Tips and Tools for Creating a Respiratory Protection Plan Denice Tracy, RN, PHN, BSN Vicki Schrupp, CRT, RCP May 1, 2007 Introduction Denice Tracy, Disease Prevention & Control Coordinator, Wright County Public Health Vicki Schrupp, Emergency Preparedness Outreach Coordinator, Central MN Region Overview History How to develop your respiratory protection program How to implement your program Resources Stay up to date History Wright County Emergency Medical Services (EMS) Advisory Committee Central MN Regional Hospital Resource Center (RHRC) References U.S. Department of Labor Occupational Safety and Health Administration (OSHA) www.osha.gov Centers for Disease Control and Prevention (CDC) www.cdc.gov U.S. Food and Drug Administration (FDA) www.fda.gov Minnesota Department of Health (MDH) www.health.state.mn.us Purpose & Disclaimer Intended as a Guide Agencies need to develop a program that meets THEIR OWN needs Materials in the program are examples Encourage to work with community, regional, state & federal partners Reviewed & Field Tested Reviewers Wright County First Responders: Fire, EMS, Law Developing YOUR Own Program 4 Sections 1. Policy & Procedures 2. Medical Evaluation 3. Education 4. Fit Testing 1. Policy & Procedures Templates Agency specific: EMS, Fire, Law, Medical Clinics, Hospitals Referenced Covers all OSHA required components for respiratory protection Appendixes Can personalize to your agency/dept Written Policy & Procedure Components Program Administration Program Scope/Application Identifying Work Hazards Respirator Selection Medical Evaluations Fit Testing Proper Respirator Use Cleaning and Disinfecting Inspecting, Maintenance and Repairs Respirator Training Evaluating/Updating Program Roles and Responsibilities Documentation and Recordkeeping Identifying Work Hazards Appendix A Highest Risk Direct Patient Care Direct Patient Contact All Staff Lowest Risk Guide on Surgical Mask, N95 Respirator or PAPR Use Appendix B S t Will worker be within three feet Worker should use a a or a confined space (vehicle) of Will worker perform a procedure that will produce Yes N95 respirator & full r a patient who is coughing, No respiratory secretions or induce coughing or face shield. sneezing or has a runny nose? sneezing in the patient? t OR Does patient have a known No Worker does not need infectious respiratory disease? a surgical mask or N95 respirator. Worker should use a Yes N95 respirator & full face shield. Can the patient wear a surgical mask* or cover their cough/sneeze without No compromising their breathing? Worker should use a N95 respirator & full Yes face shield Yes Are there known infectious diseases Worker does not currently in the community? Suspected need a surgical mask special pathogen involved? No or N95 respirator. Other Sample Templates MDH: Public Health Respiratory Protection Program Template www.health.state.mn.us/divs/idepc/dtopics/i nfectioncontrol/rpp/template/index.html 3M Administrative Respiratory Protection Program Call your 3M representative or Helpline at 1-800-228-3957 Evaluating/Updating Program Component Program Survey Appendix E 2. Medical Evaluation Component Questionnaire (or medical exam) Reviewed by physician or other licensed health care professional Rationale (Allina Hospitals & Clinics) Frequency Medical Evaluation Questionnaire Appendix C Medical Evaluation Questionnaire Appendix C (continued) Medical Evaluation Questionnaire Appendix C (continued) Other Sample Medical Evaluations OSHA Medical Evaluation: www.osha.gov/pls/oshaweb/owadisp.show_d ocument?p_table=STANDARDS&p_id=9783 3M On-Line Respirator Medical Evaluation: www.respexam.com or call 1-800-383-3393 3M Mail-In Respirator Medical Evaluation: Fax 1-877-609-3832 or mail 3. Respirator Training - Education Component Infection Control (not an OSHA requirement) Identify hazards, potential exposure to these hazards, and health effects of hazards. Respirator fit, improper fit, usage, limitations, and capabilities for maintenance, usage, cleaning and storage. Emergency use if applicable. Inspecting, donning, removal, seal check and troubleshooting. Explaining respirator program (policies, procedures, OSHA standard, resources). Infection Control Tools MDH/CDC Disease Fact Sheets examples: Pertussis www.health.state.mn.us/divs/idepc/diseases/pertussis/pfacts.pdf example: Anthrax – EMS www.health.state.mn.us/oep/training/bhpp/docs/Anthraxrevised_6-15-06.pdf MDH Infection Control Precautions for Avian Influenza (Standard & Full Barrier checklists) Full: www.health.state.mn.us/divs/idepc/diseases/flu/avian/hcp/fullbarrier.pdf Standard: www.health.state.mn.us/divs/idepc/diseases/flu/pandemic/plan/icstandard.pd f MDH Infection Control website: www.health.state.mn.us/divs/idepc/dtopics/infectioncontrol/index.html Infection Control Tools Online Education Tools MDH Respiratory Protection Training Toolkit: www.health.state.mn.us/oep/training/bhpp/documents/Toolkit -RespiratoryProtection.pdf MDH – EMS training www.health.state.mn.us/oep/training/bhpp/hosp-ems.html 3M Health & Safety Services – Respiratory Protection e-Training and Instructions www.respexam.com Audio-Visual Education Tools DVD (clinic/hospital): MDH “Protect Yourself First” 4 Videos (First Responders): MDH “Public Safety Preparedness in the Age of Bioterrorism, SARS, and Other Emerging Health Threats” 3 Power Point Presentations: – Personal Protective Equipment N95 Respirators (Stearns County Public Health) – Preventing Infection: Infection Control for Pre- hospital Providers (MDH) – OSHA’s Respiratory Protection Standard: Healthcare, Public Health & Public Safety Settings (MDH) Posters Respirator Selection www.cdc.gov/niosh/npptl/topics/respirat ors/disp_part/n95list1.html 4. Fit Testing Component Appendix D Fit Testing Component Rainbow Passage Fit Testing Component Qualitative Fit Test Form Fit Testing Component 3M Products – Memos (i.e. Fit Test Policy for Persons with Facial Hair) – Instruction Sheets – Forms & Certificates – Poster Cards (How to apply & remove N95 respirators) – Video or DVD: “First Responder/First Receiver Training” & “3M Health Care - Respirator Fitting Instructions & Qualitative Fit Test” How will these Respiratory Protection Programs be available? Order CD/DVD from Wright County – sign up sheet Central Minnesota Bioterrorism Task Force – download information at www.cmbpp.org Staying Current We are providing you with a base to develop your program. It is your responsibility to stay current as requirements, guidelines, recommendations and standards of practice may change in the future. Questions? Thank You!
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