National Academies Press: OpenBook
« Previous: References
Suggested Citation:"Appendix A: Agenda." Institute of Medicine. 2015. The Use and Effectiveness of Powered Air Purifying Respirators in Health Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18990.
×

A

Agenda

The Use and Effectiveness of Powered Air Purifying Respirators (PAPRs) in Health Care

Keck Center of the National Academies 500 Fifth Street, NW, Room 208 Washington, DC 20001

August 7 and 8, 2014

THURSDAY, AUGUST 7—Room 208

8:30 – 8:40 a.m. Welcome and Introductions

Jim Johnson, Chair, IOM Workshop Planning Committee

Linda Hawes Clever, Chair, IOM Standing Committee on Personal Protective Equipment for Workplace Safety and Health (COPPE)

Suggested Citation:"Appendix A: Agenda." Institute of Medicine. 2015. The Use and Effectiveness of Powered Air Purifying Respirators in Health Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18990.
×
8:40 – 8:45 a.m. Impetus for a Workshop on PAPR Certification Standards
Maryann D’Alessandro, Director, National Personal Protective Technology Laboratory (NPPTL)
 
8:45 – 10:05 a.m. Panel 1: Understanding Current PAPR Regulations and Standards—Certification of PAPRs for Use in Health Care Settings
Facilitator: Linda Clever, Chair, Standing Committee on Personal Protective Equipment for Workplace Safety and Health and Planning Committee Member
 
8:45 – 8:50 Panel Introductions
8:50 – 9:35 Presentations
  • NPPTL Certification Standards Roland Berry Ann, NPPTL
  • ISO Standards
    Craig Colton, 3M Personal Safety, 3M
  • Regulatory Perspective
    Deborah Gold, Cal/OSHA (via WebEx)
9:35 – 10:05 Discussion
 
Issues for Presentations and Discussion:
  • What are the strengths and weaknesses of various approaches to modifying the PAPR certification requirements, including
    • Use of current NIOSH standards and certification processes
    • Changes to the PAPR certification standard that could be incorporated in 42 CFR 84 to provide improved health care worker protection
    • Use of the ISO standards for the certification of health care PAPRs
  • If the ISO standards are incorporated by reference:
Suggested Citation:"Appendix A: Agenda." Institute of Medicine. 2015. The Use and Effectiveness of Powered Air Purifying Respirators in Health Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18990.
×
  • What scientific studies are available to support the incorporation of the standards as currently drafted?
  • What scientific studies are needed to validate the draft standards to address these requirements?
  • What safeguards would be necessary to ensure the intended work rates are not exceeded?
 
10:05 – 10:20 a.m. Break
 
10:20 a.m. – 12:00 p.m.

Panel 2: Employee and Worker Experience in Using PAPRs in Health Care Settings
Facilitator: Bill Kojola, COPPE Committee Member

 
10:20 – 10:25 Panel Introductions
10:25 – 11:25 Presentations
  • Debbie Novak, NPPTL (via WebEx)
  • Jo Garrison, OSF Saint Francis Medical Center
  • Karen Anderson, CA Pacific Medical
  • Mark Catlin, Service Employees International Union
11:25 – 12:00 Discussion
 

Issues for Presentations and Discussion:

  • Why, where, and how are PAPRs being used in health care settings?
  • What actions need to be taken to ensure PAPRs are properly used in the health care setting?
  • What has the experience been in using PAPRs—benefits, challenges, barriers?
  • What changes in PAPR design and function are needed?
  • How can certification standards be used to encourage these changes?
Suggested Citation:"Appendix A: Agenda." Institute of Medicine. 2015. The Use and Effectiveness of Powered Air Purifying Respirators in Health Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18990.
×
12:00 – 12:45 p.m. Lunch
 
12:45 – 2:20 p.m. Panel 3: Employer Experience with PAPRs in Health Care Settings
Facilitator: Barbara DeBaun, COPPE and Planning Committee Member
 
12:45 – 12:50 Panel Introductions
12:50 – 1:50 Presentations
  • Jim Chang, University of Maryland
  • Lewis Radonovich, Department of Veterans Affairs
  • Trish Perl, Johns Hopkins University (via WebEx)
  • Jeffrey C. Nesbitt, Mayo Clinic
1:50 – 2:20 Discussion
 
Issues for Presentations and Discussion:
  • Why are PAPRs selected over other respirators and what factors affect selection of specific PAPRs for purchase? What criteria are used for purchases of PAPRs?
  • What efforts are needed to improve maintenance or life of PAPRs and how does this affect supplies?
  • What steps are necessary to ensure that workers comply with instructions on use, including training and efforts to increase compliance?
  • What changes in PAPR design and function are needed?
 
