[MCOH-EH] [EXTERNAL] Advice regarding N95/KN95/KF94 (Tara Dockery)MCOH-EH Digest, Vol 257, Issue 96

Higazi, Patricia Patricia.Higazi at chkd.org
Thu Jun 9 10:19:34 PDT 2022
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Following 😊

Patricia Higazi  MSN RN COHN
Occupational Health Director
Children’s Hospital of The King’s Daughters
Norfolk, Virginia 23507
Tel: 757 668 7491
Fax: 757 668 8775

From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Jennifer Carr
Sent: Thursday, June 09, 2022 10:58 AM
To: MCOH-EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] [EXTERNAL] Advice regarding N95/KN95/KF94 (Tara Dockery)MCOH-EH Digest, Vol 257, Issue 96


External:
Douglas,
Thank you so much for this response. Would you be wiling to share your grid?
Thank you,
Jennifer

From: MCOH-EH <mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>> On Behalf Of Wendland, Douglas
Sent: Wednesday, June 8, 2022 1:10 PM
To: MCOH-EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: Re: [MCOH-EH] [EXTERNAL] Advice regarding N95/KN95/KF94 (Tara Dockery)MCOH-EH Digest, Vol 257, Issue 96

Good afternoon Jennifer.

If there are “yes” answers, employees are contacted by Occupational Health RN or Clinical Assistant with follow-up Questions.
Questionnaire is then reviewed by Occupational Health physician or nurse practitioner.  We have a grid for qualification, and recommendation for additional testing based on workload, existing medical conditions and likelihood for change in status to facilitate consistency.

Douglas M Wendland, MD, MPH
St. Luke's Occupational Medicine

From: MCOH-EH <mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>> On Behalf Of Jennifer Carr
Sent: Wednesday, June 08, 2022 7:32 AM
To: MCOH-EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: Re: [MCOH-EH] [EXTERNAL] Advice regarding N95/KN95/KF94 (Tara Dockery)MCOH-EH Digest, Vol 257, Issue 96


CAUTION: External Sender - This email originated from outside of St. Luke's.
Please do not click links or open attachments unless you recognize the sender and know the content is safe.
Can anyone please share with me your process for reviewing the OSHA-Medical Questionnaire? Who do you have reviewing them?
Thank you,
Jennifer

From: MCOH-EH <mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>> On Behalf Of Eisenhauer, Julie (TCRHCC) via MCOH-EH
Sent: Friday, May 27, 2022 11:01 AM
To: MCOH-EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Cc: Eisenhauer, Julie (TCRHCC) <Julie.Eisenhauer at TCHEALTH.ORG<mailto:Julie.Eisenhauer at TCHEALTH.ORG>>
Subject: Re: [MCOH-EH] [EXTERNAL] Advice regarding N95/KN95/KF94 (Tara Dockery)MCOH-EH Digest, Vol 257, Issue 96

This is what our Epi Response Team put out here in Tuba City Regional Health Care Corporation, Tuba City, AZ on the Western Navajo Nation. We have never lifted our mask mandate. This is the most recent guidance.

PPE: Single surgical masks are NOT acceptable for staff in any role.

•     COVID/PUI patients, all dental, swabber in tent, AGP on COVID+ or unknown COVID status: FULL AIRBORNE PRECAUTIONS

•     All other patient contact, including ED: Medical grade KN95/KF94 or fit-tested N95

•     Staff with no patient contact: Medical grade KN95/KF94. Double mask with cloth and surgical ok if preferred.

•     Patients/visitors: KN95/KF94/N95 preferred, or surgical mask. Includes inpatients.


Sincerely Your Employee Health Nurse.

Julie A. Eisenhauer BSN, RN, CCM
HR/Employee Health
Tuba City Regional Health Care Corporation
PO Box 600
Tuba City, AZ. 86045
PH#: 928-283-1437; or Mitel ext. 41544
Email: Julie.eisenhauer at tchealth.org<mailto:Julie.eisenhauer at tchealth.org>
HR Email: TCRHCCHR at Tchealth.org<mailto:TCRHCCHR at Tchealth.org>


  *   THREE W’s -  WEAR a mask, WASH your hands, WATCH your distance 😊


From: MCOH-EH <mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>> On Behalf Of JAYANT eldurkar via MCOH-EH
Sent: Monday, May 23, 2022 9:57 AM
To: MCOH-EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Cc: JAYANT eldurkar <jeldurkar at yahoo.com<mailto:jeldurkar at yahoo.com>>
Subject: Re: [MCOH-EH] [EXTERNAL] Advice regarding N95/KN95/KF94 (Tara Dockery)MCOH-EH Digest, Vol 257, Issue 96

Thank you, Ms. Long.


