Rpp Training

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Roll out of RPP Program during Pandemic Prep

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Rpp Training

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

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