[MCOH-EH] MCOH-EH Digest, Vol 252, Issue 292

Betty Rapaski rapaskib at gmail.com
Thu Sep 14 06:45:57 PDT 2017
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CAPAR
There is no need for medical clearance but, annual education and competency must be performed 

Betty Kuschel Rapaski RN 
Rapaskib at gmail.com


Sent from my iPhone

> On Sep 13, 2017, at 10:00 AM, mcoh-eh-request at mylist.net wrote:
> 
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> Today's Topics:
> 
>   1. Re:  Transition from N-95 respirators to PAPRs (Susan Higgins)
>   2. Re:  Transition from N-95 respirators to PAPRs Respiratory
>      protection in the OR (Spangler, Mary)
> 
> 
> ----------------------------------------------------------------------
> 
> Message: 1
> Date: Wed, 13 Sep 2017 13:39:41 +0000
> From: Susan Higgins <SHiggins at sturdymemorial.org>
> To: MCOH/EH <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] Transition from N-95 respirators to PAPRs
> Message-ID:
>    <0945A0FDF9120D47B88AD990258F0D4701DB2FB3C6 at SMH-EXCH-01.Sturdymemorial.org>
>    
> Content-Type: text/plain; charset="us-ascii"
> 
> 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>
> 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://webmail.allina.com/owa/UrlBlockedError.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://www.youtube.com/watch?v=mpm_7pNn5GM&feature=youtu.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 www.ohs.uclahealth.org<http://www.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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> This message contains information that is confidential and may be privileged. Unless you are the addressee (or authorized to receive for the addressee), you may not use, copy or disclose to anyone the message or any information contained in the message. If you have received the message in error, please advise the sender by reply e-mail and delete the message.
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> CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s). The information contained in this message is private and confidential, may contain legally protected health information and may be subject to one or more non-disclosure agreements, HIPAA privacy regulations and other laws. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail, delete it from your computer, and destroy all copies of the original message.
> 
> Thank you.
> Sturdy Memorial Hospital.
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> ------------------------------
> 
> Message: 2
> Date: Wed, 13 Sep 2017 13:59:55 +0000
> From: "Spangler, Mary" <MSpangler at stanfordhealthcare.org>
> To: MCOH/EH <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] Transition from N-95 respirators to PAPRs
>    Respiratory protection in the OR
> Message-ID:
>    <B94D9AEE-3F49-4AFE-8066-A8AB9DCB4160 at stanfordhealthcare.org>
> Content-Type: text/plain; charset="utf-8"
> 
> According to the CDC and Cal OSHA there is no alternative. No CAPRS can be safely used in the ORs. I know many institutions have work arounds with air going out through the bottom of surgical attire, but unless something happened this year, it is still not recommended.
> 
> Mary
> 
> Sent from my iPhone
> 
> On Sep 13, 2017, at 4:20 AM, Susan Higgins <SHiggins at sturdymemorial.org<mailto:SHiggins at sturdymemorial.org>> wrote:
> 
> What are people doing for respiratory protection in the OR  if the staff cannot be fit tested for an N-95?
> Sue
> 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 at mylist.net] On Behalf Of Pankau, Ambir
> Sent: Wednesday, August 16, 2017 3:37 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
> 
> Therese- which N95 respirator mask do you use in the MRI suite? None of 3Ms?s products work as they all have ferrous metal components.
> 
> Ambir Pankau MSN-PH, BSN, RN, NCSN
> Jefferson Healthcare Medical Center
> Employee Health Services Coordinator Nurse
> apankau at jgh.org<mailto:apankau at jgh.org>
> Phone: 360-385-2200 ex: 2084
> Fax: 360-385-1548
> 
> <image001.png>
> 
> Office Hours: Monday-Thursday 7:30am-4:00pm
> 
> This email and attachments contain information that may be confidential or privileged. If you are not the intended recipient, notify the sender at once and delete this message completely from your information system. Further use, disclosure, or copying of information contained in this email is not authorized, and any such action should not be construed as a waiver of privilege or other confidentiality protections.
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> 
> From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Therese Bovee-McKelvey
> Sent: Wednesday, August 16, 2017 12:28 PM
> To: MCOH/EH
> Subject: Re: [MCOH-EH] Transition from N-95 respirators to PAPRs
> 
> We use combination of CAPR & PAPRs.  CAPR?s for inpatient, PAPR?s for surgical, Primary care clinics and satellite Urgent Care / ED?s.  N95?s for MRI staff.
> 
> 
> Therese
> Therese Bovee McKelvey, MN, RN  Sr. Employee Health Nurse - Employee Health
> 425.899.2278 (P)  |  425.899.2277 (F)  | TMBoveeMcKelvey at evergreenhealth.com<mailto:TMBoveeMcKelvey at evergreenhealth.com>
> EvergreenHealth MS-42, 12040 NE 128th St., Kirkland, WA 98034
> Follow EvergreenHealth on Facebook<http://www.facebook.com/evergreenhospital.org> and Twitter<http://twitter.com/#!/EvergreenHosp>  |   www.evergreenhealth.com<http://www.evergreenhealth.com/>
> 
> 
> <image002.png>
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> 
> 
> 
> 
> 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
> 
> ***This message came from outside our organization***
> ***PLEASE BE CAREFUL WITH LINKS AND ATTACHMENTS***
> 
> 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>
> 
> DISCLAIMER:
> EvergreenHealth Confidentiality Notice: This email message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by e-mail and destroy all copies of the original message or you may call EvergreenHealth in Kirkland, WA U.S.A at (425)899-1740.
> 
> CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s). The information contained in this message is private and confidential, may contain legally protected health information and may be subject to one or more non-disclosure agreements, HIPAA privacy regulations and other laws. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail, delete it from your computer, and destroy all copies of the original message.
> 
> Thank you.
> Sturdy Memorial Hospital.
> 
>  ??
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> ------------------------------
> 
> End of MCOH-EH Digest, Vol 252, Issue 292
> *****************************************
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