EOG 200 pg 1-7 Personal Protective Equipment (PPE) Guidelines and respiratory protection program
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Questions and Answers

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

  • Using gloves during patient contact
  • Washing hands with soap and water afterwards
  • Rubbing hands on clothing (correct)
  • Using TFD-supplied germicidal towlettes

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?

<p>Frequent and thorough hand washing (A)</p> Signup and view all the answers

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

<p>Wash hands with soap and water as soon as feasible (A)</p> Signup and view all the answers

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

<p>Self-contained breathing apparatus (D)</p> Signup and view all the answers

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

<p>Prevent exposure to blood/body fluids (D)</p> Signup and view all the answers

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

<p>After a structure fire when it's deemed safe (B)</p> Signup and view all the answers

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

<p>N95 mask (B)</p> Signup and view all the answers

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

<p>Touch the patient while retrieving equipment (D)</p> Signup and view all the answers

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

<p>Wear gloves, a mask, and eye protection (C)</p> Signup and view all the answers

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

<p>When the patient shows signs of a rash (B)</p> Signup and view all the answers

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

<p>Wearing PPE appropriate for the situation (B)</p> Signup and view all the answers

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

<p>Chief of Safety (D)</p> Signup and view all the answers

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

<p>Responsible for fit testing for all respirators used (C)</p> Signup and view all the answers

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

<p>Chief of Physical Resources (D)</p> Signup and view all the answers

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

<p>29 CFR 1910.134 (A)</p> Signup and view all the answers

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

<p>Efficacy of training (D)</p> Signup and view all the answers

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

<p>Respiratory protection training (B)</p> Signup and view all the answers

What is the primary intent of the Respiratory Protection Program?

<p>To provide respiratory protection at no cost to members (C)</p> Signup and view all the answers

Who is responsible for conducting medical surveillance within the TFD?

<p>City Physician (D)</p> Signup and view all the answers

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

<p>Chief of Physical Resources (C)</p> Signup and view all the answers

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

<p>500 (B)</p> Signup and view all the answers

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

<p>Annual fit testing (A)</p> Signup and view all the answers

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

<p>Routine cleaning of the respirator (C)</p> Signup and view all the answers

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

<p>Saccharin solution and/or Bitrixâ„¢ protocols (A)</p> Signup and view all the answers

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

<p>Eating or drinking (except water) (C)</p> Signup and view all the answers

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

<p>Quantitative fit testing (B)</p> Signup and view all the answers

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

<p>Medical questionnaire (C)</p> Signup and view all the answers

Who keeps electronic and hard copies of fit test results

<p>Chief of safety</p> Signup and view all the answers

What does EOG section 200 outline?

<p>Incident safety</p> Signup and view all the answers

What is a contaminate that is listed as posing significant risk to life and health?

<p>Smoke (B)</p> Signup and view all the answers

Inhalation of contaminants including but not limited to smoke oxygen depleted atmospheres, _____, and biological agents pose significant risk to life and health

<p>Chemicals</p> Signup and view all the answers

The respiratory protection program will be evaluated ____ and modified as needed

<p>Annually</p> Signup and view all the answers

The chief of ______ will be responsible for the specification of all respirators used within the TFD

<p>Physical resources</p> Signup and view all the answers

The chief of ____ is responsible for the fit testing for all respirators used within the TFD

<p>Safety</p> Signup and view all the answers

The ______ will be responsible for all medical surveillance

<p>City physician</p> Signup and view all the answers

The tulsa fire _____ and field operations will be responsible for conducting respiratory protection training

<p>Training branch</p> Signup and view all the answers

The chief of safety will preform ____ inspections and testing of all sources of compressed breathing air

<p>Quarterly</p> Signup and view all the answers

The minimum acceptable fit factor for negative pressure air purifying respirators is ___. The minimum for full face pieces such as SCBAs will be ___

<p>100 500</p> Signup and view all the answers

Flashcards

What is PPE?

