Healthcare Respiratory Protection Resources
5. Fit Testing
Filtering out Confusion: Frequently Asked Questions about Respiratory Protection, Fit Testing
DHHS (NIOSH) Publication No. 2018-129 (April 2018)
The Occupational Safety and Health Administration (OSHA) (29 CFR 1910.134) requires an annual respirator fit test to confirm the fit of any respirator that forms a tight seal on the wearer’s face before it is used in the workplace. This ensures that users are receiving the expected level of protection by minimizing any contaminant leakage into the facepiece.
Hospital Respiratory Protection Program Toolkit (2015)
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 FieldExternal (2015)
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).
Temporal changes in filtering facepiece respirator Fit
Zhuang, Z., M. Bergman, E. Brochu, A. Palmiero, G. Niezgoda, X. He, R. Roberge, and R.E. Shaffer
J Occup Environ Hyg 2016 Apr; 13(4):269-278
Correlation between respirator fit and respirator fit test panel cells by respirator size
Zhuang-ZQ; Groce-D; Ahlers-HW; Iskander-W; Landsittel-D; Guffey-S; Benson-S; Viscusi-D; Shaffer-RE
J Occup Environ Hyg 2008 Oct; 5(10):617-628
New respirator fit test panels representing the current US civilian work force
Zhuang, Z.Q., B. Bradtmiller, and R.E. Shaffer
J. Occup. Environ. Hyg. 4(9): 647-659 (2007)
Simulated workplace protection factors for half-facepiece respiratory protective devices
Duling-MG; Lawrence-RB; Slaven-JE; Coffey-CC
J Occup Environ Hyg 2007 Jun; 4(6):420-431
Evaluation of sampling probes for fit testing N95 filtering facepiece respirators
Bergman-MS; Viscusi-DJ; Zhuang-Z; Newcomb-WE
Ann Occup Hyg 2013 May; 57(4):507-518
Differences in Hospital Managers’, Unit Managers’, and Health Care Workers’ Perceptions of the Safety Climate for Respiratory Protection.
Peterson K, Roger B, Brosseau L ,Payne J, Cooney J, Joe L, & Novak D. (2016).
Workplace Health and Safety 64 (7), 326-336.
Hospital respiratory protection practices in 6 U.S. states: A public health evaluation study.
Peterson K, Novak D, Stradtman L, Wilson D, & Couzens L (2015).
Evaluation of Minnesota and Illinois hospital respiratory protection programs and health care worker respirator use.
Brosseau LM, Conroy LM, Sietsema M, Cline K, & Durski K. (2015).
JOEH 12(1), 1-15.
Comparing Written Programs and Self-Reported Respiratory Protection Practices in Acute Care Hospitals.
Sietsema M, Conroy LM, & Brosseau LM. (2015).
Respiratory protection policies and practices among the health care workforce exposed to influenza in New York State: Evaluating emergency preparedness for the next pandemic.
Hines L, Rees E, & Pavlechak N (2014).
AJIC 42(3), 240-45.