2:20 – 2:35 p.m. Break
 
2:35 – 4:25 p.m. Panel 4: Use of PAPRs in Emergency Preparedness Planning and Response
Facilitator: Melissa McDiarmid, Planning Committee Member
Suggested Citation:"Appendix A: Agenda." Institute of Medicine. 2015. The Use and Effectiveness of Powered Air Purifying Respirators in Health Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18990.
×
2:35 – 2:40 Panel Introductions
2:40 – 3:55 Presentations
  • David Ladd, Massachusetts Hazardous Materials Team
  • Robert Huebner, The Biomedical Advanced Research and Development Authority, Office of the Assistant Secretary for Preparedness and Response
  • Francis Califano, North Shore–LIJ Health System
  • Annemarie Flood, Association for Professionals in Infection Control and Epidemiology
  • Christopher Shields, Chicago Department of Public Health
3:55 – 4:25 Discussion
 
Issues for Presentations and Discussion:
  • How do PAPRs currently fit in to pandemic preparedness planning? What are the possibilities for future preparedness plans? What are the economic and logistical considerations?
    What are other issues that are considered in decisions about PAPRs?
  • What actions need to be taken to ensure PAPRs are properly used in the health care setting, especially as part of the national pandemic preparedness?
  • What changes in PAPR design and function are needed? How can certification standards be used to facilitate these changes?
 
4:25 – 4:45 p.m. Public Comment
 
4:45 p.m. Adjourn
Suggested Citation:"Appendix A: Agenda." Institute of Medicine. 2015. The Use and Effectiveness of Powered Air Purifying Respirators in Health Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18990.
×

FRIDAY, AUGUST 8—Room 208

8:30 – 8:40 a.m. Welcome and Review of Workshop Plans
Jim Johnson, Chair, IOM Workshop Planning Committee
 
8:40 – 10:15 a.m. Panel 5: Research and Design Perspectives—Improving PAPRs for Use in Health Care Settings
Facilitator: Dan Shipp, COPPE and Planning Committee Member
 
8:40 – 8:45     Panel Introductions
8:45 – 9:45     Presentations
  • Understanding the Respiratory Demands of the Health Care Workforce Philip Harber, University of Arizona
  • The Importance of Appropriate Battery Life in PAPR Usage, Maintenance, and Lifespan
    Rich Metzler, NPPTL
  • Research and Design and the Impact of Certification Standards
    Larry Green, Syntech International
  • Evaluating the Physiological Performance of PAPRs
    Edward J. Sinkule, NPPTL
9:45 –     10:15 Discussion
 
Issues for Presentations and Discussion:
  • What research has been done on determining optimal flow rates for health care workers? On the need for shorter life batteries? Where are the research gaps and needs for future research?
  • What work is being done to improve the interactions with patients by health care workers wearing PAPRs (e.g., noise,
Suggested Citation:"Appendix A: Agenda." Institute of Medicine. 2015. The Use and Effectiveness of Powered Air Purifying Respirators in Health Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18990.
×
  • visibility, communications issues, and others)?
  • What work is being done to improve the design of PAPRs to improve ease and comfort of use by health care workers?
 
10:15 – 11:15 a.m. Audience Discussion—How Can NPPTL’s PAPR Standards Evolve to Meet the Needs of the Health Care Workforce?
Facilitator: Jim Johnson, Chair, IOM Workshop Planning Committee
 
11:15 – 11:55 a.m. Panel 6: Summary and Priorities—Updating Certification Standards to Drive Better Health, Use, and Innovation of PAPRs
Facilitator: Jim Johnson, Chair, IOM Workshop Planning Committee
  • Bonnie Rogers, University of North Carolina at Chapel Hill
  • Craig Colton, 3M Personal Safety
  • Lewis Radonovich, Department of Veterans Affairs
  • Karen Anderson, CA Pacific Medical
  • Linda Clever, University of California, San Francisco
Issues for Presentations and Discussion:
  • What major issues have been identified?
  • What are the priorities for improving the use of PAPRs in health care settings?
  • What are the strengths and weaknesses of various approaches to modifying the PAPR certification requirements and standards?
 
