FDA Respirator Recall. The FDA has announced that the National Institute of Occupational Safety and Health (NIOSH) has revoked the approval of Shanghai Dasheng respirators due to quality control issues in manufacturing. The NIOSH approval number, found on the exterior of the mask, can be used to identify if your respirator is compliant. Respirators that are no longer NIOSH-approved:

TC-84A-4329, TC-84A-4330, TC-84A-4331, TC-84A-4332, TC-84A-4334, TC-84A-4335, TC-84A-4336, TC-84A-4337, TC-84A-4398, TC-84A-4399, TC-84A-4400, TC-84A-4401, TC-84A-4463, TC-84A-4464, TC-84A-4465, TC-84A-4466, TC-84A-4467, TC-84A-44Sc, TC-84A-4469, TC-84A-4470, TC-84A-4471, TC-84A-4472, TC-84A-4473, TC-84A-4483, TC-84A-4484, TC-84A-4485, TC-84A-4486, TC-84A-4487, TC-84A-8150, TC-84A-8425, TC-84A-8543, TC-84A-8544, TC-84A-8545, TC-84A-8546, TC-84A-8547, TC-84A-8634, TC-84A-8635, and TC-84A-8636.

The respirators manufactured by Shanghai Dasheng may be labeled with an alternative brand name but are marked by the NIOSH approval numbers above. The FDA recommends replacing any recalled respirator with one that can be found on the NIOSH Certified Equipment List Search. Click here to use. For more information on the respirator recall, click here. (August 30, 2021)

The Physiological Burden of Prolonged PPE Use on Healthcare Workers during Long Shifts. This blog from the National Institute for Occupational Health and Safety (NIOSH) reports that healthcare personnel who have adopted the regular use of N95 filtering facepiece respirators (FFRs), elastomeric half-mask respirators, and powered air-supplied respirators (PAPRs) may experience a variety of physiological effects from wearing the personal protective equipment (PPE) throughout long shifts. These include:

  • Headache
  • Increased pressure inside the skull
  • Nervous system changes
  • Increased breathing frequency
  • Increased “work of breathing”
  • Cardiovascular effects
  • Reduced tolerance to lighter workloads

The authors share that there are several steps healthcare management and personnel can take to avoid experiencing negative effects from prolonged PPE use. To learn about the steps to you can take, click here. (Updated January 25, 2021)

PPE Product List, Chicago Dental Society. The Chicago Dental Society offers a list of personal protective equipment (PPE) suppliers tailored for dentists. The list, organized by product type, is straight forward and wonderfully easy to navigate to help you focus on getting back to what you like to do best, patient care. To access the PPE products list, clickhere. (Updated January 4, 2021)

PPE Provider Directory, Chicago Dental Society. A companion site to the PPE Product List from the Chicago Dental Society, this directory of personal protective equipment (PPE) suppliers includes contact information for ordering supplies and as well as estimated delivery times to help you manage your inventory. Clickhereto view. (Updated January 4, 2021)

COVID-19 Coding and Billing Interim Guidance for PPE. If you have faced elevated overhead costs from increased use of personal protective equipment (PPE) during the COVID-19 pandemic, this guide might be for you. This practice resource from the American Dental Association was developed to bring awareness to billing options for overhead charges incurred from caring for patients during the pandemic. The guide contains two main sections, including coding and documentation FAQ's and descriptions of payer policies implemented to relieve cost burdens during the COVID-19 pandemic. Click here to access the ADA coding a billing guidance for PPE. (Updated October 27, 2020)

Implementing Filtering Facepiece Respirator (FFR) Reuse When There Are Known Shortages of N95 Respirators. This webpage from the Centers for Disease Control and Prevention offers strategies to help healthcare facilities maintain an inventory of personal protective equipment during supply shortages. Page visitors can learn when to use contingency and crisis strategies and what to consider when weighing the decision to decontaminate and re-use single-use filtering facepiece respirators (FFR). Click here to learn more. (Updated October 19, 2020) 

N-95 Respirators and Surgical Masks. For those looking for a general overview of respirators and masks, the Food and Drug Administration offers this webpage that covers a variety of considerations about risk mitigation in healthcare during COVID-19. Contents include:

  • N95 Respirators Not for Use by the General Public
  • CDC Recommends Cloth Face Coverings for Use by the General Public
  • Surgical Masks
  • N95 Respirators
  • Comparing Surgical Masks and Surgical N95 Respirators
  • General N95 Respirator Precautions
  • Decontaminating Respirators
  • N95 Respirators in Industrial and Health Care Settings

Click here to view. (Updated December 7, 2020)

Tips to Avoid Counterfeit Masks. You are doing your best to navigate the COVID-19 pandemic landscape and the last thing you want to deal with is bogus equipment. It is critical that you have the protection you need for yourself and your staff during this time. The American Dental Association has put together this simple guide to help you identify  trusted sources for supplies, tips for spotting suspicious websites, and signs that an N95 mask may be counterfeit so you can worry about one less thing while getting your practice back up to speed during the pandemic. To read Tips to Avoid Counterfeit Masts, click here. (Updated October 2, 2020)

Interim Mask and Face Shield Guidance. With an abundance of information on the web about personal protective equipment, hazard assessment and transmission risks during the COVID-19 pandemic, it is easy to get lost in the details. To ease your burden of information overload, the American Dental Association has developed a user-friendly guide that explains which masks and respirators are appropriate for use to help you feel confident while caring for patients during the COVID-19 pandemic. Click here to learn more. (Updated October 2, 2020)

 

More Resources:

Strategies for Optimizing PPE Supplies, CDC. Click here to view. (Updated July 16, 2020)

Using PPE When Caring for People with Confirmed or Suspected COVID-19, CDC. Click here to view. (Updated June 3, 2020)

Healthcare Respiratory Protection Resources, NIOSH. Click here to view. (Updated May 7, 2020)

Respiratory Protection Standard, OSHA. Click here to view. (May 4, 2020)

Personal Protective Equipment and COVID-19: A Review for Surgeons from the Annals of Surgery. Click here to view. (May 1, 2020)

Additional Respiratory Guidance for Healthcare, U.S. Department of Labor. Click here to view. (April 24, 2020)

PPE Training for Staff Spanish/English Poster, CDC. Click here to view. (April 28, 2020)

The Right Mask for the Right Task. Click here to view. (April 28, 2020)

Safety of Extended Use and Reuse of N95 Respirators, ECRI. Click here to view. (April 28, 2020)

How to Properly Put on and Remove a Disposable Respirator. Click here to view. (April 28, 2020)

Understanding the Difference Between Mask and Respirator, NIOSH. Click here to view.  (April 28, 2020)

How to Perform a User Seal Check with an N95 Respirator, OSHA. Click here to view. (April 28, 2020)

Medical Evaluation for Workers Who Use Respirators, OSHA. Click here to view. (April 28, 2020)

Respirator Fit Testing, OSHA. Click here to view. (April 28, 2020)

Protecting Surgical Teams During the COVID-19 Outbreak, A Narrative Review and Clinical Considerations. Click here to view. (April 17, 2020)

Temporary Enforcement Guidance - Healthcare Respiratory Protection Annual Fit-Testing for N95 Filtering Facepieces During the COVID-19 Outbreak, OSHA. Click here to view. (Correction April 14, 2020)

Fit testing requirements for employees who wear respirators to protect against M. Tuberculosis, OSHA. Click here to view. (February 5, 2004)