[MCOH-EH] Qualitative Fit Testing vs quantitative

Darlene Sims Darlene.sims at infirmaryhealth.org
Sun Mar 3 13:02:41 PST 2024


Good afternoon

We conduct quantitative respiratory fit testing and purchased our portacount machines from TSI. 

I have 3 offices,  6 machines and conduct an average of 300/month. 
We also recently purchased an adapter to use with half face respirators as we were previously only testing for N95 masks.

Please feel free to contact me for additional questions. 



Darlene Sims, FNP-C
Director, Infirmary Employee Health Services
251-435-3377

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>   1. Re:  Qualitative Fit Testing vs quantitative (Lesoski, Darryl)
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> 
> ----------------------------------------------------------------------
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> Message: 1
> Date: Sat, 2 Mar 2024 11:51:31 +0000
> From: "Lesoski, Darryl" <DLESOSKI at mhc.net>
> To: "Hayes, Melanie E - OSHA" <Hayes.Melanie.E at dol.gov>, MCOH-EH
>        <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] Qualitative Fit Testing vs quantitative
> Message-ID:
>        <SJ2PR20MB706218DAD43AFD04AB7DDFA9CD5D2 at SJ2PR20MB7062.namprd20.prod.outlook.com>
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> Content-Type: text/plain; charset="utf-8"
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> 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
> 
> 
> You don't often get email from hayes.melanie.e at dol.gov. Learn why this is important<https://aka.ms/LearnAboutSenderIdentification>
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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%2BndKEvmcZsdNtvxJmkCqNM1wO1i6MKdRt3Csx0sMXAdocF7xr3f0ry2TFTVdPuxL
> ZEcmL3XV%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
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> 
> 
> 
> 
> 
> 
> 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
> 
> 
> 
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> 
> 
> 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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