[MCOH-EH] Qualitative Fit Testing vs quantitative

Lesoski, Darryl DLESOSKI at mhc.net
Sat Mar 2 03:51:51 PST 2024


Respirator

Please excuse any typos, inaccurate verbiage, or unusual wording due to the fact Siri cannot keep up with my talking.🙄🥴😊

Darryl Lesoski

________________________________
From: Hayes, Melanie E - OSHA <Hayes.Melanie.E at dol.gov>
Sent: Friday, March 1, 2024 5:10:07 PM
To: MCOH-EH <mcoh-eh at mylist.net>
Cc: Lesoski, Darryl <DLESOSKI at mhc.net>
Subject: [EXTERNAL] RE: Qualitative Fit Testing vs quantitative


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Good afternoon, To clarify, are you asking about respirator fit testing or hearing protector device fit testing for those in a hearing conservation program? Best regards, Melanie Hayes, DNP, APRN, FNP-CAdvanced Practice Registered Nurse/Nurse PractitionerCo-Director, OSHA Graduat ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌
<https://us.report.cybergraph.mimecast.com/alert-details/?dep=tgtmZZOLA2TkyCj4Vvs9vQ%3D%3DUG7HeO%2FXoHbD4yaVJha%2By9sql0wzoV5%2FSQDDQHRprKU1CV5uh7E5eEoCbuQO46Foo01Ua1QD6jPpxxsu%2FuR5%2FO%2BlfA8Xr%2B%2FlsZ9ayyAY4pBS4%2BK0NtdyiHFQG6RLt7%2FMkZjFzF%2FOBVDkzk4p3xOZ%2BQC1qsqBH7ag5QkFnFabThB5odKqvSJn15kr6hW%2FiyuGjLwaFlFVJzfFnLzERzw%2BcOvcb8XLPN9jZ5xdRYpztvaiu7JXBuVSVeDj7czzIcoB2EOqTF4eGhzpdvyu80oAMfYf3UMK2cyo36nHELqoW%2BOldlIrQPzKgIDElIXmiqhpbDCTU7qfMWrDFVBT9VfiwdvE4ksrENKncv8Sv3k1FcE%2Fnn9qf6CzciXXxgCB4LZ92rGu1WkbovrSsRFJOr0Su48Dx3mCcUFWgH%2BRgiY1LUF2hL2gkqRkaUALs%2FRTguTGproEyzgKfE%2BkfVNgSlwAbmVq%2FQbeAh1ILdpfjjIv51%2Bc17e6rGHfPncOZk4E7iaAKLCiYBiyDDOZ%2B%2BPazQmnz%2FRA%2BXPWyz0gci3JaW79TE6kfzIdj79cxtPwvVEf8y2a8kmmIsmJ5Qa7NotV360PJWodnEDJVhCNdSJihGSLnUPR6JFST%2B%2BxF%2F14%2BoIe%2FHFhZKRxfsjyc%2Bd5MXxmHRmbWZ15h8v%2FSDef3O9kis5NvNCKdwRjoqAqu5%2B9nKqEyDSU2lnx2uOLnUkLF%2BmktdwG%2BYv6rG75WD9FVikIudukqZLmgX7%2BOwYRwmfL1tsUcx%2B1%2BndKEvmcZsdNtvxJmkCqNM1wO1i6MKdRt3Csx0sMXAdocF7xr3f0ry2TFTVdPuxLZEcmL3XV%2FiX05P%2FGYpi6fteEFZeNYz6o9Y7VwwSwFwM%3D>

Good afternoon,



To clarify, are you asking about respirator fit testing or hearing protector device fit testing for those in a hearing conservation program?



Best regards,



Melanie Hayes, DNP, APRN, FNP-C

Advanced Practice Registered Nurse/Nurse Practitioner

Co-Director, OSHA Graduate Nurse Internship Program



Office of Occupational Medicine and Nursing

Directorate of Technical Support and Emergency Management

Occupational Safety and Health Administration

200 Constitution Ave., NW, Mailstop N3653

Washington, DC 20210

202-693-1961 (Office)

202-693-1647 (Secure Fax-attach cover letter to my attention)

Pronouns She/Her







From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Lesoski, Darryl via MCOH-EH
Sent: Friday, March 1, 2024 8:59 AM
To: MCOH/EH <mcoh-eh at mylist.net>
Cc: Lesoski, Darryl <DLESOSKI at mhc.net>
Subject: Re: [MCOH-EH] Qualitative Fit Testing vs quantitative



CAUTION: This email originated from outside of the Department of Labor. Do not click (select) links or open attachments unless you recognize the sender and know the content is safe. Report suspicious emails through the "Report Phishing" button on your email toolbar.




SHOULD have said ... migrated to QUANTITATIVE testing?    SO sorry for my confusion



From: Lesoski, Darryl
Sent: Thursday, February 29, 2024 8:08 AM
To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Cc: Lesoski, Darryl <DLESOSKI at mhc.net<mailto:DLESOSKI at mhc.net>>
Subject: Qualitative Fit Testing vs quantitative



Has anyone migrated to qualitative testing?



If so,



  1.  What did you use to get approval for the initial costs?
  2.  What is the true savings in time for the testers comparing both testing methods?
  3.  What device did you purchase?   Make and model
  4.  Did you have to develop a business plan for the change?  If so, can you share it?
  5.  What has been the experience by testers after the change?



We are contemplating the switch but will have to develop a SBAR (i.e. business plan) for such a purchase and would like to make sure we are moving in this direction for all the right reasons.



I am especially interested in efficiency of time when testing using the 2 methods as we deal with lack of clinical staff on a daily basis.  ☹





THANKS for your time and the willingness to share.   THANK YOU, Darryl





Darryl Lesoski, MD, MPH, FACOEM



System Medical Director – Occupational Health and Medicine, Employee Health

Munson Medical Center

Munson Occupational Health and Medicine

Email: dlesoski at mhc.net<mailto:dlesoski at mhc.net>



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