v NACCHO Personal Protective Equipment (PPE) 2006 Advanced Practice Centers for Preparedness Training Conference

Objectives Define PPE Define PPE Select appropriate PPE components for an incident Select appropriate PPE components for an incident Don and doff Level C PPE Don and doff Level C PPE

What is PPE? Personal Protective Equipment Personal Protective Equipment 4 levels based originally on Haz Mat definitions 4 levels based originally on Haz Mat definitions Based on OSHA requirement for making the worker safe Based on OSHA requirement for making the worker safe Two overall categories Two overall categories Airway protection Airway protection Barrier protection Barrier protection All come with Advantages and Limitations All come with Advantages and Limitations

Respiratory Protection

Garments and Barriers Fully encapsulated suits Fully encapsulated suits Splash/droplet (includes vapor) Splash/droplet (includes vapor) Gloves Gloves Boots Boots Eye protection Eye protection

Level D Your usual work clothes Your usual work clothes

Level C Air-Purifying Respirator (APR) (NIOSH-certified) Air-Purifying Respirator (APR) (NIOSH-certified) Resp. Protection: Carefully Selected Vapors and Aerosols Resp. Protection: Carefully Selected Vapors and Aerosols Hooded, Splash Protective Chemical Resistant Suit Hooded, Splash Protective Chemical Resistant Suit Clothing Protection: Liquids and Solids Clothing Protection: Liquids and Solids

Level B SCBA or SAR (Supplied Air Respirator) with Escape (NIOSH-certified) SCBA or SAR (Supplied Air Respirator) with Escape (NIOSH-certified) Resp. Protection: Gas, Vapor, Aerosol, O2 Deficient Atmospheres Resp. Protection: Gas, Vapor, Aerosol, O2 Deficient Atmospheres Splash Protective Chemical Resistant Suit Splash Protective Chemical Resistant Suit Clothing Protection: Solids Liquids Clothing Protection: Solids Liquids

Level A SCBA (NIOSH-certified) SCBA (NIOSH-certified) Resp. Protection Against: Gases, Vapors, Aerosols, Oxygen Deficient Atmospheres Resp. Protection Against: Gases, Vapors, Aerosols, Oxygen Deficient Atmospheres Vapor-protective Fully Encapsulated Suit Vapor-protective Fully Encapsulated Suit Clothing Protection Against: Gas, Vapor, Liquid, Solid Clothing Protection Against: Gas, Vapor, Liquid, Solid

What Are the PPE Protection Levels? LevelRespiratorySkin ABestBest BBestGood C Depends on the agent Good DMinimalMinimal

What is the Correct PPE for Hospital Decontamination ?

PPE for Hospital Staff Level C for Hospital Decontamination Level C for Hospital Decontamination Non-IDLH atmosphere Non-IDLH atmosphere Inexpensive Inexpensive Greatest mobility Greatest mobility Afterwards - Level D for Patient care activity Afterwards - Level D for Patient care activity Accepted by American Hospital Association and OSHA Accepted by American Hospital Association and OSHA Exception - if the hospital is the event site Exception - if the hospital is the event site

What if I am caught without PPE? Get out and get away as fast as possible! Get out and get away as fast as possible! If all else fails and you have nothing else: If all else fails and you have nothing else: Double layer T-shirt over nose & mouth Double layer T-shirt over nose & mouth Effective for: Effective for: Many biological agents Many biological agents Some types of radiation Some types of radiation Less effective for: Less effective for: Many chemical agents Many chemical agents

PPE Summary Level A/B only for specialized situations Level A/B only for specialized situations Not for the lay person (hospital workers, Public Health, EMS/Police) Not for the lay person (hospital workers, Public Health, EMS/Police) Need much training Need much training Including annual fit testing Including annual fit testing Level D normal work gear Level D normal work gear

PPE Summary Except for rare cases, Level C will be the best choice for a known element, especially in healthcare Except for rare cases, Level C will be the best choice for a known element, especially in healthcare Highly contagious medical care Highly contagious medical care Decontamination line Decontamination line Open area assessment for triage Open area assessment for triage

Thank You! Questions? Now, lets suit up and try it out!