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[ Music ]

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>> This video will
illustrate how

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to properly wear personal
protective equipment or PPE,

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to protect against illicit
drugs, including fentanyl.

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NIOSH has identified three
levels of potential exposure.

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Minimal, moderate and high

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Exposure levels are defined
as follows.

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Minimal exposure situation.

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Response to a situation where it
is suspected that illicit

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fentanyl or other illicit drugs may
be present but no drugs are visible.

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In this situation,
NIOSH recommends that you wear

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nitrile gloves.

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Moderate exposure situation.

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Response to a situation
where small amounts

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of illicit fentanyl or other
illicit drugs are visible.

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In this situation, NIOSH recommends
that you wear nitrile gloves,

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arm protection, a disposable N,
P or R100 filtering face piece

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respirator or a reusable
elastomeric N, P or R100

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respirator and protective
eyewear.

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Response to a situation
where liquid fentanyl

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or large amounts of fentanyl
products are visible.

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In this situation,
NIOSH recommends

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responders do not enter the area.

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Entry into these situations
requires additional

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PPE and training per your
department's policy.

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The following are some
general instructions

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for properly donning,
conducting a user seal check

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and doffing the two most common
types of respirators used

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to protect against
illicit drugs.

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You should always follow the
manufacturer's instructions

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for the specific respirator
model that you are using.

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A fit test verifies that the
respirator fits you correctly.

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It must be performed
before you wear a respirator

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for the first time and at
least yearly after that.

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You should perform a user
seal check each time you don

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a respirator.

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A user seal check is a way

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to verify the respirator
is positioned on your face

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to assure a proper seal.

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Your department will provide you
with a NIOSH approved respirator

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after completing the
required medical clearance,

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fit testing and training.

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As a responder, you can
wear glasses, a hat,

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a body cam that mounts on
your head or around your head

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and a radio that
may use an earbud.

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Remove these items and
anything else that may come

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between you and the respirator.

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There should be nothing
under the respirator

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or the respirator
straps that can interfere

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with the respirator seal.

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If you have facial
hair that comes

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between the sealing surface of
the face piece and your face,

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or that interferes with
the valve function,

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you shouldn't wear the tight
fitting respirators described

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in this video.

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Discuss alternative
respiratory protection options

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with your department.

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The following are
general instructions

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for correctly donning,
conducting a user seal check

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and doffing a disposable
N, P or R,

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100 filtering face
piece respirator.

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Before starting the donning
process, inspect the respirator,

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including the straps,
for tears or damage.

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If you find any damage to the
respirator, do not use it.

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Replace it with a new one.

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Next, remove anything
that may come

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between you and the respirator.

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Using one hand, place the
respirator on your face,

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with the nose piece
at your fingertips,

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allowing the head
bands to hang freely.

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The nose piece should span and
cover the bridge of your nose.

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And the respirator
should cup your chin.

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Pull the bottom strap
over your head,

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resting it around your neck

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and below your ears
and adjust the strap.

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Pull the top strap over your
head and position it high,

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at the back of your head
and adjust the strap.

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When adjusting the
straps, be careful not

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to over-tighten the respirator
to your face and be sure not

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to criss-cross the straps.

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Make sure that your mouth

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and nose are covered
by the respirator.

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If the respirator has a
metal nose piece or strip,

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use both hands to mold the
strip to conform to the shape

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of your nose by pushing inward
while moving your fingertips

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down along both sides
of the nose piece.

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After donning your respirator,

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carefully replace other
items you wear on your head.

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These items should go on
top of your respirator

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and should not push on the
respirator to deform it

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so they did not interfere
with the respirator seal.

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Next, perform a negative
pressure user seal check

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by placing both hands
over the respirator

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and taking a quick breath in,

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to see if the respirator
collapses slightly.

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If you do not feel air
leak between your face

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and the respirator seal, a
proper seal has been made.

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Don the additional PPE that is
required, such as your gloves

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and proceed with your work.

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If you feel leakage between your
face and the respirator seal,

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there's not a proper seal.

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If air leaks around the nose,
readjust the nose piece.

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If air leaks at the mask
edges, readjust the straps

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and reposition the
respirator on your face.

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After readjusting
the respirator,

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you should check the seal again.

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If you cannot achieve a proper
seal due to air leakage,

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you are not protected and should
not enter a hazardous area.

