title: Protective equipment for health care facility decontamination personnel: regulations, risks, and recommendations.
abstract: After recent terrorist attacks, new attention has been focused on health care facility decontamination practices. This article reviews core issues related to the selection of appropriate personal protective equipment for health care facility decontamination personnel, with an emphasis on respiratory protection. Existing federal regulations focus primarily on scene response and not on issues specific to health care facility decontamination practices. Review of existing databases, relevant published literature, and individual case reports reveal some provider health risks, especially when the exposure involves organophosphate agents. However, reported risks from secondary exposure to contaminated patients at health care facilities are low. These risks should be adequately addressed with Level C personal protective equipment, including air-purifying respirator technologies, unless the facility determines that specific local threats require increased levels of protection.
authors.affiliation: Department of Emergency Medicine, University of Minnesota, and Hennepin County Medical Center, Minneapolis, MN 55415, USA. john.hick@co.hennepin.mn.us
authors.forename: John L
authors.initials: JL
authors.lastname: Hick
authors.forename: Dan
authors.initials: D
authors.lastname: Hanfling
authors.forename: Jonathan L
authors.initials: JL
authors.lastname: Burstein
authors.forename: Joseph
authors.initials: J
authors.lastname: Markham
authors.forename: Anthony G
authors.initials: AG
authors.lastname: Macintyre
authors.forename: Joseph A
authors.initials: JA
authors.lastname: Barbera
mesh_terms: D003666:Decontamination / Q000379:methods*; D004189:Disaster Planning / Q000331:legislation & jurisprudence; D015386:Hazardous Substances; D006275:Health Facility Planning / Q000331:legislation & jurisprudence; D006801:Humans; D011482:Protective Devices; D012134:Respiratory Protective Devices; D012637:Security Measures; D023481:Terrorism
chemical_list: D015386:Hazardous Substances