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7. Training

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).

Respirator Awareness: Your Health May Depend on it
One of the occupational hazards in the healthcare setting is the airborne transmission of certain infectious diseases. The potential of exposure is not limited to physicians, nurses, and support personnel in direct patient care. It extends to those delivering food, cleaning patient rooms, and performing maintenance. Anyone working in areas with patients infected with airborne-transmissible diseases is potentially at risk.

Preparedness through Daily Practice: The Myths of Respiratory Protection in Healthcare
Evidence from surveillance studies indicates gaps in hospitals’ respiratory protection programmatic operations and healthcare workers’ (HCWs) marginal compliance with respiratory protection recommended practices. Improper use of respiratory protective devices (RPDs) may expose HCWs to infectious respiratory illnesses. In this document, NIOSH addresses common myths related to respiratory protection and provides information to reinforce respiratory protection program administrator responsibilities and HCW knowledge concerning the proper use of these devices so that they can be prepared for the next public health emergency and best protect themselves in daily practice.

TB Respiratory Protection Program in Healthcare 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.

California Toolkit: Respirator Use in Healthcare Workplaces
Evaluations of respirator use in California hospitals conducted during the 2009 H1N1 pandemic and the 2010-11 influenza season showed that some hospitals could use help to improve the effectiveness of their respirator programs. The Toolkit was developed to provide useful tools and resources for California hospitals to reinforce and strengthen the respiratory protection programs. The guide covers key requirements of the Cal/OSHA Respiratory Protection and Aerosol Transmissible Diseases standards, guidance on developing and evaluating a respiratory protection program, and information on the selection and use of respirators. The tools and resources are now available through links within the electronic version of the guide itself. While directed toward California, the tools provide a useful resource for the nation as NIOSH NPPTL continues to work toward developing more generalized tools.


Infographic - NIOSH Reach II Study: Understanding and Selecting Respiratory Protection Devices

NIOSH Reach II Study: Understanding and Selecting Respiratory Protection Devices (2014)
Infographic addressing situations that require respiratory protection and whether an N95 FFR or a surgical mask should be utilized.
PDF [445 KB], Image [1,940 KB]

Infographic - Required Labeling of NIOSH-Approved N95 Filtering Facepiece Respirators

Required Labeling of NIOSH-Approved N95 Filtering Facepiece Respirators (2014)
Infographic depicting the required labeling for all NIOSH-approved N95 filtering facepiece respirators.
PDF [488 KB], Image [1,968 KB]

Infographic - Respiration Fit Test RequirementsSummary of Respiration Fit Test Requirements (2015)
Infographic explaining who needs to get fit tested, how to get fit tested, and the required follow up.
PDF [1,123 KB], Image [962 KB]

Inforgraphic - Important Steps for Using NIOSH-Approved N95 Filtering Facepiece Respirators

Important Steps for Using NIOSH-Approved N95 Filtering Facepiece Respirators (2014)
PDF [711 KB], Image [4,807 KB]

Infographic - It's Not What You Think! N95 Myth v/s Fact

It’s Not What You Think! N95 Myth v/s Fact (2103)
PDF [551 KB], Image [3,271 KB]

Sequence for Putting on Personal Protective Equipment (PPE)

Sequence for Putting on Personal Protective Equipment (PPE)
PDF [3 KB], Image, Page 1 [131 KB], Image, Page 2 [277 KB], Image, Page 3 [265 KB]

Infographic - Three Key Factors Required for a Respirator to be Effective

Three Key Factors Required for a Respirator to be Effective (2018)
PDF [1,853 KB], Image [160 KB]

Training Opportunities

AAOHN Healthcare Workers’ Respiratory Protection Training

AAOHN Respiratory Protection Education & Resources Webkit

Institute of Medicine (IOM) Reports

Occupational Health Nurses (OHNs) and Respiratory Protection: Improving Education and Training – Letter Report
At the request of NPPTL, the IOM Committee on the Respiratory Protection Curriculum for Occupational Health Nursing Programs examined existing respiratory protection curricula in occupational health nursing programs and made recommendations to improve the education and training of OHNs. The IOM identified essential content that should be included in education and training programs for OHNs and the best approaches to teaching that content.


Respiratory Fit Testing

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