Minnesota Nurses Association Demands Change in Minnesota Department of Health Recommendations for Respiratory Protection for Health Care Workers

Thu Nov 5, 2009 11:10am EST
 
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Minnesota Nurses Association Demands Change in Minnesota Department of Health
Recommendations for Respiratory Protection for Health Care Workers



ST. PAUL, Minn., Nov. 5 /PRNewswire-USNewswire/ -- Minnesota's Department of
Health may be putting nurses' health at risk amidst a pandemic influenza
outbreak. The Minnesota Department of Health's position on respiratory
protection for healthcare workers exposed to confirmed or suspected cases of
H1N1 defies national guidelines issued by the Center for Disease Controls. 
MDH, along with a few other state health agencies, has taken the position that
a surgical mask is sufficient respiratory protection unless the patient is
undergoing an aerosol producing treatment. 

Several times since October, MNA staff relayed the organization's deep
concerns to MDH officials regarding the state policy, but have met resistance
and unwillingness to examine the facts.     

The Centers for Disease Control (CDC) has determined, and recently reaffirmed,
that N95 respirators or Personal Air-Powered Respirators (PAPRs) are the
appropriate level of respiratory protection in exposure to H1N1. There is
clear evidence that the H1N1 virus remains suspended in the air for twenty
(20) minutes, to a distance of six (6) feet, after an infected patient coughs.
 

The same evidence clearly demonstrates that a nurse wearing a surgical mask
has significant exposure to the virus, whereas a nurse wearing an N95
respirator has virtually none.  If there are not sufficient N95 respirators
available, then the employers should be using PAPRs (or other approved
National Institute for Occupational Health and Safety) to provide adequate
protection and taking all necessary steps to implement other relevant CDC
recommendations.  

"We are dealing with a pandemic.  This is not a state-by-state issue; it is a
national issue which requires a consistent national approach," said Bettye
Shogren, RN, MNA Health and Safety Specialist, and nationally renowned expert
in workplace safety.  "It is a serious problem when standards for Personal
Protective Equipment (PPE) are different from one part of this country to
another," she added.  

On November 3, Shogren delivered a letter directly to MDH Commissioner, Dr.
Sanne Magnan who has the final authority on the policy.  The letter clearly
illustrates the chaos and confusion resulting from MDH's position, and states
in part:

It is my understanding that Federal Occupational Safety and Health
Administration (OSHA) is enforcing the CDC recommendations regarding
respiratory protection.  As a waivered state, Minnesota OSHA must have a
Respiratory Protection Standard at least as comprehensive as the Federal OSHA
does.  I met with Minnesota OSHA Compliance on November 2, 2009, and was
informed they will enforce the CDC Guidelines for H1N1.  The Minnesota
Department of Health's position places employers in a position where following
the Department of Health's direction places them at risk of violation of OSHA
Standards.

On behalf of the 21,800 members of the Minnesota Nurses Association, I am
requesting the Minnesota Department of Health to rescind its position related
to respiratory protection, follow the CDC recommendations regarding
respiratory protection for healthcare workers exposed to patients who have
been confirmed or are suspected to have H1N1, and notify all healthcare
employers of the change in position.

MNA has also requested a meeting with Dr. Magnan on the issue.  More
information will be posted on MNA's website at
www.mnnurses.org/healthandsafety.


The Minnesota Nurses Association is the largest and fastest-growing union for
registered nurses in Minnesota and the Midwest. Representing more than 20,000
nurses, MNA is a multi-purpose organization that promotes high standards for
nursing education and practice, and works to advance the profession through
collective bargaining and legislative activity.


SOURCE  Minnesota Nurses Association

Jan Rabbers of MNA, +1-651-414-2861, Cell: +1-612-860-6658

 

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