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Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.
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A

Meeting Agendas

First Committee Meeting
January 30–31, 2018
National Academies Keck Center, Room 106
500 Fifth Street, NW
Washington, DC 20001

AGENDA
January 30, 2018
Open Session

10:30–10:45 a.m.

Welcome and Introductions

Linda Hawes Clever, Committee Co-Chair

Bonnie Rogers, Committee Co-Chair

10:45 a.m.–12:15 p.m.

Context for the Study and Charge to the Committee

Maryann D’Alessandro, National Institute for Occupational Safety and Health (NIOSH)/National Personal Protective Technology Laboratory (NPPTL)

Anita Patel, Centers for Disease Control and Prevention

Lewis Radonovich, NIOSH/NPPTL

Discussion

12:15–1:15 p.m.

Lunch (Keck Atrium)

Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.
×
1:15–1:45 p.m.

Elastomeric Respirators—Details on Fit and Protection Factor Issues

Chris Coffey, NIOSH/NPPTL

Discussion

1:45–3:00 p.m. Committee Discussion with Study Sponsors
  • Study context
  • Any edits to the Statement of Task
  • Ideas for March and May workshop speakers and topics
  • Additional discussion
3:00 p.m.

Open Session Adjourns

Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.
×

Second Committee Meeting and Workshop
March 22–23, 2018
National Academy of Sciences Building
2101 Constitution Avenue, NW
Washington, DC 20001

AGENDA

Thursday, March 22, 2018
Lecture Room

OPEN SESSION: 8:30 a.m. to 5:00 p.m.

8:00–8:30 a.m. Breakfast, Available in the NAS Cafeteria
8:30–8:40 a.m.

Welcome and Opening Remarks

Linda Hawes Clever, Committee Co-Chair

Bonnie Rogers, Committee Co-Chair

8:40–10:00 a.m.

Panel 1—Elastomeric Respirators: Context and Efficacy

Facilitator: Chris Nyquist
8:40–9:30 a.m.

Panel Introductions and Presentations

  • Overview of Respiratory Protection Issues in Health Care; Innovations in Respiratory Protection Programs

    Mary Godwin, Cone Health (web conference)

  • Comparative Efficacy of Elastomerics

    Ronald Shaffer, National Personal Protective Technology Laboratory (NPPTL)

  • Project BREATHE

    Lew Radonovich, NPPTL

  • Comparative Costs of Elastomerics

    Sheri Eisert, University of South Florida (web conference)

9:30–10:00 a.m.

Discussion with the Committee

Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.
×
Issues for Presentations and Discussion:
  • Provide an overview of your hospital/facility’s respiratory protection program (e.g., number of users, types and numbers of respirators used, decision criteria regarding types of respirators) and innovations in your program; discuss challenges in fully implementing respiratory protection programs
  • Discuss the overall efficacy of elastomeric respirators in comparison to N95s and powered air-purifying respirators (PAPRs) and specifics on the efficacy of elastomerics to prevent infectious disease transmission (particularly influenza transmission)
  • Discuss the economic landscape on respirators with comparisons across the types of respirators regarding purchase costs, life cycle/maintenance costs, and other costs
  • Discuss Project BREATHE and its work in identifying performance characteristics and innovative approaches for respirators for health care workers of elastomerics to prevent infectious disease transmission (particularly influenza transmission)
10:00–11:15 a.m.

Panel 2—Elastomeric Respirators: Effectiveness and Use Issues

Facilitators: Gio Baracco and Jim Johnson
10:00–10:50 a.m.

Panel Introductions and Presentations

  • Physiology and Psychology

Ray Roberge, retired NPPTL

  • Disinfection

Brian Heimbuch, Applied Research Associates

  • Decision Criteria on Respirators Including Storage and Maintenance Issues

Christopher Shields, Chicago Department of Public Health

Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.
×
10:50–11:15 a.m. Discussion with the Committee
Issues for Presentations and Discussion:
  • Provide an overview of the research on elastomeric half-mask respirators regarding communication, comfort, disinfection, and storage and maintenance issues
  • Discuss decision criteria on selection, use, and storage of respirators
11:15–11:30 a.m. BREAK
11:30 a.m.–1:00 p.m.

