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NACCHO 02-2006 1v. 01312006
Personal Protective Equipment (PPE)
2006 Advanced Practice Centers for Preparedness Training Conference
Objectives
Define PPE Select appropriate PPE components
for an incidentDon and doff Level C PPE
What is PPE?
Personal Protective Equipment►4 levels based originally on Haz Mat
definitions►Based on OSHA requirement for making
the worker safe►Two overall categories
Airway protectionBarrier protection
►All come with Advantages and Limitations
Respiratory Protection
JDH Systems, Inc.
Garments and Barriers
Fully encapsulated suits
Splash/droplet (includes vapor)
GlovesBootsEye protection
Level DYour usual work
clothes
Level C Air-Purifying Respirator
(APR) (NIOSH-certified) Resp. Protection:
Carefully Selected Vapors and Aerosols
Hooded, Splash Protective Chemical Resistant Suit
Clothing Protection: Liquids and Solids
Level B SCBA or SAR (Supplied
Air Respirator) with Escape (NIOSH-certified)
Resp. Protection: Gas, Vapor, Aerosol, O2 Deficient Atmospheres
Splash Protective Chemical Resistant Suit
Clothing Protection: Solids Liquids
Level A SCBA (NIOSH-certified) Resp. Protection Against:
Gases, Vapors, Aerosols, Oxygen Deficient Atmospheres
Vapor-protective Fully Encapsulated Suit
Clothing Protection Against: Gas, Vapor, Liquid, Solid
What Are the PPE Protection Levels?
Level Respiratory Skin
A Best Best
B Best Good
C Depends on the agent
Good
D Minimal Minimal
What is the Correct PPE for Hospital Decontamination
?
PPE for Hospital StaffLevel C for Hospital Decontamination
►Non-IDLH atmosphere►Inexpensive►Greatest mobility
Afterwards - Level D for Patient care activity Accepted by American Hospital Association
and OSHA
Exception - if the hospital is the event site
What if I am caught without PPE?
Get out and get away as fast as possible!If all else fails and you have nothing else:
►Double layer T-shirt over nose & mouthEffective for:
►Many biological agents►Some types of radiation
Less effective for:►Many chemical agents
PPE Summary
Level A/B only for specialized situations►Not for the lay person (hospital workers,
Public Health, EMS/Police)►Need much training►Including annual fit testing
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►Highly contagious
medical care►Decontamination line►Open area assessment
for triage
Thank You!
Questions?Now, let’s suit up and try it out!
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