[MCOH-EH] Transition from N-95 respirators to PAPRs

Erika Sweet esweet at dhs.lacounty.gov
Wed Sep 13 08:22:23 PDT 2017


A medical evaluation must be done prior to using any respirator (loose or tight fitting) per OSHA.
No fit test is needed for a loose fitting respirator.

Thanks, Erika

Erika Sweet, RN, MSN, NP, COHN-S
Director of Employee Health Services
Los Angeles County Department of Health Services
Office (310) 222.2360
FAX (310) 222.5326




From: MCOH-EH [mailto:mcoh-eh-bounces+esweet=dhs.lacounty.gov at mylist.net] On Behalf Of Susan Higgins
Sent: Wednesday, September 13, 2017 6:40 AM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Transition from N-95 respirators to PAPRs

CAPR's are Computerized Air Purifying Respirator, Manufacturer is Max Air. They are not tightfitting  like a N-95 and therefore they  do not put any additional demand on the cardiovascular or respiratory system and my understanding is therefore do not need a medical evalaution

From: MCOH-EH [mailto:mcoh-eh-bounces+shiggins=sturdymemorial.org at mylist.net] On Behalf Of TePoel, Debra A
Sent: Wednesday, September 13, 2017 8:45 AM
To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: Re: [MCOH-EH] Transition from N-95 respirators to PAPRs

Susan,
Can you tell us more about what you mean by "CAPR - loose fitting" and why there would be no need for medical clearance?

Thanks,
Deb TePoel, RN, BSN
RN Clinician * Employee Occupational Health  * United Hospital * Allina Health
Phone: 651-241-5637 * Fax: 651-241-7192 * mailto:debra.tepoel at allina.com<https://secure-web.cisco.com/1cBHOim4SeyOQ3GS3gk9diHmNjOnatQazLRG2YpeGPms1H_pTYs0phnYh_LIGTltsfk0AQ-1UaJmElbzIvELke3Vzw0ahVHWTZPRrl3-spy2OVmZcozODCW7eFbe13TRx-C13fNIj9kmOfILy6KK0QTflsnb6ViWTY0PmU6XI7HgsnCH7suDWqwPgljBGdNK_2-BIKYl4_-e8ERS4Aova9Bx__5_uvvFMBB_WVceA9Qsgp0V05larfqR59-jGwFv7X-PG6x32yyoPuUnpeoWG1TVIbEL4nCeUAZDVxR_-pWTIy0ELHU4i_g4YUSq5AdUzBz6-cKFC6pBEXPpZE-J5v7sC7YlyRFEqVffTPuriKhb2mcyj4tvYwbR1M7DGJwWe3aoVGNMrEXAPKldbT4guo02uHWzwb2L0EQIp53w4vmUpsdONoiPe2U7LgYdkD5XV/https%3A%2F%2Fwebmail.allina.com%2Fowa%2FUrlBlockedError.aspx>
Mail Route 61811 *280 N. Smith Ave. #811 * St. Paul, MN 55102



From: MCOH-EH [mailto:mcoh-eh-bounces+debra.tepoel=allina.com at mylist.net] On Behalf Of Susan Higgins
Sent: Wednesday, September 13, 2017 6:15 AM
To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: Re: [MCOH-EH] Transition from N-95 respirators to PAPRs

We are in the process of transitioning to a CAPR-loose fitting therefore no medical clearance needed.

Susan Higgins RN, BSN, COHN
Clinical Manager, Occupational Health Services-Sturdy Memorial Hospital
P:508-236-7505  F:508-222-0796
Shiggins at sturdymemorial.org<mailto:Shiggins at sturdymemorial.org>



From: MCOH-EH [mailto:mcoh-eh-bounces+shiggins=sturdymemorial.org at mylist.net] On Behalf Of Spangler, Mary
Sent: Tuesday, September 12, 2017 7:55 PM
To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: Re: [MCOH-EH] Transition from N-95 respirators to PAPRs

Same answer at Stanford. We utilize PAPRs for those who can't fit the N95 properly or perform high risk procedures.