Personal protective equipment (PPE) is essential for firefighters when responding to emergencies.

What are the key components of PPE?

The most basic components of structural firefighting PPE include a coat, trousers, helmet, hood, boots, and gloves.

Can a firefighter wear less PPE?

The Incident Commander (IC) may allow firefighters to wear less PPE in certain situations, such as after an incident, if deemed safe.

What is BSI?

Body Substance Isolation (BSI) is a set of practices aimed at preventing exposure to potentially infectious bodily fluids.

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Are all bodily fluids considered potentially infectious?

All body fluids are considered potentially infectious under BSI guidelines, so precautions should be taken with all patients.

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How should medical kits be retrieved?

Only one person is recommended to retrieve medical kits in order to minimize contamination during EMS procedures.

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How should the bag-valve mask be positioned?

The bag-valve mask's vent should be positioned away from responders to reduce the risk of contamination.

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What is the minimum PPE for all EMS patients?

Medical gloves are mandatory for all patients during EMS procedures.

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What PPE is required for high-risk EMS situations?

Masks, eye protection, and body protection are necessary when encountering high-risk situations in EMS.

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When are N95 respirators recommended?

N95 respirators are recommended for patients with respiratory symptoms or known infections, providing better respiratory protection.

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Why is hand hygiene important?

Hand hygiene practices are essential for preventing the spread of infection.

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How should hands be washed after patient contact?

After patient contact, hands must be washed with soap and water, germicidal hand sanitizer, or germicidal towlettes.

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What should be done after using sanitizer or towlettes?

Immediate washing with soap and water is recommended after using hand sanitizers or towlettes.

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Why is respiratory protection important?

Respiratory protection is crucial for firefighters in environments with toxic or hazardous substances.

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What types of contaminants do firefighters face?

Smoke, chemicals, and biological agents are common contaminants that firefighters face.

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What standard does the TFD's program comply with?

The TFD's Respiratory Protection Program is designed to comply with OSHA's Respiratory Protection Standard (29 CFR 1910.134).

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Who manages the Respiratory Protection Program?

The Chief of Safety is responsible for managing the Respiratory Protection Program, including annual evaluations.

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Who performs respirator fit testing?

The Chief of Safety is responsible for overseeing the fit testing of respirators.

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Who selects the respirators?

The Chief of Physical Resources is responsible for selecting the respirators used by the TFD.

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Who oversees medical surveillance for respirators usage?

The City Physician conducts medical surveillance for firefighters using respirators.

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Who provides respiratory protection training?

Training for respiratory protection is provided by the Tulsa Fire Training Branch and Field Operations.

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Who handles respirator maintenance?

Certified technicians handle maintenance of respirators and compressors, excluding routine cleaning.

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Who inspects breathing air sources?

The Chief of Safety conducts quarterly inspections of breathing air sources.

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Who cleans and cares for their own respirators?

Firefighters are responsible for routine cleaning and care of their respirators.

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How often are medical evaluations for respirator use conducted?

The City Physician conducts a medical evaluation to assess firefighters' ability to use respirators during initial hiring and annually.

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What standard is mandatory for medical surveillance?

Compliance with OSHA's Respiratory Protection Standard (29 CFR 1910.134) is mandatory for all medical surveillance activities.

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When are fit tests required?

Respirators must be properly fit-tested before use and annually thereafter.

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When are additional fit tests conducted?

Additional fit testing is required if physical changes, such as weight gain or dental work, affect the fit of the respirator.

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Who documents fit test results?

The Chief of Safety documents fit test results in both electronic and hard formats.

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What type of fit testing is preferred?

Quantitative fit testing is preferred, ensuring strict compliance with OSHA protocols and minimum fit factors.

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What are the pre-fit testing guidelines?

Firefighters should refrain from eating, drinking, using tobacco, or chewing gum for at least 30 minutes before fit testing.

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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.

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