[MCOH-EH] HEPA mask fit testing/PAPR

Darlene Sims Darlene.sims at infirmaryhealth.org
Thu Jun 21 12:21:46 PDT 2018
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"General N95 Respirator Precautions

People with chronic respiratory, cardiac, or other medical conditions that make breathing difficult should check with their healthcare provider before using an N95 respirator because the N95 respirator can make it more difficult for the wearer to breathe. Some models have exhalation valves that can make breathing out easier and help reduce heat build-up. Note that N95 respirators with exhalation valves should not be used when sterile conditions must be maintained." https://www.fda.gov/medicaldevices/productsandmedicalprocedures/generalhospitaldevicesandsupplies/personalprotectiveequipment/ucm055977.htm

I am not sure if the above helps you; however, in my department, we go by those standards combined with OSHA. Once there is something noted on the respiratory questionnaire or if an employee appears to be having difficulty r/t claustrophobia or breathing, they are referred to our Occupational Health Physician for evaluation and guidance. 

Thank you, 

Darlene Sims MSN,FNP-C
Director Infirmary Employee Health Services
Locations at MIMC, Thomas Hospital ,NBI &ACH 
185 Mobile Infirmary Blvd
Mobile, Al 36607
MIMC office (251)435-3377 opt 3 fax (251)435-3067
Thomas Hospital (251)279-1605 fax (251)279-1606
NBI (251)937-5521 ext 1860
ACH (251)368-6314
darlene.sims at infirmaryhealth.org

 




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Sent: Thursday, June 21, 2018 2:00 PM
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Subject: MCOH-EH Digest, Vol 253, Issue 188

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Today's Topics:

   1.  Hepa Mask Fit Testing/PAPR (Marilyn Byrd)
   2. Re:  Hepa Mask Fit Testing/PAPR (Mark Catlin)
   3. Re:  Hepa Mask Fit Testing/PAPR (Marilyn Byrd)


----------------------------------------------------------------------

Message: 1
Date: Thu, 21 Jun 2018 14:32:39 +0000
From: Marilyn Byrd <MSBYRD at uhhg.org>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: [MCOH-EH] Hepa Mask Fit Testing/PAPR
Message-ID:
	<DM5PR1001MB21374637D70DEA7E6F99A628AF760 at DM5PR1001MB2137.namprd10.prod.outlook.com>
	
Content-Type: text/plain; charset="us-ascii"

Good morning everyone,
I am reviewing our process of Hepa Mask Fit testing and PAPR usage.  I am searching for detailed, evidence based information on which medical conditions would prevent the usage of the hepa mask and require PAPR usage.

The OSHA cites I have reviewed give very broad information such as heart disease, lung disease, and claustrophobia.
As you know there are several types of heart and lung disease conditions on the OSHA Medical Questionnaire.  It seems it is left to the medical provider or health care professional reviewing the questionnaire to determine which type of heart or lung disease would require PAPR testing.

Thank you for your assistance.


Marilyn Byrd, RN MSN
System Director
Employee Health
Office: 812-238-7163
Fax: 812-238-7287

As an EOE/AA employer, Union Hospital, Inc. will not discriminate in its employment practices due to an applicant's age, race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran or disability status. CONFIDENTIALITY NOTICE: This email message, including 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 reply email and destroy all copies of the original message.
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Message: 2
Date: Thu, 21 Jun 2018 10:39:46 -0400
From: Mark Catlin <mark.catlin at seiu.org>
To: "MCOH/EH" <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Hepa Mask Fit Testing/PAPR
Message-ID:
	<CAEErhHARNAnnprOLNm2M9NUU1cdvy_wEc_KMsJxhv8bMgXvJWw at mail.gmail.com>
Content-Type: text/plain; charset="utf-8"

Hi Marilyn,

The ATS has a good guide on their website:

http://www.thoracic.org/statements/resources/eoh/resp1-13.pdf

it is a bit dated, but seems to still be a good reference.

Mark
Health and Safety Director
SEIU
1800 Massachusetts Ave NW
Washington, DC 20036
(202) 730 - 7290
(202) 436 - 0856 cell
mark.catlin at seiu.org

On Thu, Jun 21, 2018 at 10:32 AM, Marilyn Byrd <MSBYRD at uhhg.org> wrote:

> Good morning everyone,
>
> I am reviewing our process of Hepa Mask Fit testing and PAPR usage.  I 
> am searching for detailed, evidence based information on which medical 
> conditions would prevent the usage of the hepa mask and require PAPR usage.
>
>
>
> The OSHA cites I have reviewed give very broad information such as 
> heart disease, lung disease, and claustrophobia.
>
> As you know there are several types of heart and lung disease 
> conditions on the OSHA Medical Questionnaire.  It seems it is left to 
> the medical provider or health care professional reviewing the 
> questionnaire to determine which type of heart or lung disease would require PAPR testing.
>
>
>
> Thank you for your assistance.
>
>
>
>
>
> Marilyn Byrd, RN MSN
>
> System Director
>
> Employee Health
>
> Office: 812-238-7163
>
> Fax: 812-238-7287
>
>
> As an EOE/AA employer, Union Hospital, Inc. will not discriminate in 
> its employment practices due to an applicant's age, race, color, 
> religion, sex, sexual orientation, gender identity, national origin, 
> protected veteran or disability status. CONFIDENTIALITY NOTICE: This 
> email message, including 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 reply email and destroy all copies of the original message.
>
> ---------------------------------------
> The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM.
> List membership is free, but only subscribers may post to the list.
> To post send messages to: mcoh-eh at mylist.net To become a subscriber, 
> or to change your subscription options (turn off
> email while you're on vacation, etc):   http://www.mcoh-eh.net
> MediTrax / Occupational Health Systems, Inc. provides financial 
> support to ensure the list remains a free resource for the 
> occupational health community.
> ---------------------------------------
> List archives (public): http://mylist.net/archives/mcoh-eh/
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> Send administrative requests to: drjoe at meditrax.com
> ---------------------------------------
>
>
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Message: 3
Date: Thu, 21 Jun 2018 14:45:05 +0000
From: Marilyn Byrd <MSBYRD at uhhg.org>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Hepa Mask Fit Testing/PAPR
Message-ID:
	<DM5PR1001MB21378215229EAD9B1008A086AF760 at DM5PR1001MB2137.namprd10.prod.outlook.com>
	
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Thank you very much Mark.

Marilyn Byrd, RN MSN
System Director
Employee Health
Office: 812-238-7163
Fax: 812-238-7287

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Mark Catlin
Sent: Thursday, June 21, 2018 10:40 AM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Hepa Mask Fit Testing/PAPR





CAUTION: EXTERNAL EMAIL





Hi Marilyn,

The ATS has a good guide on their website:

http://www.thoracic.org/statements/resources/eoh/resp1-13.pdf<https://na01.safelinks.protection.outlook.com/?url=https%3A%2F%2Furldefense.proofpoint.com%2Fv2%2Furl%3Fu%3Dhttp-3A__www.thoracic.org_statements_resources_eoh_resp1-2D13.pdf%26d%3DDwMFaQ%26c%3DmlSGioV4D6bRVQyQSozHcbvutvrT1Xy50QaR7rnnRI0%26r%3DnfKpsjGSagTY1c--sdAhfg%26m%3DCHG8omeCOEGzywIlVxx05Ii2g0Z7vjj1CZscmbuUpDk%26s%3D2jtJH5BmsaDuy7uKxJMgWtM4p4-x_oAgE7n_AXq6ysE%26e%3D&data=02%7C01%7Cmsbyrd%40uhhg.org%7C5247458c01a84047582208d5d784e677%7Ce7d1d8b643fd4d45ab00f192dc7db8a2%7C0%7C0%7C636651888170565205&sdata=FT0GgX094y%2B6rG0RwBrvL39VOZXrX6K7KhurPCwj2rE%3D&reserved=0>

it is a bit dated, but seems to still be a good reference.

Mark
Health and Safety Director
SEIU
1800 Massachusetts Ave NW
Washington, DC 20036
(202) 730 - 7290
(202) 436 - 0856 cell
mark.catlin at seiu.org<mailto:mark.catlin at seiu.org>

On Thu, Jun 21, 2018 at 10:32 AM, Marilyn Byrd <MSBYRD at uhhg.org<mailto:MSBYRD at uhhg.org>> wrote:
Good morning everyone,
I am reviewing our process of Hepa Mask Fit testing and PAPR usage.  I am searching for detailed, evidence based information on which medical conditions would prevent the usage of the hepa mask and require PAPR usage.

The OSHA cites I have reviewed give very broad information such as heart disease, lung disease, and claustrophobia.
As you know there are several types of heart and lung disease conditions on the OSHA Medical Questionnaire.  It seems it is left to the medical provider or health care professional reviewing the questionnaire to determine which type of heart or lung disease would require PAPR testing.

Thank you for your assistance.


Marilyn Byrd, RN MSN
System Director
Employee Health
Office: 812-238-7163
Fax: 812-238-7287

As an EOE/AA employer, Union Hospital, Inc. will not discriminate in its employment practices due to an applicant's age, race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran or disability status. CONFIDENTIALITY NOTICE: This email message, including 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 reply email and destroy all copies of the original message.

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