480
Table 2. (Continued ) Topic and Subtopic
Hazardous chemicals used for cleaning, disinfecting and sterilization agents
Other (eg, formaldehyde, oily aerosols)
Equipment-related (n=24) Eye protection
Barbara I. Braun et al
Issues Lacking Guidance or Guidance Conflicts (Conundrum)
No. Received 0
Example N/A
Issues Causing Practical Challenges With Guidance (Operational)
No. Received 3
Example
How do you ensure people know when respirators are needed with floor cleaning chemicals, particularly those being sprayed?
0 1 N/A
How do you overcome challenges with poor fit when wearing N95 with goggles?
Respirators Environment Supply shortages
Regulatory requirements (n=8) Fit testing
2 0 0 1
Can EHFR cartridges be decontaminated?
N/A N/A
How do you determine who needs to be fit tested? Are there tools and templates for conducting a risk assessment, other than the one that exists for TB?
Medical clearance 0 N/A 1 0
What type of RP is needed for exposure to oily aerosols?
N/A
16 4 1 4
How do you handle employees who cannot pass a fit test due to facial hair?
Are there ventilation and airflow systems that better protect workers?
Is there really sufficient supply for a pandemic?
Do EHFRs require fit testing?
2
Is there a better process? The current questionnaire is too time consuming and clearance process is not effective.
Other 1
Are nonhospital settings required to have respiratory protection programs (eg, ambulatory and dialysis settings)?
Other (n=19) PPE use when transporting patients
0 N/A 0 N/A
1
What type of PPE is needed for both staff and patients when transporting a patient with active TB?
Not healthcare worker related (eg, visitors, patients)
3
How do you protect visitors entering isolation rooms?
What type of RP is needed for immunocompromised patients and their visitors?
Related to current practices at healthcare organizations
0 N/A 11 4
Visitors see staff wearing respirators in room but when patient comes out of the room he or she is wearing a mask. How do you explain and educate others about this?
What do you do when workers do not feel comfortable letting managers know that PPE is not available when needed or that RP is not being used when it should be?
Note. RP, respiratory protection; HCW, healthcare worker; TB, tuberculosis; MERS, Middle Eastern respiratory syndrome; SARS, severe acute respiratory syndrome; HPV, human papilloma virus; PAPR, powered air purifying respirator; MRI, magnetic resonance imaging; USP, United States Pharmacopeia; EHFR, elastomeric half-face respirator; PPE, personal protective equipment.
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