Category: Respirators

Heat Stress Imposed by PPE Worn in Hot and Humid Environments

  A recent blog discussed prolonged respirator use and the potential physiological burden that could result from the buildup of CO2 within the respirator facepiece. Heat stress is another potential stress factor that healthcare workers (HCWs) who use personal protective equipment (PPE) and their employers should be aware of in order to recognize the signs Read More >

Posted on by W. Jon Williams, PhD and Jaclyn Krah Cichowicz, MA3 Comments

Skin Irritation from Prolonged Use of Tight-Fitting Respirators

Filtering Facepiece Respirators (FFRs) are typically used by workers, including first responders and healthcare professionals, for short, infrequent periods of time to protect against potential airborne transmissible diseases. However, during widespread respiratory infectious disease outbreaks, there may be a need to implement respirator extended use practices due to an inadequate supply of FFRs. Skin irritation Read More >

Posted on by Adam Hornbeck, MSN, APRN, FNP-BC, FNP-C; Jaclyn Krah Cichowicz, MA; Selcen Kilinc-Balci, PhD, MBA; Dana Rottach, PhD; Jonisha Pollard, MS, CPE; and Harold L. Boyles, RN, MSHCA3 Comments

Considerations for Covering N95s to Extend Use

Introduction During times of increased demand for N95 filtering facepiece respirators (FFRs), hospitals or other medical facilities may want to protect these devices from surface contamination in order to prolong their use. When protection against surface contamination is needed, CDC recommends wearing a cleanable face shield over an N95 FFR[1]. Wearing a surgical mask or Read More >

Posted on by Jeffrey Powell, MS; Jonisha Pollard, MS, CPE; Dana Rottach, PhD; and Edward Sinkule, PhD, MPH, FACSM

The Physiological Burden of Prolonged PPE Use on Healthcare Workers during Long Shifts

Please note that this blog is specifically about respirators used by healthcare workers during long shifts and not facemasks worn as barrier control to stop the spread of COVID.   Healthcare workers (HCW) and first responders often work long, physically and mentally exhausting shifts as they provide care for patients, especially during a public health emergency. Read More >

Posted on by Jon Williams, PhD; Jaclyn Krah Cichowicz, MA; Adam Hornbeck, MSN, APRN, FNP-BC, FNP-C; Jonisha Pollard, MS, CPE; and Jeffrey Snyder, MSN, CRNP34 Comments

Understanding the Use of Imported Non-NIOSH-Approved Respirators

When a respirator has been approved by NIOSH, the user can be confident that the device will provide the expected level of protection, as long as it fits properly and is worn correctly. But when serious outbreak conditions cause a shortage of the NIOSH-approved filtering facepiece respirators (FFRs), other reliable options must be found. When Read More >

Posted on by Maryann M. D’Alessandro, PhD; John Powers, BS; and Jaclyn Krah Cichowicz, MA

Uso adecuado del respirador N95 para estar preparado para la protección respiratoria

Cuando ocurren brotes de enfermedades infecciosas, dependemos de los profesionales de atención médica para que cuiden a los afectados, lo cual los pone en mayor riesgo de exposición al patógeno causante de la enfermedad. Mientras que los controles técnicos y administrativos deberían ser lo primero que se considere para proteger a estos trabajadores de la Read More >

Posted on by Maryann M. D’Alessandro, PhD, y Jaclyn Krah Cichowicz, MA

Respiratory Protection During Outbreaks: Respirators versus Surgical Masks

Consistent use of respirators improves protection against respiratory illness Consistent use of personal protective equipment (PPE) is an important part of the strategy to protect healthcare professionals from inhaling infectious particles, preventing the spread of respiratory infection between healthcare professionals and patients. Two types of devices are most commonly used in the healthcare setting: N95 Read More >

Posted on by Christopher Coffey, Ph.D; Maryann M. D’Alessandro, PhD; and Jaclyn Krah Cichowicz, MA

The Need for Fit Testing During Emerging Infectious Disease Outbreaks

Proper respirator use is essential for healthcare workers who are expected to interact with patients with infectious respiratory diseases. The Occupational Safety and Health Administration (OSHA) requires healthcare facilities to maintain a respiratory protection program that specifies requirements such as annual fit testing, medical clearance, and training. Initial fit testing is required before using a Read More >

Posted on by Maryann M. D’Alessandro, PhD; LT Megan Casey, RN, BSN, MPH; and Jaclyn Krah Cichowicz, MA

Proper N95 Respirator Use for Respiratory Protection Preparedness

When outbreaks of infectious disease occur, we rely on healthcare professionals to care for those affected, putting themselves at increased risk of exposure to the pathogen causing the disease. While engineering and administrative controls should be the first considerations to protect these workers from this exposure, facilities should also ensure that at-risk employees are prepared Read More >

Posted on by Maryann M. D’Alessandro, PhD, and Jaclyn Krah Cichowicz, MA

Made for Each Other – a Valentine’s Day Note about Approved Respirator Configurations

