventh Avenue South, Suite 103
St. Petersburg, FL 33701
P 727-767-8211 | F 727-767-8399
aolson9 at jhmi.edu<mailto:aolson9 at jhmi.edu>
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