Regards,

Jayant
On Saturday, May 21, 2022, 11:18:34 AM PDT, Sharon Long <sharon.petersen at imail.org<mailto:sharon.petersen at imail.org>> wrote:


We do not require patients or visitors to wear N95's. Staff, patients and visitors are required to wear procedure masks in all clinical locations (we have several non-patient care locations and masking is not required). Staff are required to wear N95s during aerosolizing procedures and when entering the room of COVID positive or suspected positive patients. Caregiver masking is encouraged but not required in meeting rooms or business office settings and is subject to change based on community transmission.

Sharon Long, MSN, MHA, RN, COHN/CM
Director, Employee Health Operations
Intermountain Healthcare
sharon.petersen at imail.org<mailto:sharon.petersen at imail.org>

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Subject: MCOH-EH Digest, Vol 257, Issue 96

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Today's Topics:

  1. Re:  [EXTERNAL]  Advice regarding N95/KN95/KF94 (Tara Dockery)


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

Message: 1
Date: Thu, 19 May 2022 18:37:50 +0000
From: Tara Dockery <tdockery at oceanbeachhospital.com<mailto:tdockery at oceanbeachhospital.com>>
To: MCOH-EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: Re: [MCOH-EH] [EXTERNAL]  Advice regarding N95/KN95/KF94
Message-ID:
        <DM6PR11MB30024D890E2F5119A19C4893B3D09 at DM6PR11MB3002.namprd11.prod.outlook.com<mailto:DM6PR11MB30024D890E2F5119A19C4893B3D09 at DM6PR11MB3002.namprd11.prod.outlook.com>>

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We are using higher level of respiratory protection during aerosol generating procedures, and all our staff at the hospital that cares for patients are wearing disposable surgical masks, and hospital staff that are not with paitents are wearing either disposable surgical masks or cloth masks. Staff in an office with other people within 6 feet are still masking but if you are in an office alone you can close your door and take your mask off, and there is a note on the door that says to knock because the person inside may  not have their mask on .

-----Original Message-----
From: MCOH-EH <mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>> On Behalf Of Swift, Melanie D., M.D., M.P.H. via MCOH-EH
Sent: Thursday, May 19, 2022 9:34 AM
To: 'MCOH-EH' <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Cc: Swift, Melanie D., M.D., M.P.H. <Swift.Melanie at mayo.edu<mailto:Swift.Melanie at mayo.edu>>
Subject: Re: [MCOH-EH] [EXTERNAL] Advice regarding N95/KN95/KF94

CAUTION: This email originated from outside your organization. Exercise caution when opening attachments or clicking links, especially from unknown senders.

We are requiring medical type masks for patients and visitors, not respirators, for the same reasons you outline. Just enforcing the use of medical masks and not cloth masks or other face coverings is a challenge at times! Interesting that you mention this, in the recent OSHA hearings for informal comment on the proposed COVID-19 healthcare standard, there were proponents of KN95/KF94 masks for universal source control, to provide better containment without interfering with supply chain for NIOSH-certified N95s needed for healthcare workers.

Melanie Swift, MD, MPH
(She/her)
Vice Chair, Division of Public Health, Infectious Diseases and Occupational Medicine Medical Director, Mayo Clinic Physician Health Center Associate Medical Director, Occupational Health Service Phone 507.284.2560 _______________________________ Mayo Clinic
200 First Street SW
Rochester, MN 55905
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-----Original Message-----
From: MCOH-EH <mcoh-eh-bounces+swift.melanie=mayo.edu at mylist.net<mailto:mayo.edu at mylist.net>> On Behalf Of Jayant via MCOH-EH
Sent: Thursday, May 19, 2022 7:59 AM
To: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
Cc: Jayant <jeldurkar at yahoo.com<mailto:jeldurkar at yahoo.com>>
Subject: [EXTERNAL] [MCOH-EH] Advice regarding N95/KN95/KF94

Good morning colleagues,
As the recent variant has come through the community we have seen a significant uptick in cases in the community, the hospital setting and amongst our HCW workforce.  We implemented the use of N95 for HCW who are patient facing (clinical staff and administrative staff who will interact with patients).  Now there has been a question raised that all patients should also be wearing n95/kn95/KF94 or equivalent while in the inpatient or outpatient setting.  As a small group (OEM physician, Infection prevention, CNO, director of ED, CMO) we have not implemented the masks for patients.  Our reasoning thus far has been the increased stressors placed with the use of these respirators (especially when you are sick) and potential supply chain issues.

Are there any of you who have implemented N95/KN95/KF94 use amongst the patient population?  Any feedback as to for or against use would be appreciated.

Regards,

Jayant

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