PAPR user manual - Women`s and Children`s Hospital
Contents
1. s room the assistant will ensure that the operator is comfortable and all protective attire is donned appropriately Removing the PAPR A staff member that is familiar with the removal procedure must assist the operator with the removal of the PAPR to ensure safety 1 The PAPR will be removed and decontaminated outside of the patient s room either in an ante room or directly outside the patient s room PAPR MUST NOT be removed in the patient s room 2 A staff member must assist the operator in removing the PAPR The assistant must wear full PPE personal protective equipment ie N95 mask goggles gown and gloves 3 The assistant will turn off the PAPR air filter unit and disconnect the breathing tube from the hood and the PAPR air filter unit 4 The assistant will unbuckle and remove the waist belt with the PAPR air filter unit fitted 5 The operator will remove the hood by grasping the sides of the hood and carefully lifting the hood off of their head 6 Break the waist and neck ties of the disposable gown Women s and Children s Hospital Page 4 Jupiter Turbo Unit User Instructions Infection Control Unit 7 Roll and fold the gown coverall in on itself starting from the shoulders to ensure that contamination of the environment is minimised 8 Take the gloves off when pulling the sleeves of the gown coverall over the hands Dispose of the gown coverall and gloves 10 The assistant will then decontaminate2. PAPR has been tested and meets the requirements of AS NZS1716 Respiratory protective devices when used correctly The Jupiter PAPR units at the Women s and Children s Hospital each come with an 8 hour battery pack and can be used with a range of filter options The PAPR units incorporate an electronic control unit which provides an audible and visual warning of low battery and or low airflow into the head top Indications for use The Jupiter PAPR should be used by staff when performing an aerosol generating procedure on a patient that is suspected or has been diagnosed with an airborne transmitted infectious disease that requires a high level of respiratory protection These diseases include e Severe Acute Respiratory Syndrome SARS e Tuberculosis TB e Viral Haemorrhagic Fever An aerosol generating procedure is defined by the CDC as e Bronchoscopy Endotracheal intubation Suctioning Open abscess irrigation Autopsy The Jupiter PAPR should also be worn when a good seal cannot be formed with other protective masks for example when staff have a growth of beard or sideburns NOTE The Jupiter PAPR should only be used if the staff member is trained in their use Women s and Children s Hospital Page 3 Jupiter Turbo Unit User Instructions Infection Control Unit PAPR Unit consists of e Belt and PAPR air filter unit with 2 high efficiency particle air HEPA filters e Breathing tube e Orange f
3. with hypo chlorite solution Miltons solution Decontamination of the breathing tube 10 Cover both ends of the breathing tube Clean the breathing tube by wiping over with detergent and water Be careful not to let any of the cleaning solution enter into the hose 11 Reassemble unit as described in the user instructions Women s and Children s Hospital Page 5 Jupiter Turbo Unit User Instructions Infection Control Unit The Jupiter PAPR will be housed in the Paediatric Intensive Care Unit PICU Routine maintenance will be conducted by the Equipment Nurse PICU mr e Batteries to be charged overnight gt Monthly Maintenance when the Jupiter Turbo Unit is in use Every Shift e Conduct airflow check e Recharge batteries e Unused batteries to be charged overnight Monthly e Calibration of the unit e Replace filters when damaged soiled or increased breathing resistance occurs 2 Note A maintenance log must be kept for each piece of equipment Note Refer to the Women s and Children s and or the 3M Jupiter Turbo Unit Users Instructions for further details Women s and Children s Hospital Page 6 Jupiter Turbo Unit User Instructions Infection Control Unit Battery charging 1 The battery must be charged in a safe and clean area Do not charge battery packs in an enclosed cabinet without ventilation 2 Ifa battery feels hot let it cool for half an hour before charging 3 Plug the charging co
