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Hi all,
My apologies if this question has already come up, I didn’t see it in the
archives.I work for a service which includes aged care homes.
They have received P2 masks (regular) that aren’t great achieving a good
fit for most of the staff (the masks do meet standards. The masks are ear
loops).
The manufacturer advised, and supplied, plastic mask extenders. When used,
these extenders do increase fit and seal on the face.Currently they service doesn’t fit test, but has a PPE and fit check
program.
May I ask the current advice on the use of mask extenders with P2s?Kind regards,
Samantha LavenderInfection Prevention and Control Advisor
Wesley Mission QLDMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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Hi Samantha
I didnt think FDA approved ear loop N95 masks for use in clinical settings? Unless they have changed their policy. If you can email me the brand and model of the masks (off-list) Ican check this for you. Just because a mask says it complies with a certain standard does not necessarily make it suitable for use in all settings, either.
Any addition you use to try and improve fit with N95 masks must be validated by appropriate fit testing to ensure a good seal. If you require mask extenders to improve the fit, then the masks are probably not a good fit to start with, and it is possible the mask extenders improve comfort but dont actually improve the seal.
I would strongly encourage you to seek advice for fit testing your clinical workforce, rather than only relying upon fit checking. A single mask type and size will not necessarily fit all people, and so you will likely need a variety of mask sizes and types to be available.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.auSt Vincents Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
E michael.wishart@svha.org.au |
W https://www.svphb.org.au[http://i8.cmail19.com/ei/t/6C/F77/A00/141133/csfinal/StaticEmailFooter-SVPHN-Celebrating20Years-650×150-9900000000079e3c.png]
[cid:image001.png@01D8B095.7B44ED00]
From: ACIPC Infexion Connexion On Behalf Of Samantha Lavender
Sent: Friday, 12 August 2022 7:12 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Mask extender use for P2sHi all,
My apologies if this question has already come up, I didn’t see it in the archives.
I work for a service which includes aged care homes.
They have received P2 masks (regular) that aren’t great achieving a good fit for most of the staff (the masks do meet standards. The masks are ear loops).
The manufacturer advised, and supplied, plastic mask extenders. When used, these extenders do increase fit and seal on the face.Currently they service doesn’t fit test, but has a PPE and fit check program.
May I ask the current advice on the use of mask extenders with P2s?Kind regards,
Samantha LavenderInfection Prevention and Control Advisor
Wesley Mission QLDMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
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MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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Hi Samantha,
You need to check if the mask is TGA registered and on the Australian Register of Therapeutic Goods (ARTG) as generally masks with ear loops (with and without extender clips) are not suitable nor recommended as N95 mask in healthcare settings because of the problems with fit checks and fit testing.
Simply put the name of the mask, manufacturer or ask the company for the TGA ARTG number and search the Australian Register of Therapeutic Goods (ARTG) at the link below.
https://www.tga.gov.au/australian-register-therapeutic-goods
Also ask the manufacturer/supplier to provide a TGA, ARTG form.
NOTE:
Checking that the mask you are using is not registered with the TGA as a Medical device including Class 1 for Public respirator, single use. These mask are for use by a member of the general public see below
*A 57793 Public Respirator, single use mask is:
*A form-shaped filtering mask designed to be placed over the nose and mouth of a member of the general public to permit normal breathing while protecting the wearer from large particles (e.g., blood, body fluids, and airborne particulate materials) and small particles (e.g., bacteria and viruses) when considered necessary (e.g., viral epidemic). It is typically made of multiple layers of non-woven polymers to produce a soft, flexible mask that will create an airtight seal against the user’s face and typically secured using elastic head straps or ties; it may incorporate a forming nosepiece (metal wire) and/or an exhalation valve. This is a single-use device.
Summary
Because of the problems with N95 mask fit check/fit testing when using masks with ear loops (with and without extender clips) you may find it easier to simply source a TGA registered mask (suitable for use in healthcare settings) that has headbands.
I understand these types of masks are now readily available.
Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Hi all,
My apologies if this question has already come up, I didn’t see it in the archives.
I work for a service which includes aged care homes.
They have received P2 masks (regular) that aren’t great achieving a good fit for most of the staff (the masks do meet standards. The masks are ear loops).
The manufacturer advised, and supplied, plastic mask extenders. When used, these extenders do increase fit and seal on the face.
Currently they service doesn’t fit test, but has a PPE and fit check program.
May I ask the current advice on the use of mask extenders with P2s?
Kind regards,
Samantha Lavender
Infection Prevention and Control Advisor
Wesley Mission QLD
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
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Hi Samatha,
There are N95 masks that do require a fit clip with fit testing to achieve a seal.
They do come in a variety of sizes and they are TGA approved and made in Australia.
Also depends if the mask is a surgical grade N95 mask or a standard mask, as additional PPE may be required like a Faceshield.
I can share this with you off -line.
The most important regardless of the type of mask you wear is that you have been fit -tested to ensure the mask provides a tight seal and is safe for you to wear when exposed to patients.
Its another risk mitigation strategy to support the HCW.Kind Regards
Know the infection risks, share the solutions
Marija Juraja |Nurse Unit Manager CALHN Infection Prevention & Control Unit|
Specialty Medicine 2 RN, GCNS Inf Ctrl, CICP-E)
t: +61 8 7074 2810 (RAH) 8222 7588 (TQEH)| M: 0466 379 821|e:marija.juraja@sa.gov.au |
Adjunct Senior Industry Fellow | University of South Australia | Horizon Hospital and Health Service
[World Hand Hygiene Day]From: ACIPC Infexion Connexion On Behalf Of Samantha Lavender
Sent: Friday, 12 August 2022 6:42 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Mask extender use for P2sHi all,
My apologies if this question has already come up, I didn’t see it in the archives.
I work for a service which includes aged care homes.
They have received P2 masks (regular) that aren’t great achieving a good fit for most of the staff (the masks do meet standards. The masks are ear loops).
The manufacturer advised, and supplied, plastic mask extenders. When used, these extenders do increase fit and seal on the face.Currently they service doesn’t fit test, but has a PPE and fit check program.
May I ask the current advice on the use of mask extenders with P2s?Kind regards,
Samantha LavenderInfection Prevention and Control Advisor
Wesley Mission QLDMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
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