Implementation Guide to Support Use of Elastomeric Half Mask Respirators in Healthcare
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UMD Implementation Guide 3Feb2 ...
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7.780Mb
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PDF
Description:
Implementation Guide
Date
2021-02-03Peer Reviewed
National Institute for Occupational Safety and Health - National Personal Protective Technology LaboratoryMetadata
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Elastomeric Respirator Implementation GUideAbstract
Elastomeric half mask respirators (EHMRs) provide similar or higher level of protection as do N95 filtering facepiece respirators (N95 FFRs) and are designed to be reused. Supply chain shortages of respirators at the onset of COVID-19 surge prompted a large, urban, US academic medical center to rapidly expand use of EHMRs. A scaled fit-testing operation completed over 7000 fit-tests over six weeks. A centralized EHMR decontamination program was established in the Central Sterile Processing department. EHMR users obtained and returned their respirators each day from a central distribution center using a shared-supply model. This EHMR-based model of respiratory protection was cost effective. All healthcare personnel that needed respiratory protection during COVID-19 surge had access to NIOSH-approved, employer-provided respirators.Table of Contents
I. Contents ii II. Abbreviations v III. Table of Figures vii IV. Executive Summary 1 V. Background 5 VI. Determinants of User Device Assignments 14 VII. Fit-testing Program 17 VIII. Logistics 25 IX. Responsibilities of Key Program Leaders 37 X. Costs 40 XI. References 45 XII. Appendices 52 XIII. Acknowledgments 91Description
This document serves as a guide to support implementation of elastomeric respirator-based respiratory protection programs in healthcare settings. Based on best practices employed in hospital and ambulatory practices at the University of Maryland-Baltimore, the guide includes background evidence, logistics on fit-testing, distribution and decontamination, and a summary of cost estimates associated with this form of respiratory protection. The guide includes tools like Information Sheets, checklists, training tools and photos to help other programs set up their own programs.Sponsors
Centers for Disease Control and Prevention (CDC) Contract # 75D30120P09044Rights/Terms
Attribution-NoDerivatives 4.0 InternationalKeyword
elastomeric respiratorN95
respiratory protection
pandemic
hospital
decontamination
personal protective equipment
Identifier to cite or link to this item
http://hdl.handle.net/10713/14748Collections
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- Creative Commons
Except where otherwise noted, this item's license is described as Attribution-NoDerivatives 4.0 International