Personal Protective Equipment

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TRAINING AND GUIDANCE ON PPE

Recommended Personal Protective Equipment for Incarcerated/Detained Persons and Staff in a Correctional Facility During the COVID-19 Response (CDC)

Donning and Doffing Video Vignettes (Minnesota Department of Public Health)

Ebola: Personal Protective Equipment (PPE) Donning and Doffing Procedures (CDC)

Donning PPE: Put on N95 Respirator (CDC)

Masks vs. Respirators (NCCHC)

OSHA standards that apply to protect workers (29CFR1910 subpart I)

Regulations (Standards - 29 CFR)

Importantly, As of March 14, OSHA has relaxed the enforcement of annual fit-testing for respirators and replaced it with a requirement for a “good faith effort” but respirators mist be NIOSH-certified (no home-made solutions in any official capacity). The applicable regulation is: 29 CFR § 1910.134

Temporary Enforcement Guidance - Healthcare Respiratory Protection Annual Fit-Testing for N95 Filtering Facepieces During the COVID-19 Outbreak

Summary

  • Make a good-faith effort to comply with 29 CFR § 1910.134 
  • Use only NIOSH-certified respirators 
  • Implement CDC and OSHA strategies for optimizing the supply of N95 filtering facepiece respirators and prioritizing their use, as discussed above 
  • Perform initial fit tests for each HCP with the same model, style, and size respirator that the worker will be required to wear for protection against COVID-19 (initial fit testing is essential to determine if the respirator properly fits the worker and is capable of providing the expected level of protection)
  • Inform workers that the employer is temporarily suspending the annual fit testing of N95 filtering facepiece respirators to preserve and prioritize the supply of respirators for use in situations where they are required to be worn 
  • Explain to workers the importance of performing a user seal check (i.e., a fit check) at each donning to make sure they are getting an adequate seal from their respirator, in accordance with the procedures outlined in 29 CFR § 1910.134, Appendix B-1, User Seal Check Procedures. See also, OSHA tutorial videos (EnglishSpanish). 
  • Conduct a fit test if they observe visual changes in the employee’s physical condition that could affect respirator fit (e.g., facial scarring, dental changes, cosmetic surgery, or obvious changes in body weight) and explain to workers that, if their face shape has changed since their last fit test, they may no longer be getting a good facial seal with the respirator and, thus, are not being adequately protected; and,
  • Remind workers that they should inform their supervisor or their respirator program administrator if the integrity and/or fit of their N95 filtering facepiece respirator is compromised.