4. 1 The filter life of the filters will depend upon several factors e The flow rate e The specific type and concentration of the contaminants e Environmental conditions such as humidity and temperature 2 Do not use filters beyond their expiration date 3 Both filters must be replaced if they become damaged soiled or if increased breathing resistance occurs Women s and Children s Hospital Page 8 Jupiter Turbo Unit User Instructions Infection Control Unit The Jupiter turbo will be calibrated initially at the Respirator Service Centre before despatch However over time you may need to recalibrate the turbo especially if the low flow alarm is occurring even with new or near new filters 3M recommends calibration should be done monthly to prevent any issues with flow alarms The calibration procedure is as follows NOTE Calibration should be undertaken without any filters fitted using a fully charged battery Find the calibration tube Part No 021 14 11 i e the clear tube with black ball inside NOT the tube with the white ball The tube with the white ball is an airflow indicator and is used to check airflow this process 1s explained in the Jupiter User Manual Section 8 1 Insert the calibration tube black ball into the air outlet of turbo unit See diagram below A aue OL Ds Fas ESS To start calibration hold the switch button and a single beep will be heard Keep the button depressed during the wh
5. Jupiter Turbo Unit POWERED AIR PURIFYING RESPIRATOR Q 4 i R Te p User Instructions Women s and Children s Hospital Infection Control Unit Contents Introduction Page 3 Using the Powered Air Purifying Respirator PAPR Page 4 Decontamination of the Powered Air Purifying Respirator Page 5 Routine Maintenance Schedule Page 6 Maintenance of battery Page 7 Airflow Check Page 8 Maintenance of filters Page 8 Calibration of Jupiter Turbo Unit Page 9 References Page 10 Women s and Children s Hospital Page2 Jupiter Turbo Unit User Instructions Infection Control Unit The purpose of a Powered Air Purifying Respirator PAPR is to prevent the inhalation of harmful airborne substances The PAPR uses a blower to pass contaminated air through a filter that removes the contaminant and supplies the purified air to the inside of a full face piece or a loose fitting hood Communicable Diseases Network Australia 2003 The hood covers the head neck and upper torso and includes a neck cuff Air is delivered by a compressor through a hose leading into the hood Because the hood is not tight fitting it 1s important that sufficient air is provided to maintain a slight positive pressure inside the hood relative to the environment immediately outside the hood In this way an outward flow of air from the respirator will prevent contaminants from entering the hood Occupational Safety and Health Administration 1998 The Jupiter
6. ole calibration process After 3 seconds a second beep will sound The LED display on startup will initially show the following lights D AMIA A ly b 2 A2 Ne TS ZN ZAN Women s and Children s Hospital Page 9 Jupiter Turbo Unit User Instructions Infection Control Unit After the 3 seconds it will display NY Ly V Se Set y ay a P x aw T aw This display indicates the unit is in calibration mode The fan speed will gradually increase Release the switch when the black ball is above the pass mark on the tube as shown in the diagram above This sets the calibration point and completes the procedure Any turbo unit out of calibration will have a low flow alarm that cannot be resolved ie an out of calibration turbo with new filters or even no filters fitted will still alarm showing low flow The display for low flow 1s a XC 1N If an airflow alarm problem persists after calibration please contact your local 3M representative or the 3M TechAssist hotline on 1800 024 464 3M Jupiter Powered Air Purifying Respirator User Instructions 3M Version 0502 Communicable Diseases Network Australia Interim Australian Infection Control Guidelines for Severe Acute Respiratory Syndrome SARS Section 5 Appendices May 2003 Infection Control Unit How to use powered air purifying respirator PAPR Princess Margaret Hospital May 2003 Infection Control Uni
7. rd into the charging port on the side of the battery pack 4 When the green light is on displayed on the charger the battery is fully charged and ready for use A fully discharged battery should be fully charged in approximately 8 hours The battery should not be left on the charger for more than 7 days 7 Charge the battery before it is completely discharged Damage will occur if the battery 1s completely discharged or over discharged 8 The battery may be charged at any time during it s discharge cycle Battery memory or voltage depression 1s not a significant factor ne i Battery use log book At the end of a shift document in a log book the approximate number of hours that the battery has been in use When it is near to eight hours replace the battery and charge the old one Battery maintenance Without periodic charging a battery loses approximately 10 of its charge after one week and 20 after one month 1 Infrequently used batteries ie unused for gt 5 days should be fully charged initially and then charged overnight once per week to maintain a full charge Battery installation 1 After charging insert the battery into the PAPR battery slot 2 Slide the battery in all the way until the latch on the back cover of the PAPR unit engages with the corresponding latch on the battery 3 Pull downward on the battery to ensure there 1s proper engagement Battery removal 1 Insert thumb between the battery and
