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‘VIOLET’: a fluorescence-based simulation exercise for training healthcare workers in the use of personal protective equipment
Background: Healthcare workers caring for patients with high-consequence infectious diseases (HCIDs) require protection from pathogen exposure, for example by wearing personal protective equipment (PPE). Protection is acquired through the inherent safety of the PPE components, but also their safe and correct use, supported by adequate training and user familiarity. However, the evidence base for HCID PPE ensembles and any associated training is lacking, with subsequent variation between healthcare providers. Aim: To develop an evidence-based assessment and training tool for evaluating PPE ensembles...
Are health care personnel trained in correct use of personal protective equipment?
Effective use of personal protective equipment (PPE) is essential to protect personnel and patients in health care settings. However, in a survey of 222 health care personnel, PPE training was often suboptimal with no requirement for demonstration of proficiency. Fourteen percent of physicians reported no previous training in use of PPE. Source: John, Amrita, Tomas, Myreen E., Cadnum, Jennifer L., Mana, Thriveen S.C., Jencson, Annette, Shaikh, Aaron, ... Donskey, Curtis J. (2016). AJIC : American Journal of Infection Control . http://dx.doi.org/10.1016/j.ajic.2016.03.031
Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff
In epidemics of highly infectious diseases, such as Ebola Virus Disease (EVD) or SARS, healthcare workers (HCW) are at much greater risk of infection than the general population, due to their contact with patients' contaminated body fluids. Contact precautions by means of personal protective equipment (PPE) can reduce the risk. It is unclear which type of PPE protects best, what is the best way to remove PPE, and how to make sure HCWs use PPE as instructed. To evaluate which type or component of full-body PPE and which method of donning or removing (doffing) PPE have the least risk of self...
Precautionary Practices of Healthcare Workers Who Disinfect Medical and Dental Devices Using High-Level Disinfectants
BACKGROUND: High-level disinfectants (HLDs) are used throughout the healthcare industry to chemically disinfect reusable, semicritical medical and dental devices to control and prevent healthcare-associated infections among patient populations. Workers who use HLDs are at risk of exposure to these chemicals, some of which are respiratory and skin irritants and sensitizers. OBJECTIVE: To evaluate exposure controls used and to better understand impediments to healthcare workers using personal protective equipment while handling HLDs. DESIGN: Web-based survey. PARTICIPANTS: A targeted sample of members...
Assessment of Personal Protective Equipment Use Among Farmers in Eastern North Carolina
A Cross-sectional Study Agriculture consistently ranks among the top hazardous occupations, accounting for a significant number of injuries and fatalities in the workplace. Eastern North Carolina has a significant number of small, independent, family-run, owned, and operated farms. However, little is known about perception, behavior, training, accessibility, or purchasing personal protective equipment (PPE) for safety among farmers in the region. In this study, telephone interviews were conducted among participating farmers between March and June 2012 (N = 129). Univariate and bivariate analyses...
Oregon OSHA Posts Respiratory Program Guide for Small Businesses
A new publication titled Breathe Right! from Oregon OSHA is an easily understood guide to developing a respiratory protection program for owners and managers of small businesses. It covers Assigned Protection Factors and different types of respiratory hazards, fit tests, seal checks, respirator cleaning and disinfection, voluntary use, employee training, and respirator use by bearded workers. Source: http://ohsonline.com/articles/2014/06/26/oregon-osha-posts-respiratory-program-guide-for-small-businesses.aspx
NIOSH Health and Safety Practices Survey of Healthcare Workers
Training and awareness of employer safety procedures Background : The Health and Safety Practices Survey of Healthcare Workers describes current practices used to minimize chemical exposures and barriers to using recommended personal protective equipment for the following: antineoplastic drugs, anesthetic gases, high level disinfectants, surgical smoke, aerosolized medications (pentamidine, ribavirin, and antibiotics), and chemical sterilants. Methods : Twenty-one healthcare professional practice organizations collaborated with NIOSH to develop and implement the web-based survey. Results : Twelve...
Comparison of Three Respirator User Training Methods
Objective: This study addresses methods for training respirator users, particularly when occupational health professionals are not immediately available. Methods: A randomized trial compared three training methods—printed brochure, video, and computer-based training—for two respirator types (filtering facepiece and a dual-cartridge half facemask). Quantitative fit testing (PortaCount) measured the effectiveness of training. The study included 226 subjects. Results: For both respirator types, video was significantly superior to either print or computer-based training methods. Conclusions...

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