Panel 3—Use of Elastomeric Respirators in Clinical Practice

Facilitator: Jim Chang
11:30 a.m.–12:30 p.m.

Panel Introductions and Presentations

Texas Center for Infectious Diseases

Annie Quratulain Kizilbash, Medical Director (web conference)

Debbie Mata, Registered Nurse (web conference)

Cynthia Guenther, Respiratory Therapist (web conference)

Jim Chang, University of Maryland Medical Center

12:30–1:00 p.m.

Discussion with the Committee

Issues for Presentations and Discussion:
  • Describe your respirator program, e.g., number of users, types and numbers of respirators used; decision criteria regarding types of respirators purchased and used; training programs
  • Discuss your experience with elastomeric respirators (and compare with other types of respirators) from the perspectives of
Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.
×
    • Employee issues, comments, and experiences using elastomeric half-mask respirators
    • Implementation—storage, disinfection, maintenance
    • Fit testing
    • Training
  • Provide your thoughts on the benefits and limitations of elastomeric half-mask respirators
  • Discuss issues regarding sustainability of use of elastomerics including any future plans, evaluations, or anticipated changes in type of respirators that will be used
1:00–1:45 p.m.

LUNCH—NAS Cafeteria

1:45–2:45 p.m.

Panel 4—Elastomeric Respirators: Lessons Learned from Other Industries

Facilitator: Bruce Lippy
1:45–2:15 p.m. Panel Introductions and Presentations
  • Mike Schmoldt, Argonne National Laboratory (web conference)
  • Bruce Lippy, Center for Construction Research and Training
2:15–2:45 p.m.

Discussion with the Committee

Issues for Presentations and Discussion:
  • Describe your respirator program, e.g., number of users, types and numbers of respirators used; hazards protecting against, environment where respirators are used; decision criteria regarding types of respirators purchased and used; training programs
  • Discuss your experience with elastomeric respirators (and compare with other types of respirators) from the perspectives of
Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.
×
    • Employee issues, comments, and experiences using elastomeric half-mask respirators
    • Implementation—storage, disinfection, maintenance
    • Fit testing
    • Training
  • Provide your thoughts on the benefits and limitations of elastomeric half-mask respirators
  • Discuss issues regarding sustainability of use of elastomerics including any future plans, evaluations, or anticipated changes in type of respirators that will be used
2:45–3:00 p.m. BREAK
3:00–4:30 p.m.

Panel 5—Stockpiling of Elastomeric Respirators: Public Health Preparedness

Facilitators: Tener Veenema and Gloria Addo-Ayensu
3:00–4:00 p.m.

Panel Introductions and Presentations

  • Manufacturing Perspective

Ellen White, 3M (web conference)

  • Stockpile Logistics and Decision Points

Paul Petersen, Tennessee Department of Health

  • Hospital Systems Perspective

Carol Barsky, Hackensack Meridian Health

4:00–4:30 p.m.

Discussion with the Committee

Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.
×
Issues for Presentations and Discussion:
  • To what extent are elastomeric respirators currently part of the preparedness response?
  • What are the primary factors driving decisions about elastomerics?
  • What are the issues regarding volume, cost, shelf life, monitoring, etc., for the stockpiles?
  • What are the manufacturing, supply chain, and distribution opportunities and challenges?
  • How are hospital systems preparing for the potential of respirator shortages?
4:30–5:00 p.m.

Public Comment Period

Facilitators: Linda Hawes Clever and Bonnie Rogers
5:00 p.m. Public Session Adjourns
Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.
×

Third Committee Meeting and Workshop
May 22–23, 2018
May 22—National Academy of Sciences Building, Lecture Room
May 23—National Academy of Sciences Building, NAS Board Room
2101 Constitution Avenue, NW
Washington, DC 20001

AGENDA

Tuesday, May 22, 2018
Lecture Room

OPEN SESSION: 8:30 a.m. to 5:30 p.m.

