Infection Control & Hospital Epidemiology
Table 1. Examples of Standards, Guidance, and Recommendations Related to Respiratory Protection (RP) in Health Care Source
Reference
Occupational Safety and Health Administration (OSHA)
OSHA Respiratory Protection standard (29 CFR 1910.134). Occupational Safety and Health Administration website.
https://www.osha.gov/pls/oshaweb/owadisp.show_document? p_table=standards&p_id=12716. Published April 8, 1998. Accessed March 30, 3018.
OSHA Hazard Communication standard (29 CFR 1910.1200). Occupational Safety and Health Administration website.
https://www.osha.gov/pls/oshaweb/owadisp.show_document? p_table=standards&p_id=10099. Published May 25, 2012. Accessed March 30, 2018.
Occupational Safety and Health Administration; National Institute for Occupational Safety and Health. OSHA-NIOSH info sheet: protecting workers who use cleaning chemicals. Occupational Safety and Health Administration website.
https://www.osha.gov/Publications/OSHA3512.pdf. Published 2012. Accessed March 30, 2018.
Hospital respiratory protection program toolkit: resources for respirator program administrators. Occupational Safety and Health Administration website.
https://www.osha.gov/Publications/ OSHA3767.pdf. Published May 2015. Accessed March 30, 2018.
PPE for emergency response and recovery workers. Occupational Safety and Health Administration website. https://www.osha. gov/SLTC/emergencypreparedness/
gettingstarted_ppe.html. Accessed March 30, 2018.
— United States Pharmacopeia (USP) USP general chapter 800: hazardous drugs handling in healthcare
settings. United States Pharmacopeia website.
http://www.usp. org/compounding/general-chapter-hazardous-drugs-handling- healthcare. Published December 2017. Accessed December 2018.
Association of periOperative Registered Nurses (AORN)
Centers for Disease Control and Prevention (CDC) Healthcare Infection Control Practices Advisory Committee (HICPAC)
Guideline for surgical smoke safety. Association of periOperative Registered Nurses website.
http://www.aornstandards.org/ content/1/SEC22.extract. Published December 15, 2016. Accessed March 30, 2018.
Siegel JD, Rhinehart E, Jackson M, Chiarello L; Healthcare Infection Control Practices Advisory Committee. 2007 Guideline for isolation precautions: preventing transmission of infectious agents in healthcare settings. Centers for Disease Control and Prevention website.
https://www.cdc.gov/infectioncontrol/pdf/ guidelines/isolation-guidelines.pdf. Updated October 2017. Accessed March 30, 2018.
MacCannell T, Umscheid CA, Agarwal RK, Lee I, Kuntz G, Stevenson KB; Healthcare Infection Control Practices Advisory Committee. Guideline for the prevention and control of norovirus gastroenteritis outbreaks in healthcare settings, 2011. Centers for Disease Control and Prevention website.
https://www.cdc.gov/ infectioncontrol/pdf/guidelines/norovirus-guidelines.pdf. Updated February 15, 2017. Accessed March 30, 2018.
Centers for Disease Control and Prevention (CDC) National Institute for Occupational Safety and Health (NIOSH)
Centers for Disease Control and Prevention (CDC)
National Institute for Occupational Safety and Health. Recommended guidance for extended use and limited reuse of N95 filtering facepiece respirators in healthcare settings. Centers for Disease Control and Prevention website.
https://www.cdc. gov/niosh/topics/hcwcontrols/recommendedguidanceextuse. html. Updated 2014. Accessed December 2018.
Tuberculosis (TB) guidelines by topic. Centers for Disease Control and Prevention website.
https://www.cdc.gov/tb/publications/ guidelines/. Updated 2018. Accessed April 6, 2018.
Jensen PA, Lambert LA, Iademarco MF, Ridzon R; Centers for Disease Control and Prevention. Guidelines for preventing the transmission of Mycobacterium tuberculosis in healthcare settings, 2005. MMWR Recomm Rep. 2005;54(RR-17):1–141.
Interim guidance for infection control within healthcare settings when caring for confirmed cases, probable cases, and cases under investigation for infection with novel influenza A viruses associated with severe disease. Centers for Disease Control and Prevention website.
https://www.cdc.gov/flu/avianflu/novel-flu- infection-control.htm. Updated January 26, 2016. Accessed March 30, 2018.
Detailed guidance for hospitals developing and implementing respiratory protection programs. Includes technical information and program templates
RP for exposure to harmful levels of particulates, chemical vapors, biological agents, and other airborne contaminants
RP for compounding, administering, spills, disposal of hazardous drugs
RP for procedures that generate surgical smoke
477
Focus of RP-Related Content OSHA’s standard on RP
OSHA’s standard on hazardous cleaning chemicals
Describes airborne precautions and environmental and PPE requirements
Protection from splashes to the face
When extended use of respirators can be considered in the event of limited supply
RP guidelines for TB
RP for all persons in the presence of patients with suspected or confirmed TB
RP for novel influenza A viruses associated with severe disease
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