It’s Valentine’s day, which means that NIOSH has some relationship advice for you … and your respirator. Have you ever become infatuated with thinking about your compatibility in a relationship – inspecting and examining every detail? Yeah. We do that too. In fact, NIOSH evaluates every respirator assembly configuration to determine that the performance requirements Read More >

Posted on by Jaclyn Krah Cichowicz, MA3 Comments

Good Clean Fun: Cleaning Considerations for Elastomeric Respirators

Valentine’s Day is a day for all of us to reflect on love and relationships. With so much romance in the air, we began to think about what makes for a lasting relationship? How can we all achieve our own happily ever after? Being the relationship experts that we are here at NIOSH, we have Read More >

Posted on by Rachel Wilson, MA; Jaclyn Krah Cichowicz, MA; and Megan Casey, RN, BSN, MPH7 Comments

N95 Day 2018: Getting Down to the Particulars about Filter Class

Calling all N95 filter facepiece respirator users, program managers, educators, manufacturers, and general enthusiasts of respiratory protection. Today is N95 Day and we are psyched! We’ve planned this N95 Day party to be particularly packed with information pertaining to particles. (Say THAT five times fast.) We admit it; we are pretty geeky when it comes Read More >

Posted on by Jaclyn Krah Cichowicz, MA, and Bingbing Wu, PhD

NIOSH and FDA Collaboration Streamlines Regulatory Oversight for N95 Filtering Facepiece Respirators

Previously, N95 filtering facepiece respirators (N95) used in healthcare needed approval from both the National Institute for Occupational Safety and Health (NIOSH) and the Food and Drug Administration (FDA).* On May 17, 2018, FDA published a final order in the Federal Register to exempt a subset of N95s intended for use in healthcare from premarket Read More >

Posted on by Blog Coordinator

The Engineers behind the Respirator Approval Process

This week is National Engineers Week which is dedicated to ensuring a diverse and well-educated future engineering workforce by increasing understanding of and interest in engineering and technology careers. The National Institute for Occupational Safety and Health (NIOSH) employs over 200 engineers and engineering technicians who identify, evaluate, develop, and implement engineering control technology to Read More >

Posted on by Jaclyn Krah Cichowicz, MA1 Comment

I Will Survive! Air-Purifying Respirator Cartridge/Canister

We need to talk. Every year we use Valentine’s Day as an opportunity to talk about our love for respirators and personal protective equipment (PPE). We’ve had some good times frolicking through the standards and maintenance requirements. But today we need to address what happens when it’s just not working anymore. We have to discuss Read More >

Posted on by Jaclyn Krah Cichowicz, MA, and Thomas Pouchot, MS 2 Comments

Non-occupational Uses of Respiratory Protection – What Public Health Organizations and Users Need to Know

The National Institute for Occupational Safety and Health (NIOSH) mission is to promote safe and healthful working conditions by conducting research and providing recommendations to diminish hazardous situations within occupational settings. However, there are situations in which the same respiratory hazards that can be faced by workers are also a potential concern to the public. Read More >

Posted on by Ronald Shaffer, PhD; Jaclyn Krah Cichowicz, MA; Ginger Chew, ScD; and LCDR Joy Hsu, MD, MS 7 Comments

To Beard or not to Beard? That’s a good Question!

  The month of November is full of fun, interesting, and thought-provoking observances. November is National Raisin Bread Month, Historic Bridge Awareness Month, and Inspirational Role Models Month among so much more. November is also the host month to campaigns like No-Shave November and Movember. Campaigns such as these are working hard to raise money Read More >

Posted on by Jaclyn Krah Cichowicz, MA; Ron Shaffer, PhD; and Markee Shamblin 44 Comments

N95 Day 2017: When to think Beyond the N95 FFR

Buckle your seat belts! Put on your high-speed safety gear! We’re about to blast off on a journey to explore the N95 respirator … and beyond. It’s N95 Day, and that means we are focusing on respiratory protection, and invite you to do the same. We’ll make it easy. NIOSH and our N95 Day partners Read More >

Posted on by Margaret Sietsema, PhD, and Jaclyn Krah Cichowicz, MA 9 Comments

Understanding respiratory protection options in Healthcare: The Overlooked Elastomeric

In the healthcare industry, the importance of respiratory protection is often overlooked. Choosing the correct respirator for the exposure level and work task is a critical component of a respiratory protection program.  Most healthcare workers are aware of the N95 respirator but may not be aware that the re-formable, reusable elastomeric respirators are a viable option Read More >

Posted on by Michael Bach PhD, RN22 Comments

Maintaining a Relationship with your Turnout Gear

Sent flowers? Check. Made dinner reservations? Check. Purchased one of those mandatory heart-shaped boxes of candy? Check. Conducted routine cleaning of your turnout gear… wait. What? Valentine’s Day is all about putting in a little extra effort to maintain the important relationships in our lives. Way back in 2013, we began a tradition of taking Read More >

Posted on by Jay Tarley and Jaclyn Krah Cichowicz 3 Comments