The Effect of Respirator Training on the Ability of Healthcare Workers to Pass a Qualitative Fit Test

Hannum, Donna; Cycan, Kerrie; Jones, Linda; Stewart, Melinda; Morris, Stephen; Markowitz, Sheldon M.; Wong, Edward S.

doi:10.2307/30141296

Cited by 27 publications

(4 citation statements)

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“…As a result of the lack of availability of standard N95 FFRs, the iMASC system was not compared with standard-of-care N95 FFRs. Previous studies have demonstrated that a respirator user gains experience with subsequent donnings and may result in improved fit-test pass rate biasing our results [11][12][13] ; thus, it will important to assess fit testing in inexperienced subjects. While Bitrex is the preferred choice for fit test solution as a leak detection, 14 saccharin was chosen due to availability and use in OSHA-approved qualitative fit tests.…”

Section: Discussionmentioning

confidence: 95%

Injection Molded Autoclavable, Scalable, Conformable (iMASC) system for aerosol-based protection: a prospective single-arm feasibility study

et al. 2020

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ObjectiveTo develop and test a new reusable, sterilisable N95 filtering facepiece respirator (FFR)-comparable face mask, known as the Injection Molded Autoclavable, Scalable, Conformable (iMASC) system, given the dire need for personal protective equipment within healthcare settings during the COVID-19 pandemic.DesignSingle-arm feasibility study.SettingEmergency department and outpatient oncology clinic.ParticipantsHealthcare workers who have previously undergone N95 fit testing.InterventionsFit testing of new iMASC system.Primary and secondary outcome measuresPrimary outcome is success of fit testing using an Occupational Safety and Health Administration (OSHA)-approved testing method, and secondary outcomes are user experience with fit, breathability and filter replacement.ResultsTwenty-four subjects were recruited to undergo fit testing, and the average age of subjects was 41 years (range of 21–65 years) with an average body mass index of 26.5 kg/m2. The breakdown of participants by profession was 46% nurses (n=11), 21% attending physicians (n=5), 21% resident physicians (n=5) and 12% technicians (n=3). Of these participants, four did not perform the fit testing due to the inability to detect saccharin solution on premask placement sensitivity test, lack of time and inability to place mask over hair. All participants (n=20) who performed the fit test were successfully fitted for the iMASC system using an OSHA-approved testing method. User experience with the iMASC system, as evaluated using a Likert scale with a score of 1 indicating excellent and a score of 5 indicating very poor, demonstrated an average fit score of 1.75, breathability of 1.6, and ease of replacing the filter on the mask was scored on average as 2.05.ConclusionsThe iMASC system was shown to successfully fit multiple different face sizes and shapes using an OSHA-approved testing method. These data support further certification testing needed for use in the healthcare setting.

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Section: Discussionmentioning

confidence: 95%

Injection Molded Autoclavable, Scalable, Conformable (iMASC) system for aerosol-based protection: a prospective single-arm feasibility study

et al. 2020

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“…The use of reality-based education methods, such as clinical simulation, has been shown to help significantly reduce the contamination associated with PPEs' management [13]. However, while some authors have reported fewer errors using methodologies with active versus passive formations [34], others have not found significant differences in compliance with the protocol [35,36], or even the opposite, finding significant differences in favor of the use of online methodologies (e.g., mobile video) instead of conventional learning strategies in health professionals managing PPEs [31], which may be due to the immediacy (any moment, any time) offered by these modern approaches in a profession marked by constantly changing schedules and routines determined by patient conditions. It is true that both modalities have common features, which can be, among others, the possibility of downloading the content and assignments, as if students were taking notes in a face-to-face lesson, or the possibility of starting a debate or reflection process during lessons remotely thanks to videoconference platforms.…”

Section: Discussionmentioning

confidence: 99%

Impact of Non-Face-to-Face Teaching with Passive Training on Personal Protective Equipment Use in Health Science Students: A Randomized Controlled Trial

Rueda‐Medina

Aguilar‐Ferrándiz

Esteban-Burgos

et al. 2022

IJERPH

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Background: In the COVID-19 era, there was a call for the transformation of higher education. Universities had to combine non-face-to-face teaching with traditional procedures. This study analyzed the effectiveness and perceived satisfaction in a cohort of health sciences students of non-face-to-face teaching with passive training versus face-to-face teaching with active training in the proper donning and doffing of personal protective equipment (PPE) in a clinical simulation scenario. Methods: A total of 142 participants were randomized into two groups: (a) non-face-to-face teaching with passive training; (b) face-to-face teaching with active training. The proper protocol for donning and doffing PPE was assessed. Students evaluated their skills before and after training and satisfaction with training received. Results: Significant differences were observed for the statements “I felt more confident in donning after receiving this training” (p = 0.029) and “I felt more confident in doffing after receiving this training” (p = 0.042) in the face-to-face teaching with active training group compared to the non-face-to-face teaching with passive training group, whose number of tasks violated was significantly higher (p = 0.020). Satisfaction was significantly higher in the face-to-face and active training group (p = 0.004). Conclusions: Face-to-face teaching with active training improves effectiveness and satisfaction more than non-face-to-face teaching with passive training for acquiring skills in donning and doffing PPE properly.

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“…18 Clayton and Vaughn stated that fit-testing plays an important role in reinforcing training as users forget how to correctly don and use their respirators while Hannum et al concluded that fit-testing as part of training marginally enhanced the ability of healthcare workers to wear respirators properly and pass a fit-test. 26,27 Doffing safely and in the proper sequence is also important to prevent self-contamination. 28 According to section 8.8 of CSA Standard Z94.4-02, refresher training for respirator users is to be provided at least every two years.…”

Section: Respirator User Education and Training: Frequency And Knowle...mentioning

confidence: 99%

Strengthening N95 Filtering Facepiece Respirator Protection Programs by Evaluating the Contribution of Each of the Program Elements

Danyluk,

Hon,

Astrakianakis

et al. 2023

Preprint

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<p>N95 filtering facepiece respirators are used to protect workers from harmful airborne contaminants in the health care setting. Workplaces where respirators are deemed necessary to protect workers from airborne hazards are required to implement a respiratory protection program. This project aimed to strengthen N95 respirator protection programs and aid in better delivery of organizational pandemic preparedness plans</p> <p>Workplaces where respirators are deemed necessary to protect workers from airborne hazards are required to implement a respiratory protection program (RPP). This research evaluated the contribution of each component of an RPP in a healthcare setting. The project focused on N95 filtering facepiece respirators used to protect healthcare workers from harmful airborne contaminants and infectious disease</p>

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The Effect of Respirator Training on the Ability of Healthcare Workers to Pass a Qualitative Fit Test

Cited by 27 publications

References 0 publications

Injection Molded Autoclavable, Scalable, Conformable (iMASC) system for aerosol-based protection: a prospective single-arm feasibility study

Injection Molded Autoclavable, Scalable, Conformable (iMASC) system for aerosol-based protection: a prospective single-arm feasibility study

Impact of Non-Face-to-Face Teaching with Passive Training on Personal Protective Equipment Use in Health Science Students: A Randomized Controlled Trial

Strengthening N95 Filtering Facepiece Respirator Protection Programs by Evaluating the Contribution of Each of the Program Elements

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