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Meeting Information



Project Title: Study on the Use of Elastomeric Respirators in Health Care

PIN: HMD-HSP-17-17         

Major Unit:
Health and Medicine Division

Sub Unit:
Board on Health Sciences Policy

RSO:
Liverman, Cathy

Subject/Focus Area:
Health and Medicine


Study on the Use of Elastomeric Respirators in Health Care- Workshop 1
March 22, 2018 - March 23, 2018
National Academy of Sciences Building
2101 Constitution NW
Washington D.C. 20148


If you would like to attend the sessions of this meeting that are open
to the public or need more information please contact:


Contact Name: Katie LaWall
Email: KLaWall@nas.edu
Phone: 202-334-2668
Fax:


Agenda:

Committee on the Use of Elastomeric Respirators in Health Care
National Academy of Sciences Building
2101 Constitution Avenue, NW
Washington, DC 20001

WORKSHOP AGENDA
Thursday, March 22, 2018
Lecture Room

OPEN SESSION: 8:30 a.m. to 5:00 p.m.

8:30 – 8:40
Welcome and Opening Remarks
Linda Hawes Clever, Committee Co-Chair
Bonnie Rogers, Committee Co-Chair

8:40 – 10:00
Panel 1—Elastomeric Respirators: Context and Efficacy
Facilitator: Chris Nyquist

8:40 – 9:30
Panel Introductions and Presentations
•Overview of respiratory protection issues in health care; innovations in respiratory protection programs

•Mary Godwin, Cone Health
•Comparative efficacy of elastomerics

•Ronald Shaffer, National Personal Protective Technology Laboratory
•Project BREATHE

•Lew Radonovich, National Personal Protective Technology Laboratory
•Comparative costs of elastomerics

•Sheri Eisert, University of South Florida (web conference)

9:30 – 10:00
Discussion with the committee

Issues for Presentations and Discussion:
•Provide an overview of your hospital/facility’s respiratory protection program (e.g., number of users, types and numbers of respirators used, decision criteria regarding types of respirators) and innovations in your program; discuss challenges in fully implementing respiratory protection programs
•Discuss the overall efficacy of elastomeric respirators in comparison to N95s and PAPRs and specifics on the efficacy of elastomerics to prevent infectious disease transmission (particularly influenza transmission)
•Discuss the economic landscape on respirators with comparisons across the types of respirators regarding purchase costs, life cycle/maintenance costs, and other costs
•Discuss Project BREATHE and its work in identifying performance characteristics and innovative approaches for respirators for health care workers of elastomerics to prevent infectious disease transmission (particularly influenza transmission)


10:00 – 11:15
Panel 2—Elastomeric Respirators: Effectiveness and Use Issues
Facilitators: Gio Baracco and Jim Johnson

10:00 – 10:50 Panel Introductions and Presentations
•Physiology and Psychology
oRay Roberge, retired, National Personal Protective Technology Laboratory

•Disinfection
oBrian Heimbuch, Applied Research Associates

•Decision Criteria on Respirators Including Storage and Maintenance Issues
oChristopher Shields, Chicago Department of Public Health

10:50 – 11:15
Discussion with the committee

Issues for Presentations and Discussion:
•Provide an overview of the research on elastomeric half-mask respirators regarding communication, comfort, disinfection, and storage and maintenance issues
•Discuss decision criteria on selection, use, and storage of respirators

11:15 – 11:30
BREAK


11:30 –1:00
Panel 3—Use of Elastomeric Respirators in Clinical Practice
Facilitator: Jim Chang

11:30 – 12:30
Panel Introductions and Presentations
•Texas Center for Infectious Diseases
oAnnie Quratulain Kizilbash, Medical Director (web conference)
oScott Ollerman, Chief Nursing Officer (web conference)
oCynthia Guenther, Respiratory Therapist (web conference)

•Jim Chang, University of Maryland Medical Center

12:30 – 1:00
Discussion with the committee

Issues for Presentations and Discussion:
•Describe your respirator program, e.g., number of users, types and numbers of respirators used;
decision criteria regarding types of respirators purchased and used; training programs
•Discuss your experience with elastomeric respirators (and compare with other types of respirators) from the perspectives of:
oEmployee issues, comments, and experiences using elastomeric half mask respirators
oImplementation – storage, disinfection, maintenance
oFit testing
oTraining
•Provide your thoughts on the benefits and limitations of elastomeric half mask respirators
•Discuss issues regarding sustainability of use of elastomerics including any future plans, evaluations, or anticipated changes in type of respirators that will be used


1:00 – 1:45
LUNCH—NAS Cafeteria


1:45 – 2:45
Panel 4—Elastomeric Respirators: Lessons Learned from Other Industries
Facilitator: Bruce Lippy

1:45 – 2:15
Panel Introductions and Presentations
•Mike Schmoldt, Argonne National Laboratory (web conference)
•Bruce Lippy, Center for Construction Research and Training

2:15 – 2:45
Discussion with the committee

Issues for Presentations and Discussion:
•Describe your respirator program, e.g., number of users, types and numbers of respirators used; hazards protecting against, environment where respirators are used; decision criteria regarding types of respirators purchased and used; training programs
•Discuss your experience with elastomeric respirators (and compare with other types of respirators) from the perspectives of:
•Employee issues, comments, and experiences using elastomeric half mask respirators
•Implementation – storage, disinfection, maintenance
•Fit testing
•Training
•Provide your thoughts on the benefits and limitations of elastomeric half mask respirators
•Discuss issues regarding sustainability of use of elastomerics including any future plans, evaluations, or anticipated changes in type of respirators that will be used


2:45 – 3:00
BREAK


3:00 – 4:30
Panel 5—Stockpiling of Elastomeric Respirators: Public Health Preparedness
Facilitators: Tener Veenema and Gloria Addo-Ayensu

3:00 – 4:00
Panel Introductions and Presentations
•Manufacturing perspective
?Ellen White, 3M (web conference)

•Stockpile logistics and decision points
?Paul Petersen, Tennessee Department of Health

•Hospital systems perspective
?Carol Barsky, Hackensack Meridian Health

4:00 – 4:30
Discussion with the committee

Issues for Presentations and Discussion:
•To what extent are elastomeric respirators currently part of the preparedness response? What are the primary factors driving decisions about elastomerics?
•What are the issues regarding volume, cost, shelf life, monitoring, etc. for the stockpiles?
•What are the manufacturing, supply chain, and distribution opportunities and challenges?
•How are hospital systems preparing for the potential of respirator shortages?


4:30 – 5:00
Public Comment Period
Facilitators: Linda Hawes Clever and Bonnie Rogers


5:00 p.m.
Workshop Adjourns

If you would like to attend the public workshop or need more information please contact Katie LaWall at KLaWall@nas.edu or 202-334-2668.


Closed Session Summary Posted After the Meeting

The following committee members were present at the closed sessions of the meeting:
Linda Clever
Bonnie Rogers
Gloria Addo-Ayensu
Gio Baracco
Jim Chang
Christopher Friese
Jim Johnson
Bruce Lippy
Chris Nyquist
Skip Skivington
Patricia Stone
Tener Veenema

The following topics were discussed in the closed sessions:
Workashop recap
Review Statement of Task
Review and discuss draft report outline
Set up working groups
Next steps (May and July committee meetings)

The following materials (written documents) were made available to the committee in the closed sessions:


Date of posting of Closed Session Summary: April 3, 2018