EOG 200 Personal Protective Equipment (PPE) Guidelines and respiratory protection program

Questions and Answers

Which method is NOT recommended for hand hygiene after contact with a patient?

Using TFD-supplied germicidal towlettes

Using gloves during patient contact

Washing hands with soap and water afterwards

Rubbing hands on clothing (correct)

What should be done immediately after using TFD-supplied germicidal hand sanitizer?

Dry hands using a paper towel

Reapply hand sanitizer

Avoid any further hand washing

Wash hands with soap and water as soon as feasible (correct)

Which of the following is true about hand washing after using gloves?

Only soap and water is required if gloves were used

Hands should be washed immediately with alcohol-based wipes

Hands must be washed after contact with gloves, regardless of the sanitizer used (correct)

Hands do not need to be washed if gloves are used

What is the primary defense mentioned against the spread of infection?

Frequent and thorough hand washing Signup and view all the answers

After using TFD-supplied germicidal towlettes, what is the next recommended step?

Wash hands with soap and water as soon as feasible Signup and view all the answers

Which specific item is NOT included in the structural firefighting PPE?

Self-contained breathing apparatus Signup and view all the answers

What is the primary purpose of Body Substance Isolation (BSI) when dealing with patients?

Prevent exposure to all body fluids and aerosols Signup and view all the answers

When can the Incident Commander permit firefighters to wear reduced levels of PPE?

After a structure fire when it's deemed safe Signup and view all the answers

What additional protective equipment is recommended when dealing with a patient who has a cough?

N95 mask Signup and view all the answers

Which practice is NOT a way to minimize contamination while using medical equipment?

Touch the patient while retrieving equipment Signup and view all the answers

What should be done when splashing of blood/body fluids is likely?

Wear gloves, a mask, and eye protection Signup and view all the answers

Which specific scenario requires the use of an N95 mask for the patient?

When the patient shows signs of a rash Signup and view all the answers

What is a key component of effective Body Substance Isolation (BSI)?

Wearing PPE appropriate for the situation Signup and view all the answers

Who is responsible for the overall management of the Respiratory Protection Program?

Chief of Safety Signup and view all the answers

What is required of the Chief of Safety in relation to respirator fit testing?

Conduct fit testing for all respirators used Signup and view all the answers

Which role is assigned the responsibility of specifying respirators for the TFD?

Chief of Physical Resources Signup and view all the answers

Under which specific OSHA standard does the Respiratory Protection Program comply?

29 CFR 1910.134 Signup and view all the answers

Which of the following is NOT part of the Respiratory Protection Program's details?

Efficacy of training Signup and view all the answers

What type of training will the Tulsa Fire Training Branch conduct?

Respiratory protection training Signup and view all the answers

What is the primary intent of the Respiratory Protection Program?

To provide respiratory protection at no cost to members Signup and view all the answers

Who is responsible for conducting medical surveillance within the TFD?

City Physician Signup and view all the answers

Who is responsible for the maintenance of respirators and breathing air compressors, excluding routine cleaning?

Chief of Physical Resources Signup and view all the answers

What is the minimum acceptable fit factor for full face pieces such as SCBAs?

500 Signup and view all the answers

What is required to be done at least annually for members regarding respirators?

Annual fit testing Signup and view all the answers

Which of the following conditions does NOT necessitate additional fit testing?

Routine cleaning of the respirator Signup and view all the answers

What protocol must qualitative fit testing follow according to OSHA standards?

Saccharin solution and/or Bitrix™ protocols Signup and view all the answers

What should members avoid doing for at least 30 minutes prior to fit testing?

Eating or drinking (except water) Signup and view all the answers

What type of testing is preferred over qualitative fit testing methods?

Quantitative fit testing Signup and view all the answers

During an initial evaluation for respirator use, what is included in the evaluation process?

Medical questionnaire Signup and view all the answers

Study Notes

Personal Protective Equipment (PPE)

PPE is mandatory for all personnel in hazard areas during incidents or training.
Key components of structural firefighting PPE: coat, trousers, helmet, hood, boots, and gloves.
Incident Commander (IC) may permit reduced PPE when deemed safe post-incident.

EMS PPE Guidelines

Body Substance Isolation (BSI) aims to prevent exposure to body fluids; all fluids considered potentially infectious.
Recommended practices:
- One person retrieves medical kit to minimize contamination.
- Position bag-valve mask vent away from responders.
Specific PPE requirements:
- Medical gloves for all patients.
- Mask, eye protection, and body protection for high-risk situations.
- N95 masks recommended for patients with respiratory symptoms or known infections.

Hand Hygiene Practices

Essential preventative measure against infection spread.
Following patient contact, hands must be washed with:
- Soap and water
- Germicidal hand sanitizer
- Germicidal towlettes
Immediate washing after using sanitizers or towlettes is advised.

Respiratory Protection Program

Respiratory protection is crucial for TFD members in toxic or hazardous atmospheres.
Contaminants include smoke, chemicals, and biological agents.
Program complies with OSHA Respiratory Protection Standard (29 CFR 1910.134).

Program Administration & Responsibilities

Chief of Safety manages the Respiratory Protection Program with annual evaluations.
Chief of Safety is responsible for fit testing of respirators.
Chief of Physical Resources selects respirators used in TFD.
City Physician conducts medical surveillance for respirator usage.
Training provided by Tulsa Fire Training Branch and Field Operations.

Maintenance and Inspections

Certified technicians will handle maintenance of respirators and compressors, excluding routine cleaning.
Chief of Safety conducts quarterly inspections of breathing air sources.
Users are responsible for routine care of their respirators.

Medical Surveillance Protocol

City Physician evaluates firefighters’ ability to use respirators during initial hiring and annually thereafter.
Compliance with OSHA 29 CFR 1910.134 is mandatory.

Fit Testing Requirements

Proper fitting of respirators required before use and annually thereafter.
Additional testing if physical condition changes affect fit (e.g., weight changes, dental work).
Chief of Safety documents fit test results in both electronic and hard formats.
Preference for quantitative fit testing with strict compliance to OSHA protocols, with minimum fit factors established.

Pre-Fit Testing Guidelines

Members advised against eating, drinking, using tobacco, or chewing gum for at least 30 minutes before fit testing.

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Description

This quiz covers the essential guidelines for Personal Protective Equipment (PPE) usage in hazard areas, particularly during incidents and training. It includes requirements for structural firefighting PPE and EMS PPE, with a focus on body substance isolation practices and hand hygiene measures critical for infection control.