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See your supervisor to
determine the problem.

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If your respirator accidentally
comes off in a hazardous area,

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exit the area and follow
your department's procedures

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for reentering.

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Once you have exited the scene
and are in a clean environment,

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you should remove
your PPE as follows.

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Start by removing your gloves
and placing them in a labeled,

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durable 6 mil, polyethylene bag.

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Then remove anything that is
on top of your respirator.

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Next, carefully remove
the respirator,

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without touching the front of
it, as it may be contaminated.

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Reach behind your head and
pull the bottom strap forward,

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followed by the top strap.

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Place the contaminated single
use respirator in a labeled,

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durable 6 mil polyethylene bag.

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Dispose of single
use PPE according

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to your department's procedures.

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Do not save or reuse the
respirator or gloves.

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After removing your respirator,

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you should immediately wash
your hands before touching other

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items or yourself.

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Do not use hand sanitizer.

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Now, let's explore the
general instructions

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for correctly donning,
conducting a user seal check

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and doffing a half face
piece, elastomeric respirator.

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These are just general
instructions.

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You should always follow the
manufacturer's instructions

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for the specific respirator
model that you are using.

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Before starting the donning
process, inspect the respirator,

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including the straps, valves
and gaskets for loose,

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missing or damaged parts.

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If you find any damage

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to the respirator,
repair or replace it.

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Next, remove anything
that may come

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between you and the respirator.

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Then pull the bottom
strap over your head.

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Place the respirator face piece

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under your chin and
over your nose.

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Pull the head harness over
the crown of your head

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and adjust its placement, until
it is stable but comfortable.

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Be sure that the neck
strap is flat and smooth

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against the back of your neck.

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Adjust the neck strap
but be careful not

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to over-tighten the
respirator to your face.

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After donning your respirator,

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carefully replace items
you wear on your head.

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These items should go on
top of your respirator

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and should not push on the
respirator, to deform it,

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so they do not interfere
with the respirator seal.

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Next, perform a positive
pressure user seal check.

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Place the palm of your hand over
the exhalation valve outlet.

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Exhale gently and hold
your breath to create

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and maintain a slight positive
pressure inside the face piece.

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If the face piece
bulges slightly

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and no air leaks are
detected between your face

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and the face piece, you have
passed the positive pressure

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seal check.

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If, on the other hand, you
detect a face seal leak,

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readjust the straps

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and reposition the
respirator on your face.

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After adjusting the respirator,
you should check the seal again.

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Next, perform a negative
pressure seal check.

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Cover the respirator cartridges
or filters with the palms

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of your hands and inhale gently.

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If you feel the face piece
collapse and pull closer

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to your face with no
leaks between your face

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and the face piece, you have
passed the negative pressure

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seal check.

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If you detect air leakage,
readjust the straps

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and reposition the
respirator on your face.

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After adjusting the respirator,
you should check the seal again.

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If you cannot achieve a proper
seal, you are not protected

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and should not enter
a hazardous area.

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See your supervisor to
determine the problem.

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If you passed both the positive

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and negative pressure seal
checks, you have a proper seal.

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Don additional PPE that is
required, such as your gloves

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and proceed with your work.

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If your respirator accidentally
comes off in a hazardous area,

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exit the area and follow
your department's procedures

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for reentering.

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Once you have exited the scene
and are in a clean environment,

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you should remove
your PPE as follows.

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Start by changing into
a clean pair of gloves.

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This will keep you from
becoming contaminated.

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Now, with the new clean
gloves, use your hands

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to remove anything on
top of the respirator.

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Next, carefully loosen the
straps and remove the respirator

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by grabbing the front
of the respirator.

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Remove the cartridges or filters
and place them in a labeled,

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durable 6 mil polyethylene bag.

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Place the reusable
portion of the respirator

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in a separate labeled,
durable 6 mil polyethylene bag

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until it is properly cleaned.

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Follow your department's
procedures for disposing

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of single use PPE and
maintaining reusable PPE,

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including proper cleaning,
disinfecting and storage.

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After removing your respirator,

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you should immediately wash
your hands before touching other

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items or yourself.

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Do not use hand sanitizer.

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Remember, PPE must
be used in accordance

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with OSHA regulations,
including the PPE

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and respiratory protection
standards.

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[ Music ]