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QNFT Single Use TrainingNew Fit Testers
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Theory- Why do we Fit Test?- Respirators?- The Quantitative Method
Practical- Preparation- The Fit Test- Record Keeping
Documentation- Certificate- Delegate Pack
Agenda
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• Experts in RPE with a team of field based RPE specialists delivering education, support and training
• Offer a complete range of RPE products to ensure that 100% of staff are protected against all respiratory hazards
• The market leader in healthcare and working with the majority of NHS Trusts, private groups and community workers across the UK
About Full Support Healthcare
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• Understand HSE guidance around RPE andface fit testing
• Fit test colleagues in your area with PortaCount® and Easimask®
• Log and maintain accurate Fit Testing records• Inform you of recent updates to HSE guidelines• Provide a training course to ensure you leave
competent, confident and safe • Ongoing support and guidance
Working in Partnership
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Why do we Fit Test?
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• To protect the individuals health and safety• It is a legal requirement• To ensure that the selected RPE is
adequate and suitable – to keep you safeAdequate RPE is right for the hazard and reduces exposure to the level required to protect the wearer’s health.Suitable RPE is right for the wearer, task and environment, such that the wearer can work freely and without additional risks due to the RPE.
• Each specific model of respirator needs to be fit tested
Why do we Fit Test
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There is an extensive list of AGPs, please refer to your own trust policy
Who should wear a respirator?
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• The HSE requires RPE Fit Testing to be conducted by a competent person.
• To be competent a person should have adequate knowledge, adequate instruction and adequate training – covering the 16 areas of competency covered in the HSE INDG 479.
• By the end of this course you will be competent, confident and compliantin Qualitative Fit Testing.
Competence
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Understanding Respirators
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Surgical Mask Respirator RPE Mask
Surgical Mask vs Respirator Mask
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FFP1 & FFP2 are available but the NHS has standardized to FFP3
FFP3 Respirators: • Protect against 99.95% of particulate matter.• They also protect against solid and liquid
aerosols. • FFP3 masks are suitable for handling
hazardous powders, such as those found in the pharmaceutical industry, respiratory bacteria and viruses.
Filtering Face Pieces
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Unvalved respirators filter inhaled and exhaled particles, protecting both the wearer and the people they come into contact with.HSG53
NR
NR
Protection with Unvalved Masks
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Protection with Valved Masks
NR
Valved respirators filter against inhaled particles but not against particles that are exhaled, protecting only the wearer. HSG53
NR
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Reusable respirators
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Filter typesAll kits are available with Particulate and/or Chemical filters.
• Particulate filters are used to protect against respiratory viruses and other particulate hazards.
• Chemical filters are used to protect against specific respiratory hazards, such as mercury or ammonia.
• Combination filters are used to protect against a combination of hazards.
NB: Data sheets for all chemicals need to be supplied to ensure that you are adequately protected.
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Staff must be CLEAN SHAVEN at all times wearing any tight fitting RPE.The HSE defines clean shaven as having shaved no more than 8 hours before the start of a shift.You should remember that the same rule applies when you wear your facepiece on a day-to-day basis at work. This is because a reliable face seal can only be achieved if you are clean-shaven in the area where the facepiece seal touches your face. DO NOT Fit Test people with facial hair, as this affects the face seal.
Facial Hair
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Some staff are unable to be Fit Tested or pass a Fit Test for a number of reasons:• Facial hair• Facial disfigurements• Burns, scars, moles, piercings to the
area needed for a seal• Extremes in facial sizes or features• Surgery or dental work• Interference from hijab, glasses etc.Staff nursing patients for lengthy periods may prefer alternative protection for comfort reasons.Loose fitting respirators are available from Full Support Healthcare.
Fit Testing is not for everyone
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The QuantitativeMethod
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Qualitative & Quantitative
Fit Test Methods
QuantitativeQualitative
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How it works
The PortaCount® machine works by comparing the number of particles inside the respirator when worn with the number of ambient particles in the air.The PortaCount® machine then calculates how many particles have seeped in and calculates a Fit Factor.This indicates how well the seal is working and therefore how suitable the respirator is for the subject.
Particles inside the respirator
Ambient particles
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Fit FactorsA Fit Factor of 100 would mean that the air was 100x cleaner inside the respirator than outside.Different respirator types require different Fit Factor pass levels.