Mary



Take 3 minutes to watch this doodle on sharps safety.  https://secure-web.cisco.com/1rpL4H1YWHAuuudt73xrNmyCZ4sUop7FE0_uu4kWQnzj-NdSClNNbehgaLZ21Pla-YhaJv53NwuWv8TKR73ViJjzkDDV0XPuIxOxImWmIT80w1E0ihttO6qIjJkMyALIVHbyS3lpQ1JjQOTljN0g1IPmJzDAA6MfaJZw5GR89c_f9e9FdTxoemRwbqKQHFgFoiGOfuRlAj-SfDhV0n2O8KBFvaC3dzkLBsNovkpJcNTq9MyV5JL1LHgZcm4ICE4m9cmYsk4hYleKsEOciYcmTsXtyLcGDeGFIMeGaKJ4ID9YfCcxa24XmG_Y_0UBU8IfhvGay0oJcn_bxm9QdeYueAUftuIregXcV9lfZKniI64CMfGj3dumYjB-JWo4QknTaDfuwrmZTEcLCn-DXXdUdga1hMGwE3cvoFmpFrDe6Yk97TMihhE5BMgHcGu7phGwO/https%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3Dmpm_7pNn5GM%26feature%3Dyoutu.be

Mary Spangler, M.S., N.P., COHN-S
Administrative Director, Occupational Health Services
Stanford Health Care & Stanford Children's Health Care
300 Pasteur Drive, M/C 5205, Stanford, CA 94305-5513
Office: (650) 725-9583 Fax: (650) 498-7748 (fax)
mspangler at stanfordhealthcare.org<mailto:mspangler at stanfordhealthcare.org>
Administrative Assistant Michelle Fitch 650-725-2529   mfitch at stanfordhealthcare.org<mailto:mfitch at stanfordhealthcare.org>
[logo sig.png]                        [Stanford Children Health]
Confidential Information: This communication and any attachments may contain confidential or privileged information for the use by the designated recipient(s) named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or the attachments is strictly prohibited. If you have received this communication in error, please contact me and destroy all copies of the communication and attachments. Thank you.

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Hudson, T. Warner
Sent: Wednesday, August 16, 2017 12:49 PM
To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: Re: [MCOH-EH] Transition from N-95 respirators to PAPRs

We have not but use a lot of PAPRs.  Still have to train and medically clear.

T. Warner Hudson, MD FACOEM, FAAFP
Medical Director, Occupational and Employee Health
UCLA Health System and Campus
Office 310.825.9146
Fax 310.206.4585
Pager 800.233.7231  ID 27132
E-mail twhudson at mednet.ucla.edu<mailto:twhudson at mednet.ucla.edu>
Website http://secure-web.cisco.com/1GRNH0m7hZhQisugfZThbCBXhxg0Yp8xehRRVe8ecFUBCDDy9r47SUwT3BWvSEXGs1I_ridj68c9V2dfczpsxh9ktwHxXWI94_6wzCbtcOX4HTBPYvdvRtP5ZxPYvfZzeMqFiEWulXzlBwwgurDQW8yyJ_shceCvAOsXpSUs6HQVDmOIw4qFUwsskHvw5x2iYIloN4QdX35sHe0XiIOAd4ykyVJmDJ69YfVT9AOJukgQDWEOVEV98LbrdyNcfvY3lHH6LaRnvl7dexB1-4thT36LQVz9DfYCB4quOLHO13_M_8zKIZwN1odsJlIOvFBzmpiQuMVjIzmADfrBAhxwGd1KNl4Y6RWltauG23ogNEp15-Th7V2lzc7x39dqHvXiv_z4fOgBQwKkI1wUOIc7w_ALJCWCHhCIlZttFkPTpdYxRVGVJLu9uhkhEbBIpDFR6/http%3A%2F%2Fwww.ohs.uclahealth.org

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Jerry Burleson
Sent: Wednesday, August 16, 2017 11:23 AM
To: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
Subject: [MCOH-EH] Transition from N-95 respirators to PAPRs

Has anyone converted to almost all PAPR use versus N-95s?  Recent DNV surveyor made a suggestion that our organization may want to explore this to almost eliminate the need for fit testing.

Jerry L. Burleson, RN, MBA
Manager, Employee Health and Clinic
New Hanover Regional Medical Center
PO Box 9000
Wilmington, NC 28403-9000
(910) 667-5663 - Office
(910) 612-8770 - Cell
(910) 667-5695 - Fax
Jerry.burleson at nhmrc.org<mailto:Jerry.burleson at nhmrc.org>


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Thank you.
Sturdy Memorial Hospital.

  

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