We actually require every employee involved in clinical care to be prepared to wear a PAPR and N95 every year.   So they complete an education module for PAPR and for N95 and they complete a medical survey.

Then we have determined which areas may require an N95 respirator during the year.   And based on that we determine what job title is tested and how many of them need to be tested.

This is based on our risk for tb patients completed by infection control per the state/CDC.   We are low risk but when we have Tb rule out or Tb dx the patients come through the ER and generally go to a pulm/airway unit.   May transfer to PICU.   Often need scoped and or surgery.

Generally we use PAPR’s.

Our float team has 50% of their nurses and PCA’s tested annually should they be needed to float anywhere in the hospital with an N95 patient that cannot use PAPR.

In the OR and for anesthesia and interventional radiology it is pretty much just in time training.   

The PICU and airway / pulm units test about 50% of their nurses and PCA’s.

Our residents are all fit tested.

Hospitalists are fit tested.

Terri

Cincinnati Children’s Hospital

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Novak, Debra A. (CDC/NIOSH/NPPTL)
Sent: Friday, November 03, 2017 11:07 AM
To: 'MCOH/EH' <mcoh-eh@mylist.net>
Subject: [MCOH-EH] Respiratory Protection Hazard Evaluation

Does anyone have an example of a hazard (risk) evaluation process for:

• What fraction of your healthcare workforce, and what roles in your healthcare workforce, should be included in your organization's respiratory protection program?

• How employees are selected for inclusion in your respiratory protection program, based on their anticipated work related risks?

This is a recurrent issue foe which we’re seeking examples and strategies from the field !

Thanks in advance,

Debbie

Debra Novak PhD, RN

Senior Service Fellow

National Personal Protective Technology Laboratory (NPPTL)

National Institute for Occupational Safety and Health (NIOSH)

Centers for Disease Control and Prevention (CDC)

Pittsburgh, PA