11:55 a.m. – 12:00 p.m. Closing Remarks
Jim Johnson, Chair, IOM Workshop Planning Committee
Suggested Citation:"Appendix A: Agenda." Institute of Medicine. 2015. The Use and Effectiveness of Powered Air Purifying Respirators in Health Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18990.
×

This page intentionally left blank.

Suggested Citation:"Appendix A: Agenda." Institute of Medicine. 2015. The Use and Effectiveness of Powered Air Purifying Respirators in Health Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18990.
×
Page 59
Suggested Citation:"Appendix A: Agenda." Institute of Medicine. 2015. The Use and Effectiveness of Powered Air Purifying Respirators in Health Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18990.
×
Page 60
Suggested Citation:"Appendix A: Agenda." Institute of Medicine. 2015. The Use and Effectiveness of Powered Air Purifying Respirators in Health Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18990.
×
Page 61
Suggested Citation:"Appendix A: Agenda." Institute of Medicine. 2015. The Use and Effectiveness of Powered Air Purifying Respirators in Health Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18990.
×
Page 62
Suggested Citation:"Appendix A: Agenda." Institute of Medicine. 2015. The Use and Effectiveness of Powered Air Purifying Respirators in Health Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18990.
×
Page 63
Suggested Citation:"Appendix A: Agenda." Institute of Medicine. 2015. The Use and Effectiveness of Powered Air Purifying Respirators in Health Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18990.
×
Page 64
Suggested Citation:"Appendix A: Agenda." Institute of Medicine. 2015. The Use and Effectiveness of Powered Air Purifying Respirators in Health Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18990.
×
Page 65
Suggested Citation:"Appendix A: Agenda." Institute of Medicine. 2015. The Use and Effectiveness of Powered Air Purifying Respirators in Health Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18990.
×
Page 66
Next: Appendix B: Registered Attendees »
The Use and Effectiveness of Powered Air Purifying Respirators in Health Care: Workshop Summary Get This Book
×
Buy Paperback | $39.00 Buy Ebook | $31.99
MyNAP members save 10% online.
Login or Register to save!
Download Free PDF

Protecting 18 million United States health care workers from infectious agents - known and unknown - involves a range of occupational safety and health measures that include identifying and using appropriate protective equipment. The 2009 H1N1 influenza pandemic and the 2014 Ebola virus outbreak in West Africa have called raised questions about how best to ensure appropriate and effective use of different kinds of personal protective equipment such as respirators, not only to promote occupational safety but also to reduce disease transmission.

The Use and Effectiveness of Powered Air Purifying Respirators in Health Care is the summary of a workshop convened by the Institute of Medicine Standing Committee on Personal Protective Equipment for Workplace Safety and Health to explore the current state of practices and research related to powered air purifying respirator (PAPRs) and potential updates to performance requirements. Presentations and discussions highlighted current health care practices using PAPRs and outlined the research to date on the use and effectiveness of PAPRs in health care settings with a focus on the performance requirements. The Use and Effectiveness of Powered Air Purifying Respirators in Health Care focuses on efficacy, current training, maintenance, supplies, and possible enhancements and barriers to use in inpatient, clinic, nursing home, and community (home) settings. This report also explores the strengths and weaknesses of using various approaches to health care PAPR standards.

  1. ×

    Welcome to OpenBook!

    You're looking at OpenBook, NAP.edu's online reading room since 1999. Based on feedback from you, our users, we've made some improvements that make it easier than ever to read thousands of publications on our website.

    Do you want to take a quick tour of the OpenBook's features?

    No Thanks Take a Tour »
  2. ×

    Show this book's table of contents, where you can jump to any chapter by name.

    « Back Next »
  3. ×

    ...or use these buttons to go back to the previous chapter or skip to the next one.

    « Back Next »
  4. ×

    Jump up to the previous page or down to the next one. Also, you can type in a page number and press Enter to go directly to that page in the book.

    « Back Next »
  5. ×

    Switch between the Original Pages, where you can read the report as it appeared in print, and Text Pages for the web version, where you can highlight and search the text.

    « Back Next »
  6. ×

    To search the entire text of this book, type in your search term here and press Enter.

    « Back Next »
  7. ×

    Share a link to this book page on your preferred social network or via email.

    « Back Next »
  8. ×

    View our suggested citation for this chapter.

    « Back Next »
  9. ×

    Ready to take your reading offline? Click here to buy this book in print or download it as a free PDF, if available.

    « Back Next »
Stay Connected!