Questions and Answers
Which method is NOT recommended for hand hygiene after contact with a patient?
What should be done immediately after using TFD-supplied germicidal hand sanitizer?
Which of the following is true about hand washing after using gloves?
What is the primary defense mentioned against the spread of infection?
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After using TFD-supplied germicidal towlettes, what is the next recommended step?
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Which specific item is NOT included in the structural firefighting PPE?
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What is the primary purpose of Body Substance Isolation (BSI) when dealing with patients?
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When can the Incident Commander permit firefighters to wear reduced levels of PPE?
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What additional protective equipment is recommended when dealing with a patient who has a cough?
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Which practice is NOT a way to minimize contamination while using medical equipment?
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What should be done when splashing of blood/body fluids is likely?
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Which specific scenario requires the use of an N95 mask for the patient?
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What is a key component of effective Body Substance Isolation (BSI)?
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Who is responsible for the overall management of the Respiratory Protection Program?
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What is required of the Chief of Safety in relation to respirator fit testing?
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Which role is assigned the responsibility of specifying respirators for the TFD?
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Under which specific OSHA standard does the Respiratory Protection Program comply?
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Which of the following is NOT part of the Respiratory Protection Program's details?
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What type of training will the Tulsa Fire Training Branch conduct?
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What is the primary intent of the Respiratory Protection Program?
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Who is responsible for conducting medical surveillance within the TFD?
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Who is responsible for the maintenance of respirators and breathing air compressors, excluding routine cleaning?
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What is the minimum acceptable fit factor for full face pieces such as SCBAs?
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What is required to be done at least annually for members regarding respirators?
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Which of the following conditions does NOT necessitate additional fit testing?
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What protocol must qualitative fit testing follow according to OSHA standards?
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What should members avoid doing for at least 30 minutes prior to fit testing?
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What type of testing is preferred over qualitative fit testing methods?
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During an initial evaluation for respirator use, what is included in the evaluation process?
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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.