California requires annual or is changes noted below: https://www.cdph.ca.gov/Programs/CCDPHP/DEODC/OHB/CDPH%20Document%20Library/HCResp-CARPPGuide.pdf see p 25: “The fit test must
be repeated annually and whenever there are any changes such as weight gain or weight loss that would alter the fit of the facepiece. The fit test must always be completed if there are potential changes in fit, or if requested by the employee.”
T. Warner Hudson, MD FACOEM, FAAFP
Medical Director, Occupational and Employee Health
UCLA
Health System and Campus
Office 310.825.9146
Fax 310.206.4585
Pager 800.233.7231 ID 27132
E-mail
twhudson@mednet.ucla.edu
Website
www.ohs.uclahealth.org
From: MCOH-EH [mailto:mcoh-eh-bounces+twhudson=mednet.ucla.edu@mylist.net]
On Behalf Of Galaid Edward I
Sent: Wednesday, September 13, 2017 2:10 PM
To: mcoh-eh@mylist.net
Subject: [MCOH-EH] Annual fit testing, usually for an N-95
Senior management is asking why we do annual fit testing, usually for an N-95 used in a clinical environment. Here, Safety “owns” the respirator program.
In South Carolina, the state regs defer to the 2005 CDC TB document. Which says:
The frequency of periodic fit testing should be determined by the occurrence of 1) a risk for transmission of M. tuberculosis, 2) a change in facial features of the wearer, 3)
a medical condition that would affect respiratory function, 4) physical characteristics of respirator (despite the same model number), or 5) a change in the model or size of the assigned respirator
So, are you doing fit testing after the initial? If yes, how often, and how come?
This should be interesting. Thanks for your responses.
Ed
Edward I. Galaid, MD, MPH
ABIM, ABPM (Occ Med, PH&GPM)
Medical Director, Occupational Health Partners
Roper St. Francis Healthcare Charleston, SC
Member, ACOEM Task Group on Medical Guidance for Law Enforcement Officers
843-724-2131
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