8:00–8:30 a.m.

Breakfast, Available in NAS Cafeteria

(Breakfast tickets available for committee and speakers in the Lecture Room—sign the ticket and give it to the cashier)
8:30–8:40 a.m.

Welcome and Opening Remarks

Linda Hawes Clever, Committee Co-Chair

Bonnie Rogers, Committee Co-Chair

8:40–10:00 a.m.

Panel 1—Reusable Elastomeric Respirators: User and Infection Control Perspectives

Facilitators: Chris Friese and Allison McGeer
8:40–9:30 a.m.

Panel Introductions and Presentations

  • Mark Catlin, SEIU
  • Louise Dembry, Yale University
  • Marguerite Gribogiannis, Advocate Lutheran General Hospital (via web conference)
9:30–10:00 a.m. Discussion with the Committee
Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.
×
Issues for Presentations and Discussion:
  • What are the strengths and limitations of elastomeric respirators?
  • What have been your experiences or considerations regarding the decontamination of elastomeric respirators?
  • What is the impact of elastomeric use by health care workers on the patient? Do elastomerics affect patient interactions with health care workers differently than N95s or other respirators?
  • What is the impact on perception of risk? Do health care workers perceive that their risk of infection is different when using elastomerics as compared with N95s? As compared with PAPRs?
10:00–11:30 a.m.

Panel 2—Elastomeric Respirators Research and Hazard Assessment

Facilitator: Bob Harrison
10:00–11:00 a.m.

Panel Introductions and Presentations

  • Quinn Danyluk, Fraser Health
  • Mary Bessesen, University of Colorado Denver
  • Andy Palmiero, National Personal Protective Technology Laboratory
  • Rachael Jones, University of Illinois at Chicago
11:00–11:30 a.m.

Discussion with the Committee

Issues for Presentations and Discussion:
  • Provide an overview of the research on elastomeric half-mask respirators regarding communication, comfort, disinfection, and use
  • Identify knowledge and research gaps
Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.
×
11:30 a.m.–1:00 p.m.

Panel 3—Reusable Elastomeric Respirators: Decision Making and Implementation in Emergencies

Facilitator: Skip Skivington
11:30 a.m.–12:40 p.m.

Panel Introductions and Presentations

  • Joanne McGlown, McGlown LLC
  • Jeff Nesbitt, Mayo Clinic
  • MaryAnn Gruden, occupational health consultant
  • Gloria Graham, Cincinnati Children’s Hospital Medical Center
  • Linda Rouse-O’Neill, Health Industry Distributors Association
12:40–1:00 p.m.

Discussion with the Committee

Issues for Presentations and Discussion:
  • Who makes the decisions on the types of respirators used by your organization? Who has input into the decisions? What are the decision criteria?
  • Have elastomeric respirators been considered to be part of your organization’s routine use of respirators? Part of your organization’s emergency plans? What factors were involved in these decisions?
  • What impact would moving to a new type of respirator during an emergency or non-emergency situation have on your organization? Impact on clinical care, fit testing, and training/education?
  • What recommendations do you have for improving decision making regarding respiratory protection options?
1:00–1:45 p.m.

LUNCH—NAS Cafeteria

Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.
×
1:45–3:15 p.m.

Panel 4—Reusable Elastomeric Respirators: Communications and Education

Facilitator: Pat Stone
1:45–2:45 p.m.

Panel Introductions and Presentations

  • Kathy Eklund, The Forsyth Institute
  • Dave DeJoy, University of Georgia
  • Barbara Braun, Joint Commission
  • Gregg Pane, Association of American Medical Colleges
2:45–3:15 p.m.

