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Guide to the Medical Evaluation for Respirator Use

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Robert K. McLellan, MD, MPH and Kathleen M. Schusler, MSN, COHN-S


For the first time in one convenient resource all the information you need to set up, conduct, and audit a program for the medical evaluation of workers for respirator use.

NOTE: The eBook version is online access only and NOT downloadable

Finally there is a resource specifically designed to help clinicians conduct effective medical evaluations of workers using respiratory protection devices. Guide to the Medical Evaluation for Respirator Use provides the scientific evidence and logical basis for medical decision making required to conduct a meaningful evaluation, provide useful recommendations to employers, and avoid ADA violations.

Here's What You'll Find

• Comprehensive guidelines for compliance with the OSHA respirator standard for medical evaluation
• Employer responsibilities for optimizing the medical evaluation
• Descriptions of various types of respirators and the demands they place on workers
• Decision-making logic for physicians and nurses
• Scientific evidence for medical decision making
• Health condition specific assessment and respirator qualification guidelines
• Approaches to accommodating workers with health problems that may interfere with safe use of a respirator
• Suggestions for continuously improving the medical evaluation program
• Ready-to-use forms suitable for copying
• Appendices that gather together in one place all relevant regulations, forms, and procedures

Table of Contents
1. The Rationale for Medical Evaluation for Respirator Use
2. Before the Medical Evaluation:
3. An Overview of the Employer's Responsibilities
4. The Medical Evaluation
5. Medical Decision Making in Respirator Approval
6. Special Problems with Respirator Use
7. Communicating Respirator Use Recommendations

Building Continuous Quality Improvement into the Medical Evaluation for Respirator Use

Appendix 1: OSHA Respiratory Protection Standard 29CFR 1910.134
Appendix 1A: Appendix A to 1910.134 (Mandatory): Fit Testing Procedures
Appendix 1B1: Appendix B1 to 1910.134 (Mandatory): User Seal Check Procedures
Appendix 1B2: Appendix B2 to 1910.134 (Mandatory): Respirator Cleaning Procedures
Appendix 1C: Appendix C to 1910.134 (Mandatory): OSHA Respiratory Medical Evaluation Questionnaire
Appendix 1D: Appendix D to 1910.134 (Mandatory): Information for Employees Using Respirators When Not Required Under the Standard
Appendix 2: Environmental Conditions and Respirator Use
Appendix 3: Physical Examination Form: Respirator Use Qualification
Appendix 4: Consent for Evaluation Form
Appendix 5: Spirometry Testing as Part of the Respiratory Certification Process
Appendix 6: Olfactory Acuity Testing Procedure
Appendix 7: Work Trial Procedure

Publication Date 2000
Format Softcover, 332 pages
ISBN 1-883595-30-4
Product Code 23068
About the Authors

Robert K. McLellan, MD, MPH is Medical Director of the Center for Occupational and Environmental Health at Exeter Hospital in Exeter, NH. He has consulted for employers and for the state of New Hampshire on occupational and environmental medicine issues. Dr. McLellan is a Fellow of the American College of Occupational and Environmental Medicine, a certified Medical Review Officer, and Chairman of the ACOEM Environmental Medicine Committee. Dr. McLellan is a member of The OEM Report Editorial Board.

Kathleen Schusler, MSN, COHN-S, was a Nurse Practitioner and Clinical Manager at the Center for Occupational and Environmental Health at Exeter Hospital. She served as President of the Northeast Association of Occupational Health Nurses and as Past President of the New Hampshire Association of Occupational Health Nurses. In 1997 Ms. Schusler received the Medique National Leadership Award from the American Association of Occupational Health Nurses.

NOTE: The eBook version is online access only and NOT downloadable