[MCOH-EH] Annual fit testing, usually for an N-95

[Hudson, T. Warner]

California requires annual or is changes noted below: https://www.cdph.ca.gov/Programs/CCDPHP/DEODC/OHB/CDPH%20Document%20Library/HCResp-CARPPGuide.pdf     see p 25: "The fit test must be repeated annually and whenever there are any changes such as weight gain or weight loss that would alter the fit of the facepiece. The fit test must always be completed if there are potential changes in fit, or if requested by the employee."


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+twhudson=mednet.ucla.edu at mylist.net] On Behalf Of Galaid Edward I
Sent: Wednesday, September 13, 2017 2:10 PM
To: mcoh-eh at mylist.net
Subject: [MCOH-EH] Annual fit testing, usually for an N-95

Senior management is asking why we do annual fit testing, usually for an N-95  used in a clinical environment.  Here, Safety "owns" the respirator program.

In South Carolina, the state regs defer to the 2005 CDC TB document.  Which says:  The frequency of periodic fit testing should be determined by the occurrence of 1) a risk for transmission of M. tuberculosis, 2) a change in facial features of the wearer, 3) a medical condition that would affect respiratory function, 4) physical characteristics of respirator (despite the same model number), or 5) a change in the model or size of the assigned respirator

So, are you doing fit testing after the initial?   If yes, how often, and how come?

This should be interesting.  Thanks for your responses.

Ed


Edward I. Galaid, MD, MPH
ABIM, ABPM (Occ Med, PH&GPM)
Medical Director, Occupational Health Partners
Roper St. Francis Healthcare   Charleston, SC
Member, ACOEM Task Group on Medical Guidance for Law Enforcement Officers
843-724-2131


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