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The Use and Effectiveness of Powered Air Purifying Respirators in Health Care: Workshop Summary (2015)

Chapter: Appendix A: Agenda

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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)

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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:

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	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?

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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

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	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

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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,

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	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