RESPIRATORY PROTECTION Awareness Training Educational Program

1. RESPIRATORY PROTECTION Awareness Training Educational Program

2. Employees,students,contract staff, residents, and external law enforcementofficers are persons who may be at risk for exposure to diverse airborne or infectious hazards while performing job related tasks. • These persons should be provided with the following: • Education of Respiratory Protection • Appropriate Personal Protective Equipment (PPE) Target Audience

3. Respirator Training This training is provided so you will know how to protect your health. If you don’t know how to use a respirator properly, you may get a false sense of protection. 4

4. LEARNING OBJECTIVES Upon successful completion of this educational program, participants will be able to: • State the purpose of the Respiratory Training Program. • Recognize medical signs and symptoms that may limit or prevent the effective use of respirators. • Identify benefits and limitations of respirators in promoting a safe environment. • Recognize items/conditions that may compromise the protective effect of respirators. • State purpose of the medical questionnaire. • Demonstrate competency in the usage, maintenance, and storage of respirators (Validation in clinical area).

5. Part 1: Selecting a Respirator The MED provides two models of N95 masks 3M1860 small & regular sizes 3M1870 folds flat & fits most people

6. Part 2: What is a Respirator? A PPE device used to protect workers from exposure to harmful airborne substances. The device may cover the mouth, nose, and sometimes the eyes and/or entire head. NOTE: Surgical masks are not respirators and are not certified as such.

7. N95 Respirator Mask • NIOSH certified N95 respirators/masks are designed to help provide respiratory protection for the wearer. • It is fluid resistant and disposable. • Used for protection against airborne agents such as: Tuberculosis, SARS, Influenza, and other airborne infectious agents

8. How Does The N95 Mask Protect You? When you inhale, air is pulled in through the N95 mask and contaminants are captured on the outside of the mask. Properly used N95 masks prevent the inhalationof airborne infectious agents in the air and protects the lungs. The respirator must have a proper seal and effective valves in order to perform its job.

9. Limitations of N95 Respirator • Ineffective when wet or soiled • Does not supply oxygen • Ineffective in contaminant concentrations that are immediately dangerous to life and health • Ineffective when used with beards, facial hair, or anything that prevents a good seal to the face

10. Part 2: Review The purpose of wearing a respirator such as a N95 is to….

11. REVIEW If you do not use a respirator and are exposed to hazards, you may develop health problems such as bronchitis or even cancer. • True • False

12. Review A respiratory protection program: • Is designed to protect your health • Is a team effort involving you and your employer • Teaches you how to care for a respirator • All of the above

13. Part 3: Medical Evaluations • Medical evaluations are required prior to wearing a respirator. • There are physiological effects of wearing a respirator

14. Physiological effects of wearing a respirator • Significant elevated heart and respiratory rates • Significant elevated blood pressure • Elevated body temps (HEAT STRESS) • Alterations in breathing patterns • Hypoventilation Emphasizes the need for aMedical EvaluationBEFORE you can wear a respirator

15. Medical Evaluation Process • The first step of a medical evaluation is a confidentialmedical questionnaire. • Results are only used to determine if you are FITto wear a respirator. CONFIDENTIAL

16. Medical Evaluation Is Required • For new respirator users • An employee reports medical signs or symptoms that are related to their ability to use a respirator. • A Physician, Manager/Supervisor, or Program Administrator advises that an employee needs to be reevaluated. • Information from the Respiratory Protection Program observations and program evaluation, indicates a need for employee reevaluation.

17. How To Obtain Medical Questionnaire? Ask Your instructor for the medical questionnaire or Contact The MED’s Program Administrator—Steve Chunn 901-545-7156

18. Part 4:Fit Testing • This is the procedure to determine the correct respirator model and size for each individual. • Fit testing ensures that the wearer can apply the respirator correctly to maximize the respirator’s benefits. • Fit testing must take place before the respirator is used.

19. Fit Testing Methods Qualitative Quantitative Contaminants are captured outside the mask Air is pulled through the N95 mask

20. NOTE: Fit tests Fit tests MUST be conducted with a respirator that is the SAME MAKE SAME MODEL AND SAME SIZE as the one the student is expected to use.

21. Fit Test Exercises Normal breathing Deep breathing Turning head side to side Moving head up and down Talking Grimace (smile or frown) Bending over Consist of…

22. ReviewWhat Should You Do If you experience… • Warning signs of taste, smell, irritation, cough • Difficulty in breathing, shortness of breath, chest pain, over exertion • Signs and symptoms of exposure to contaminants

23. Get out of area to fresh air and remove respiratorGet out of area to fresh air and remove respiratorGet out of area to fresh air and remove respiratorGet out of area to fresh air and remove respiratorGet out of area to fresh air and remove respiratorGet out of area to fresh air and remove respiratorGet out of area to fresh air and remove respirator

24. REVIEW Which one of the following may prevent you from wearing a full-face mask? • You don't want to wear it • You have a skin condition • You wear glasses • The strap messes up your hair

25. REVIEW Which of the following may require you to be fitted for a new respirator? • Getting dentures • Getting eyeglasses • Having a facial injury • Any of the above

26. What Can Prevent A Good Fit? Things that will prevent getting a proper seal • Weight loss or gain (≥ 15 lbs.) • Facial Hair • Eye Glasses • Facial deformities (scars, creases) • High cheekbones • Severe acne • No teeth or dentures

27. Removing a Respirator • Discard contaminated gloves first • Lift bottom elastic band up over your head • Do not touch the front of the mask • Lift top elastic band up over your head • Discard contaminated respirator • Perform hand hygiene

28. Manufactures’ instructions for inspection, cleaning and maintenance should be followed Wearing a poorly maintained or malfunctioning respirator may be more dangerous than not wearing one at all……

29. Respirator InspectionCheck • General good condition • Shape • Holes • Soiled • Band elasticity • Cartridges/Filters Click here Inspection Checklist

30. When to Get a New N95 Mask • Increased resistance to breathing • Excess moisture on mask • Sensing a breakthrough (i.e. smell, taste) • Visibly soiled • Damaged or missing hardware • Loss of elasticity • Lack of a seal to the user’s face • Use of the respirator for 1 full shift

31. Critical Thinking Activity Describe how to transport patients diagnosed with infectious TB to areas outside of their isolation rooms for essential procedures that cannot be performed in the isolation rooms.

32. Review 1. Respirator fit-testing must be conducted every three years. True or False 2. Any respirator you use will protect you against harmful chemical fumes. True or False