Minimum Fit Factors required
FFP3 respirator: 100 Half-face mask: 100 Full-face mask: 2000
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Preparation
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As a designated Fit Tester, make sure you have:
Pre Fit Test checklist Quantitative Fit Test Protocols Rainbow Passage Quantitative Respirator Fit Test Reports Fit Test Register
Selection of Easimask®
respirators A PortaCount® machine A tablet/computer with software
pre-installed and checked A stepper, exercise bike or
treadmill
You will need
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Setting Up Video Guides
1. Setting up the PortaCount
2. Daily Checks
3. Ambient Particle CountSingle-use and half-mask
3000+ ambient readingFull-face respirators
10,000+ ambient reading
4. Entering Details
5. Probing the Respirator
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Before we begin
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1. Using the Quantitative Pre Fit Test checklist, brief the person on why you are carrying out a Fit Test.
2. Explain that the Fit Test will require prolonged gentle exercise and that they will need to follow your instructions closely throughout.
Preparing the Subject
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• Clean shaven?
• Medically fit?
• Smoked/vaped in the past 60 minutes?
• Eaten in the past 15 minutes?
• PPE?
Criteria Check
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• The subject should don a new respirator and perform a Fit Check.
• Do a visual inspection to make sure it is not a poor fit.
• Allow them to wear if for 5 minutes before the test.
Note: If the subject incorrectly dons their respirator they may fail their Fit Test
Don the respirator
FSM16 Video
FSM18 Video
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The Fit Test
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Throughout the Fit Test - with the exception of exercise 6 - the subject should be continually moving using a step, exercise bike or treadmill.
Continuous movement puts strain on the respirator seal and strap, mimicking the kinds of movements encountered whilst worn on the job.
Continuous movement
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In addition to continuous movement, the subject will be asked to perform the following exercises for 1 minute 20 seconds each.
1) Normal breathing: without talking – while stepping/cycling
2) Deep breathing: breathing slowly and deeply – while stepping/cycling
3) Turn head side to side: inhaling/exhaling at each side – while stepping/cycling.
The 7 exercises
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4) Moving head up and down: inhaling up, exhaling down – while stepping/cycling
5) Talking: read the rainbow passage out loud, or count backwards from 100 – while stepping/cycling
6) Bending over: bend at waist – without stepping/cycling
7) Normal breathing: without talking – resume stepping/cycling
The 7 exercises (continued)
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Let’s begin
• When you are ready, click start to begin.
• Exercise instructions will appear on-screen for the subject to follow, as well as a Fit Factor result for each exercise and a final overall Fit Factor result once complete.
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The results
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Record Keeping
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Whether a pass, fail or void – it is a legal requirement that you record the results.
• The Quantitative Fit Test Report in your delegate pack contains all the required information to be fully HSE compliant.• Give one copy of the Fit Test Report
to the person you have just Fit Tested.• Submit another copy to the relevant
person within the organisation for record keeping.
Recording your results
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Consider a loosefitting respirator
If you do not achieve the required fit factor during each
exercise you will f fail your Fit
Test
You may re-testimmediately if required
Don a new respirator mask and re-fit test
Only perform 2 tests on the same
make and model
If this fails,then another model of respirator may be needed
If you fail a Fit Test
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RPE fit testing should be carried out by a competent person. A fit tester should have adequate knowledge, and have received adequate instruction and training in the following areas:
1) selection of adequate and suitable RPE;2) examination of RPE and the ability to identify poorly maintained facepieces;3) ability to correctly fit a facepiece and perform pre-use wearer-seal checks;4) ability to recognise a poorly fitting facepiece;5) awareness of external factors that may affect the fit of the facepiece or the fit
test result;6) the purpose and applicability of fit testing;7) the differences between, and the appropriate use of, QNFT and QLFT
methods;
16 areas relating to competency
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8) the purpose of the fit test exercises;9) preparation of facepieces for fit testing;10) how to carry out diagnostic checks on the facepiece and the fit test
equipment;11) capabilities and limitations of the fit test equipment;12) how to perform a correct fit test with the chosen method;13) awareness and knowledge of how to prevent and correct problems
during fit testing;14) interpretation of fit test results;15) an understanding of the differences between fit factors, workplace protection
factors, assigned protection factors and nominal protection factors; and16) HSE Regulations and the Approved Codes of Practice that deal with fit testing
of RPE.
16 areas relating to competency (cont’d)
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