Download Respirator Inventory Assessment Tool

Healthcare Facility Inventory of Respiratory Protection Equipment
This document is a tool to help facilities assess their current respiratory protection equipment inventory and estimated
need through May 31, 2010. Healthcare facilities should determine if they need to implement “prioritized respirator use
mode” per the CDC guidance, "Interim Guidance on Infection Control Measures for 2009 H1N1 Influenza in Healthcare
Setting, Including Protection of Healthcare Personnel."
Date of assessment:_____________________________
Step 1: Assess Current Facility Inventory
Number
N95 respirators
Other disposable respirators (e.g. N99, N100, etc.)
Powered air-purifying respirators (PAPRs)
Elastomeric respirators
Total number of respirators currently available (based on Step 1 table): ____________
Step 2: Document and Review Purchase Orders for Respirators
Order
Order
date
Product
Vendor
Number
ordered
Anticipated
delivery
date
Actual
delivery
date
If
delivered,
number
received
Comments
1
2
3
4
5
6
Total number of respirators anticipated (based on Step 2 table): ____________
November 6, 2009
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Step 3: Estimate Need for Respirators during the 2009-2010 Influenza Season
Estimate facility respiratory protection equipment needed through May 31, 2010.
 If you have facility-specific data, we recommend using it to project your estimated need.
 If you do not have facility-specific data, consider that 20% of the facility's patient population will have an influenza-like
illness (ILI) from November 1, 2009 through May 31, 2010 based on the following factors: we are in the midst of an
influenza pandemic, not all patients will seek care, and not all patients with ILI will have influenza, but when providing
care, healthcare personnel will have to consider 2009 H1N1 influenza and use recommended infection prevention
precautions.
 When providing estimated numbers, do not include government (ASPR- or CDC-funded, or Strategic National
Stockpile [SNS]) assets.
 Respirators include disposable respirators (e.g. N95, N99, N100, etc.); NIOSH-approved, FDA-cleared respirators;
powered air-purifying respirators (PAPRs); and elastomeric respirators.
Line
1
Healthcare personnel encounter
Respirators needed if used for routine patient care for patients with ILI
(within 6 feet)
2
Respirators needed to perform aerosol-generating procedures*
3
Respirators needed to manage patients with infections that require
respiratory protection (e.g. tuberculosis)*
Number
*Facilities should maintain a reserve of respiratory protection sufficient to meet the estimated needs for performing aerosol-generating
procedures and for managing patients with infections that require respiratory protection (e.g. tuberculosis) until it is expected that
respiratory protection supplies will be replenished.
Total number of respirators needed if used for all healthcare personnel encounters with patients with ILI (within 6 feet):
Add lines 1, 2, and 3: ____________
Total number of respirators needed for prioritized respirator use mode:
Add lines 2 and 3: ____________
Step 4: Compare and Assess to Determine if Shortages Exist
Compare your results from Steps 1 and 2 with your results from Step 3. Using this information as well as other planning
considerations (listed below), determine if a shortage of respirators exists or is anticipated.
Per the CDC Interim Guidance, where a shortage of respirators exists despite reasonable efforts to obtain and maintain a
sufficient supply for anticipated needs, in particular for high-risk exposure situations such as aerosol-generating
procedures, a facility should consider shifting to a prioritized respirator use mode. In this mode, respirator use is
prioritized to ensure availability for healthcare personnel at highest risk of 2009 H1N1 influenza exposure. Even under
conditions of prioritized respirator use mode, personnel attending aerosol-generating procedures on patients with
suspected or confirmed 2009 H1N1 influenza should always use respiratory protection.
Other Planning Considerations
Consider the following factors when determining if a shortage of respiratory protection exists:
 Current inventory
 Amount of supplies reasonably anticipated from vendors through May 31, 2010
 Estimated amount of respiratory protection equipment needed through May 31, 2010
 Types and sizes of respirators available
 Types of respirators to which healthcare personnel are fit-tested
 Respiratory protection supplies should be re-evaluated on a regular basis relative to anticipated need
Infectious Disease, Epidemiology, Prevention and Control
625 Robert St. N., St. Paul, MN 55164-0975
651-877-676-5414, TTY: 651-201-5797
www.health.state.mn.us
November 6, 2009
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