HomeOctober 2010 - Volume 111 - Issue 4 < Previous Abstract | Next Abstract > October 2010 - Volume 111 - Issue 4 - p 933–945 Personal Protective Equipment for Care of Pandemic Influenza Patients: A Training Workshop for the Powered Air Purifying Respirator Tompkins, Bonnie M. MD*; Kerchberger, John P. MD† Virulent respiratory infectious diseases may present a life-threatening risk for health care professionals during aerosol-generating procedures, including endotracheal intubation. The 2009 Pandemic Influenza A (H1N1) brings this concern to the immediate forefront. The Centers for Disease Control and Prevention have stated that, when performing or participating in aerosol-generating procedures on patients with virulent contagious respiratory diseases, health care professionals must wear a minimum of the N95 respirator, and they may wish to consider using the powered air purifying respirator (PAPR). For influenza and other diseases transmitted by both respiratory and contact modes, protective respirators must be combined with contact precautions.

The PAPR provides 2.5 to 100 times greater protection than the N95, when used within the context of an Occupational Safety and Health Administration–compliant respiratory protection program. The relative protective capability of a respirator is quantified using the assigned protection factor. The level of protection designated by the APF can only be achieved with appropriate training and correct use of the respirator. Face seal leakage limits the protective capability of the N95 respirator, and fit testing does not assure the ability to maintain a tight face seal. The protective capability of the PAPR will be defeated by improper handling of contaminated equipment, incorrect assembly and maintenance, and improper don (put on) and doff (take off) procedures. Stress, discomfort, and physical encumbrance may impair performance. Acclimatization through training will mitigate these effects. Training in the use of PAPRs in advance of their need is strongly advised. “Just in time” training is unlikely to provide adequate preparation for groups of practitioners requiring specialized personal protective equipment during a pandemic.

Employee health departments in hospitals may not presently have a PAPR training program in place. Anesthesia and critical care providers would be well advised to take the lead in working with their hospitals' employee health departments to establish a PAPR training program where none exists. User instructions state that the PAPR should not be used during surgery because it generates positive outward airflow, and may increase the risk of wound infection. air duct cleaning palmdale caClarification of this prohibition and acceptable solutions are currently lacking and need to be addressed. hamilton beach® true air® compact pet air purifier reviewsThe surgical hood system is not an acceptable alternative.air duct cleaning helena mt

We provide on line a PAPR training workshop. Supporting information is presented here. Anesthesia and critical care providers may use this workshop to supplement, but not substitute for, the manufacturers' detailed use and maintenance instructions. © 2010 International Anesthesia Research Society Become a Society Member This article in PubMed Optimal Nasopharyngeal Temperature Probe Placement The Use of Postpartum Hemorrhage Protocols in United States Academic Obstetric A... What’s New in Obstetric Anesthesia: The 2014 Gerard W. Ostheimer Lecture Neuraxial Anesthesia in Parturients with Thrombocytopenia: A Multisite Retrospe... Prophylactic Ondansetron for the Prevention of Intrathecal Fentanyl- or Sufentan... to Workplace Health & Safety. - You may purchase this article for US$36.00. Similar articles in PubMed Articles by Wizner, K. Articles by Shaffer, R. UAMS Powered Air Purifying (PAPR) or Half Face/Full Face Respirator Approval Process

Since the PAPR and the Half Face/Full Face respirator is a tight-fitting face piece respirator, there is an approval process each wearer must complete before being fitted for the respirator. The steps below includes a medical questionnaire, training, testing and fitting of these respirators. Step 1: Complete the Respirator Medical Evaluation Questionnaire. Call the Employee/Student Health at 686-6565 to schedule a respirator physical. Please take the completed medical evaluation questionnaire with you to the appointment. Every 2 years if age was 45 years and older Every 3 years if age was 35 - 44 years Every 5 years if age was 34 years and younger Every year if an individual has an existing or develops a medical condition that requires annual examinations. Step 2: The Respirator Training must be completed before being fit tested. PAPR Training: Complete the PAPR Respirator Training and complete the Post Test following the training. Half Face/Full Face Training: Complete the Half Face/Full Face Respirator Training and complete the Post Test following the training.

Note: You must be fit tested within 90 days of completing the training. Step 3: Fit tests are required for the use of any tight-fitting face piece respirators. Hours Fit Tests Are Performed Mondays:           7:00 - 10:00 am Wednesdays:     1:00 - 4:00 pm Thursdays:          7:00 - 10:00 am If wearing the PAPR you must make an appointment for hands on training by calling Sonja Hart at 296-1060. For all other respirators, no appointment is necessary. Do not eat, chew gum or drink anything except water for at least 15 minutes before coming to be fit tested Do not bring cups, drink bottles or food with you when coming to be fit tested. They are not allowed in the laboratory. Males must be clean shaven to be fit tested. A mustache and goatee is allowed as long as it does not go under the chin to the neck. (Does not apply if wearing the PAPR). Come to Central Building (old hospital ) G-154 to be fit tested (located around the corner from the cafeteria).