rpp training
DESCRIPTION
Roll out of RPP Program during Pandemic PrepTRANSCRIPT
DPHRespiratory Protection During Emergencies
Shawn HolleOccupational Safety & Health Section
N95
PAPR
What is a Respirator?
Protects Against Multiple Airborne Contaminants
Respirators vs. Surgical Masks
Surgical Masks Protect By Keeping It IN
Respirators Protect By Keeping it OUT
Why Respiratory Protection?
Isolation Unit Workers Exposed to Airborne Transmissible Diseases (ATDs)
Emergency Planning & Preparedness DPH Wants to Be Prepared in
Any Contingency Respiratory Protection Included
in Long Range Planning
Cal-OSHA Requirements: Title 8, 5144
Written Respiratory Protection Program
Medical Evaluation
Proper Use Procedures
Recurrent Fit Testing & Training
Inspection & Maintenance Procedures
Program Evaluation
Written Respiratory Protection Program
Defines Responsibilities
Provides Information on Respirator Selection
Provides Information on Program Implementaton &
Maintenance
Roles & Responsibilities
Administration Implement Program
OSH Section Review Questionnaires Provide Annual & in Time Fit Testing Provide Annual & in Time Training
Roles & Responsibilities
Employees Attend Medical Evaluations, Training, & Fit Testing No Facial Hair Inform Supervisor:
Unable to Wear Respirator Does Not Fit Malfunctions
Medical Evaluations Required
Questionnaire Reviewed by HCP
Further Medical Examination at SFGH OHS Clinic
Employee May Use Personal Physician
Confidential Medical Results
Employer Is Told if Employee Can Wear a Respirator
Potential Exposures
Airborne Transmissible Diseases
TB
Pandemic Flu Outbreak
Avian Flu
SARS
Smallpox
DPH Selected Respirators
N 95 Facepiece Filtering Respirators
High Efficiency Particulate Air (HEPA)
Powered Air Purifying Respirators (PAPRs)
N95 Facepiece Filtering Respirator
Recommended by CDC for Use Against ATDs
User Draws Air Through the Facepiece
95% of Particles Blocked
.80 Cents Each
N95 Limitations
They Leak
Risk Reduced But Not Eliminated
Facial Hair Compromises Seal
Don’t Work O2 Deficient Atmospheres
Breathing Resistance Increases Over Time
PAPRs
Battery Motor Sucks Air Through Filters
99.97% of Particles Blocked
Pushes Fresh Air Into the Headpiece
$800 Each For Complete Ensemble
PAPR Limitations
Can’t Be Used in O2 Deficient Atmospheres
8 - 10 Hour Battery Life
Noisy
Expensive
Improper Fit, Usage or Maintenance Can Compromise
Respirator Protection
Right Tool the Right Way
Respirator Training
Required
Emergency Workers Retrained As Needed
Isolation Unit Workers Annually Trained
Fit Testing Required
Quantitative:
Compares Outside Particles to Inside Particles
Qualitative:
Fit Determined Subjectively
Fit Testing Will Be Conducted at Multiple DPH Sites As Needed (Just In Time Fit Testing)
N95 UsageInspections
Visual Inspection Before & After Use
Check Strap Integrity
Check for Facepiece Tears or Cuts
Check For Deformities
N95 UsagePutting on the Respirator
Cup Respirator in Hand With Straps Hanging
Place Respirator Onto Face (Chin First)
Pull Top Strap Over & Position At Back of Head
Pull Bottom Strap Over on Neck Below Ears
Use Fingertips to Shape Nose Clip
How Long Can I Wear an N95?
8 to 12 Hours if Kept Clean Not Damaged Permitted by Infection Control Practices
Discard Respirator Immediately If Damaged Wet Increased Breathing Resistance
Removing N95
Place Gloved Hand Over Front of Facepiece
Pull Straps Over Head
Remove Respirator From Face
Discard In Glove
Respirator Storage
Routine Use Respirators Located On Site
Emergency Use Respirators Cached Throughout
DPH System
Summary
Use Respirator As Trained
Facial Hair Decreases Protection
Inform Supervisor of Any Respirator Problems