8. t Use of the powered air purifying respirator PAPR Jupiter Unit 3M Sir Charles Gairdner Hospital May 2003 Infection Control Unit and Medical Illustration Use of PAPR Powered Air purifying Particulate Respirator Fremantle Hospital and Health Service 2003 Occupational Safety and Health Administration OSHA OSHA Technical Manual U S Department of Labor Section 8 Chapter 2 May 1998 Women s and Children s Hospital Page 10 Jupiter Turbo Unit User Instructions Infection Control Unit
9. the PAPR prior to removing their PPE refer to Decontamination of the Jupiter TM Powered Air Purifying Respirator 11 After removal and decontamination of the PAPR and PPE the operator and assistant must wash their hands or apply alcohol based hand gel WARNING The operator must leave the contaminated area immediately if The warning light and or alarm activate They smell or taste contaminants They become dizzy or irritation occurs The system shuts off If the integrity of the PAPR or PPE diminishes 1 Disconnect the breathing tube from the hood 2 Disconnect the other end of breathing tube from the PAPR air filter unit 3 Remove PAPR air filter unit from the waist belt Decontamination of the hood 4 Clean all parts of the hood with a cloth dampened with warm water containing a mild detergent Do not use detergents that contain lanolin or other oils 5 After cleaning with detergent and water wipe over the hood with hypo chlorite solution Miltons solution Decontamination of the PAPR air filter unit 6 Remove the filter cartridges from the PAPR air filter unit Do not attempt to clean the filters 7 Wipe the battery pack with detergent and water Do not immerse the battery pack 8 Clean the PAPR air filter unit by wiping down with detergent and water Do not immerse the PAPR air filter unit Be careful not to let any of the cleaning solution enter into the PAPR air filter unit 9 Wipe over all components
10. the latch tongue to disengage the primary latch 2 Pry fingers between the rib on the battery and the blower housing to disengage the secondary latch 3 Pull the battery out Women s and Children s Hospital Page 7 Jupiter Turbo Unit User Instructions Infection Control Unit To ensure that the PAPR unit is providing adequate airflow an airflow check must be performed prior to the first use of the PAPR and once per shift thereafter Ensure that the filters are fitted prior to testing the airflow Insert a charged battery into the PAPR unit Ensure that the breathing tube is not connected to the PAPR outlet Insert the airflow indicator tube white ball into the outlet of the PAPR unit Switch the PAPR unit on and hold vertically Do not cover the airflow indicator tube Check that the airflow indicator ball is floating above the pass level marked on the tube If the ball falls below the pass mark airflow is insufficient This may be the result of a battery with a low charge a clogged filter or other malfunctions Refer to user manual Ae im Filter installation 1 Ensure that the appropriate type of filter is selected for the procedure 2 Screw a filter into the each of the two threaded inlets until the raised stud on the back of the filter engages with the locking ribs on the blower housing 3 If the filter feels loose check for correct gasket installation and cracks in the plastic in the threaded inlet Filter life
11. ull head hood or blue half head hood Performance check 1 Ensure that a charged battery is correctly inserted in the PAPR air filter unit 2 Ensure that the PAPR air filter unit and hood are not visibly damaged 3 Perform an air flow check prior to first use and then once a shift thereafter Donning the PAPR A staff member that is familiar with the donning procedure must assist the operator with the donning the PAPR to ensure safety 1 The operator and assistant must wash or apply alcohol based hand gel to hands 2 The operator must don a disposable gown coveralls The assistant must ensure that all gown ties are secure and that the gown coverall covers the operators clothing 3 Operator to adjust the head piece inside the full head hood prior to use 4 Operator to don a pair of disposable gloves ensuring that the glove cuffs are pulled over the gown coverall cuffs 5 Buckle and adjust the waist belt with the PAPR air filter unit fitted Ensure a comfortable fit The assistant will ensure that the gown coverall has not been displaced 6 Assistant to connect the breathing tube onto the hood connector and the PAPR air filter unit Ensure that the locking collar clicks into the locked position 7 Assistant to turn the PAPR air filter unit on 8 Operator to place hood over their head with the assistants help Ensure that the hood 1s placed comfortably and that the shoulder protectors are not gathered 9 Prior to entering the patient
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