[MCOH-EH] PAPR use and Pulmonary Function Testing

[Hartley, Patrick G]

Debbie:

The need for additional testing such as spirometry, as part of the medical evaluation process for use of a PAPR, is at the discretion of the Physician or Other Licensed Health Care Professional (PLHCP) and not your management. Pertinent section of 1910.134 is pasted below, particularly section 1910.134(e)(3)(ii)
1910.134(e)(2)<https://www.osha.gov/pls/oshaweb/owalink.query_links?src_doc_type=STANDARDS&src_unique_file=1910_0134&src_anchor_name=1910.134(e)(2)>
Medical evaluation procedures.
1910.134(e)(2)(i)<https://www.osha.gov/pls/oshaweb/owalink.query_links?src_doc_type=STANDARDS&src_unique_file=1910_0134&src_anchor_name=1910.134(e)(2)(i)>
The employer shall identify a physician or other licensed health care professional (PLHCP) to perform medical evaluations using a medical questionnaire or an initial medical examination that obtains the same information as the medical questionnaire.
1910.134(e)(2)(ii)
The medical evaluation shall obtain the information requested by the questionnaire in Sections 1 and 2, Part A of Appendix C of this section.
1910.134(e)(3)
Follow-up medical examination.
1910.134(e)(3)(i)
The employer shall ensure that a follow-up medical examination is provided for an employee who gives a positive response to any question among questions 1 through 8 in Section 2, Part A of Appendix C or whose initial medical examination demonstrates the need for a follow-up medical examination.
1910.134(e)(3)(ii)
The follow-up medical examination shall include any medical tests, consultations, or diagnostic procedures that the PLHCP deems necessary to make a final determination.

Good luck!
Pat

Patrick G. Hartley,  M.B., B.Ch., B.A.O., M.P.H.
Professor (Clinical) of Internal Medicine
Division of Pulmonary Diseases, Critical Care and Occupational Medicine
Medical Director: University Employee Health Clinic & Occupational Medicine Clinic
Carver College of Medicine
University of Iowa
Iowa City, IA 52242-1009
319-353-7072 (Office)
319-356-2115 (Pulmonary / Occ. Med. Clinic)
319-356-3631 (UEHC)
319-353-6406 (Fax)
patrick-hartley at uiowa.edu<mailto:patrick-hartley at uiowa.edu>



From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Deborah A. Pruim via MCOH-EH
Sent: Wednesday, December 05, 2018 7:03 AM
To: MCOH/EH
Cc: Deborah A. Pruim
Subject: Re: [MCOH-EH] PAPR use and Pulmonary Function Testing

Thanks!
Debbie Pruim

From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Timothy Herrick
Sent: Tuesday, December 04, 2018 10:21 AM
To: 'MCOH/EH' <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] PAPR use and Pulmonary Function Testing

Can't quote chapter and verse, but they do not require an annual fit test;  they do require annual training; this can be done through an online educational platform so doesn't require a visit/occ health employee bandwidth.
Tim herrick
ohsu

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Deborah A. Pruim via MCOH-EH
Sent: Tuesday, December 04, 2018 7:38 AM
To: MCOH/EH (mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>) <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Cc: Deborah A. Pruim <dpruim at lcmh.org<mailto:dpruim at lcmh.org>>
Subject: [MCOH-EH] PAPR use and Pulmonary Function Testing

Good Morning!
I hope you can assist me.. We are looking at widespread PAPR use here.  Some in management are saying that an annual PFT is required for PAPR use.
Is this true?  If so, can you point me to literature to support that?  I know it is required for SCBA's but not sure on PAPRs.
Thanks,
Debbie
Deborah Pruim, RN, MSN, APN, CNS
Employee Health Services
Little Company of Mary Hospital
2800 W. 95th Street
Evergreen Park, IL  60805
Monday - Friday
6:30am-3pm
Phone:  708-229-5623
Fax:  708-229-6618
dpruim at lcmh.org<mailto:dpruim at lcmh.org>
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