Discussion with the Committee

Issues for Presentations and Discussion:
  • What are the levers for changing the worker safety culture in health care? How can those levers be applied to the use of respiratory protection?
  • Are there specific issues for education and training of health care workers (students and practitioners) related to elastomeric respirators?
  • What mechanisms (standards, policies, guidelines, etc.) were put in place by dental professionals to ensure the use of face shields, masks, and other personal protective equipment? Are N95 respirators used? What are the plans for pandemic or other crisis management regarding respiratory protection?
  • What recommendations do you have for improving training and education efforts on respiratory protection and for improving the worker safety culture?
3:15–5:00 p.m.

Panel 5—Reusable Elastomeric Respirators: Innovation

Facilitator: Sundaresan Jayaraman
Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.
×
3:15–4:30 p.m.

Panel Introductions and Presentations

  • Matthew Weinger, Vanderbilt University (via web conference)
  • Rodney Wallace, Biomedical Advanced Research and Development Authority
  • Sergey Grinshpun, University of Cincinnati (via web conference)
  • Alex Birrell and Alex Virr, CleanSpace Technologies (via web conference)
4:30–5:00 p.m.

Discussion with the Committee

Issues for Presentations and Discussion:
  • What are the key usability issues that need to be considered in improving the design of elastomeric respirators for health care workers?
  • What innovations in materials could be explored for moving to a more patient-care-friendly (less industrial) design for health care respirators? What are the materials challenges and how should they be addressed?
  • What are the key issues that must be considered in the design of elastomeric respirators to facilitate their easy and effective decontamination and reuse in health care settings?
  • What are the engineering and financial barriers to innovations in respiratory protection? Other types of barriers? What are your recommendations for overcoming those barriers and moving to the next generation of respirators for health care workers?
5:00–5:30 p.m.

Public Comments and Closing Discussion

Facilitators: Linda Hawes Clever and Bonnie Rogers

5:30 p.m. Public Session Adjourns
Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.
×

Fourth Committee Meeting
July 17–18, 2018
J. Erik Jonsson Conference Center
314 Quissett Avenue
Woods Hole, MA

AGENDA

Tuesday, July 17
Room 208

OPEN SESSION: 1:30 p.m. to 2:15 p.m.

1:30–2:15 p.m.

Presentation by Stella Hines, University of Maryland

Committee Discussion

2:15 p.m.

Public Session Adjourns

Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.
×
Page 187
Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.
×
Page 188
Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.
×
Page 189
Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.
×
Page 190
Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.
×
Page 191
Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.
×
Page 192
Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.
×
Page 193
Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.
×
Page 194
Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.
×
Page 195
Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.
×
Page 196
Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.
×
Page 197
Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.
×
Page 198
Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.
×
Page 199
Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.
×
Page 200
Next: Appendix B: Committee Biographical Sketches »
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Protecting the health and safety of health care workers is vital to the health of each of us. Preparing for and responding to a future influenza pandemic or to a sustained outbreak of an airborne transmissible disease requires a high-level commitment to respiratory protection for health care workers across the wide range of settings in which they work and the jobs that they perform. Keeping health care workers healthy is an ethical commitment both in terms of addressing the occupational risks faced by health care workers and of providing for the continuity of patient care and services needed to maintain the health of individuals and communities.

During a public health emergency, challenges will arise concerning the availability of respiratory protective devices (i.e., respirators). Reusable respirators (specifically, reusable half-facepiece elastomeric respirators) are the standard respiratory protection device used in many industries, and they provide an option for use in health care that has to date not been fully explored. The durability and reusability of elastomeric respirators make them desirable for stockpiling for emergencies, where the need for large volumes of respirators can be anticipated. However, they are used infrequently in health care.

Reusable Elastomeric Respirators in Health Care explores the potential for the use of elastomeric respirators in the U.S. health care system with a focus on the economic, policy, and implementation challenges and opportunities. This report examines the practicability of elastomeric use in health care on a routine basis and during an influenza pandemic or other large aerosol-transmissible outbreak, when demand for respiratory protective devices by U.S. health care personnel may be larger than domestic supplies. The report also addresses the issues regarding emergency stockpile management of elastomeric respiratory protective devices.

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