City of winter park fire-rescue

City of Winter Park Fire-Rescue Standard Operating Guideline
Title: Personal Respiratory Protection
Date Issued: December 6th, 2005
Date Last Revised: October 5th, 2010
Revision Number: I
Total Pages: 3
Purpose: The purpose of this guideline is to help min imize significant exposure to
Tuberculosis and other airborne diseases.

All members of this department shall follow this guideline. Only department
issued, or otherwise approved, equipment will be utilized for the personal protection of
employees from airborne medical contamination, unless guidelines deem it absolutely
necessary for the life safety of the patient that procedures be initiated. The EMS
Supervisors shall be responsible for the administration of this program throughout the


The following guideline is to be followed by all department employees to assist in the
prevention of airborne contamination during patient care. This guideline will clarify how
respiratory protection should be taken for all emergency scenes.
The risk of health care providers acquiring respiratory borne diseases from their patients
has greatly increased in recent years. Pre-hospital caregivers are particularly at risk.
Often, little or no information is available upon initial patient contact concerning their
medical history. Furthermore, patients often present themselves in small, poorly
ventilated areas. Once enroute to the hospital, these patients remain confined in the
back of an ambulance in close proximity to the caregivers.


High Risk Patients

Patients considered as HIGH RISK for transmitting airborne diseases may present with:
SOG 330.02 Personal Respiratory Protection Revision: NEW Productive or persistent cough, night sweats, anorexia, unexplained Known HIV infection with cough and fever even if recent TB and PPD Pulmonary or systemic signs or symptoms that were attributed to other etiological but have not responded to treatment. A HIGH INDEX OF SUSPICION IS WARRANTED FOR ANY PATIENT THAT HAS BEEN PRESCRIBED THE FOLLOWING DRUGS: ISONIAZID (INH) STREPTOMYCIN RIFAMPIN ETHAMBUTOL PYRAZINAMIDE (PZA) AZT 330.02.02.
Respiratory Precautions
The donning of infectious control type gloves and the department approved mask whenever in the proximity of an at risk patient or in an enclosed area where such a patient is, or has been. Masks must be of the type approved by the Department’s EMS Supervisors. Disposal of all masks and gloves will be according to established biohazard waste guidelines outlines in the department's Exposure Control Program. When transporting all high-risk patients, the on-board exhaust fans shall Whenever possible, high-risk patients presenting themselves in a confined area shall be moved to a better ventilated area without delay. SOG 330.02 Personal Respiratory Protection Revision: NEW 330.02.03.
Respiratory Precautions

All personnel prior to performing the following procedures shall take respiratory
the use of oral pharyngeal airways initiation of breathing treatment use of bag valve ventilation ET intubation any other procedure dealing with respiratory management
Required Documentation

When an exposure occurs, all precautions taken shall be clearly documented in the run
report and the EMS Supervisor notified.

Employee Exposure Reporting
When necessary, all suspected patients deemed would be reported to the EMS Supervisor of the shift for follow-up. Any personnel exposed to airborne respiratory diseases must complete the necessary forms under the City Personnel Policy Manual and the Fire Department's Exposure Control Program. All reported employee exposures would be logged in the “Personnel” section of the Fire Programs electronic management system. The Deputy Fire Chief shall be responsible for the final management of employee exposures, including the storage and filing of all documentation.


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