6. Proper Respirator Use, Storage, Maintenance, Repair, Disposal

NIOSH Documents

Hospital Respiratory Protection Program Toolkit
This toolkit was developed to assist hospitals in developing and implementing effective respiratory protection programs, with an emphasis on preventing the transmission of aerosol transmissible diseases (ATDs) to healthcare personnel.

Healthcare personnel are paid and unpaid persons who provide patient care in a healthcare setting or support the delivery of healthcare by providing clerical, dietary, housekeeping, engineering, security, or maintenance services. Healthcare personnel may potentially be exposed to ATD pathogens. Aerosols are particles or droplets suspended in air. ATDs are diseases transmitted when infectious agents, which are suspended or present in particles or droplets, contact the mucous membranes or are inhaled.

Implementing Hospital Respiratory Protection Programs: Strategies from the Field
Protecting workers from exposure to all types of respiratory hazards is an important issue for hospitals and other healthcare organizations. In order to address this often overlooked danger, The Joint Commission and Centers for Disease Control and Prevention (CDC), National Institute for Occupational Safety and Health (NIOSH), National Personal Protective Technology Laboratory (NPPTL) have collaborated to develop a new educational monograph designed to assist hospitals in implementing their respiratory protection programs (RPPs).

What’s special about Chemical, Biological, Radiological, and Nuclear (CBRN) powered air-purifying respirators (PAPR)?
This guidance will help respiratory protection program administrators, managers, and powered air-purifying respirator (PAPR) wearers understand the special features of a NIOSH-approved chemical, biological, radiological, and nuclear (CBRN) PAPR. These respirators have unique performance, use limitations, and storage requirements compared to NIOSH-approved industrial PAPR. The respiratory protection program administrator should assure that PAPR manufacturer recommendations are addressed. This information may also be used by managers and PAPR wearers to optimize personal protection.

NIOSH Fact Sheet: getting optimal performance from a powered air-purifying respirator (PAPR) depends on the condition of its battery
The guidance in this fact sheet will help respiratory protection program administrators, managers, and powered air]purifying respirator (PAPR) wearers understand the importance of a PAPR’s battery in assuring effective respiratory protection. The respiratory protection program administrator should assure that PAPR manufacturer recommendations for battery storage, care, usage, and disposal are addressed. However, an understanding of these requirements by managers and PAPR wearers is also beneficial to ensure personal protection.

TB Respiratory Protection Program in Health Care Facilities
This manual is designed to serve as a practical guide for those individuals responsible for initiating and running a TB respiratory protection program in health care facilities. The information in this manual remains current and viable in 2012.

Infographics

Institute of Medicine (IOM) Reports

Preventing Transmission of Pandemic Influenza and Other Viral Respiratory Diseases: Personal Protective Equipment for Healthcare Personnel Update 2010
In light of the unanswered research questions following the 2009 H1N1 influenza pandemic, NPPTL asked the IOM to assess the progress of PPE research and to identify future directions for PPE for healthcare personnel. While the IOM finds that there are gaps and deficiencies in the research about PPE use in health care, there is sufficient knowledge to recommend a four-pronged strategy for effective PPE use:

Videos

Respirator Safety: Donning (Putting on) and Doffing (Taking off)

Webinars

Debunking the Myths Regarding N95 Respirator Use
When it comes to N95s, workers may be confused about the purpose of these respirators, how to properly wear them, how to know if they are NIOSH-approved, and so much more.

Journal Articles

Proper use of surgical N95 respirators and surgical masks in the OR
Benson-SM; Novak-DA; Ogg-MJ
AORN J 2013 Apr; 97(4):457-470

Occupational health nurses’ achievement of competence and comfort in respiratory protection and preferred learning methods: results of a nationwide survey
Burgel-BJ; Novak-DA; Carpenter-HE; Gruden-M; Lachat-AM; Taormina-D
Workplace Health Saf 2014 Feb; 62(2):56-68

Perceived competence and comfort in respiratory protection: results of a nationwide survey of occupational health nurses
Burgel-BJ; Novak-D; Burns-CM; Byrd-A; Carpenter-H; Gruden-M; Lachat-A; Taormina-D
Workplace Health Saf 2013 Mar; 61(3):103-115

Understanding and controlling the hazards of surgical smoke
Novak-DA; Benson-SM
Prev Infect Ambul Care 2010 Dec; :1, 3-5

Emerging infectious threats: respiratory protection for personal safety
Messinger Harkavy-L; Santo-Novak-DA
Am Nurse Today 2009 Jun; 4(6):32

Evaluation of the benefit of the user seal check on N95 filtering facepiece respirator fit
Viscusi-DJ; Bergman-MS; Zhuang-Z; Shaffer-RE
J Occup Environ Hyg 2012 Jun; 9(6):408-416