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Roll out of RPP Program during Pandemic Prep

Roll out of RPP Program during Pandemic Prep

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    Rpp Training Rpp Training Presentation Transcript

    • DPH Respiratory Protection During Emergencies Shawn Holle Occupational 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 Usage Inspections
      • Visual Inspection Before & After Use
            • Check Strap Integrity
            • Check for Facepiece Tears or Cuts
            • Check For Deformities
    • N95 Usage Putting 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