Thank you Mara, What would be a reasonable explanation? Any condition  or yes that would prevent an individual from wearing an N-95?

Thanks, Jennifer

 

From: MCOH-EH <mcoh-eh-bounces@mylist.net> On Behalf Of Mara Garcia via MCOH-EH
Sent: Wednesday, June 8, 2022 1:04 PM
To: MCOH-EH <mcoh-eh@mylist.net>
Cc: Mara Garcia <mgarci87@jhmi.edu>
Subject: Re: [MCOH-EH] [EXTERNAL] Advice regarding N95/KN95/KF94 (Tara Dockery)MCOH-EH Digest, Vol 257, Issue 96

 

Hi,

We have RN review &  an APRN sign off on it. All yes need to be explained.

I hope that helps.

Mara

 

From: MCOH-EH <mcoh-eh-bounces@mylist.net> On Behalf Of prvs=0158405885=mcoh-eh-bounces@mylist.net
Sent: Wednesday, June 8, 2022 8:32 AM
To: MCOH-EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] [EXTERNAL] Advice regarding N95/KN95/KF94 (Tara Dockery)MCOH-EH Digest, Vol 257, Issue 96

 


      External Email - Use Caution      

 

 

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@mylist.net> On Behalf Of Eisenhauer, Julie (TCRHCC) via MCOH-EH
Sent: Friday, May 27, 2022 11:01 AM
To: MCOH-EH <mcoh-eh@mylist.net>
Cc: Eisenhauer, Julie (TCRHCC) <Julie.Eisenhauer@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@tchealth.org

HR Email: TCRHCCHR@Tchealth.org

 

 

 

From: MCOH-EH <mcoh-eh-bounces@mylist.net> On Behalf Of JAYANT eldurkar via MCOH-EH
Sent: Monday, May 23, 2022 9:57 AM
To: MCOH-EH <mcoh-eh@mylist.net>
Cc: JAYANT eldurkar <jeldurkar@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@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

 

-----Original Message-----

Sent: Friday, May 20, 2022 1:00 PM

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

 

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

 

 

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Message: 1

Date: Thu, 19 May 2022 18:37:50 +0000

From: Tara Dockery <tdockery@oceanbeachhospital.com>

To: MCOH-EH <mcoh-eh@mylist.net>

Subject: Re: [MCOH-EH] [EXTERNAL]  Advice regarding N95/KN95/KF94

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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@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@mylist.net>

Cc: Swift, Melanie D., M.D., M.P.H. <Swift.Melanie@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

 

 

-----Original Message-----

From: MCOH-EH <mcoh-eh-bounces+swift.melanie=mayo.edu@mylist.net> On Behalf Of Jayant via MCOH-EH

Sent: Thursday, May 19, 2022 7:59 AM

Cc: Jayant <jeldurkar@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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The MCOH-EH List has always been moderated by members of the ACOEM Medical Center Occupational Health Section. It is currently moderated by Joe Fanucchi MD FACOEM.

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To post send messages to: mcoh-eh@mylist.net

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