Point-of-care assessments, fit-tested N-95 respirators key to protecting healthcare workers from H1N1

January 17, 2014

As the number of H1N1 cases continues to climb across the province, it is critical healthcare workers conduct their own point-of- care risk assessment on patients, and are encouraged to wear a fit-tested N-95 respirator while providing care to suspected or confirmed influenza patients.

In addition, they should be provided with gloves, gowns, face shields or goggles in order to avoid the potential risk of exposure from those who are infected.

Surgical masks do not protect workers from exposure to airborne virus particles. The virus can be spread from an infected or potentially infected patient through coughing, sneezing or talking, as well as from any aerosol generating procedure.

Members potentially exposed to the virus are encouraged to use a precautionary principal approach, conduct their own point-of-care risk assessment on a patient and choose the highest level of personal protective equipment. BCNU's position is supported in academic literature, including a scientific literature review commissioned by the union in 2009.

It is also supported by Justice Archie Campbell who stated clearly in the Severe Acute Respiratory Syndrome (SARS) Commission report: "When it comes to worker safety in hospitals, we should not be driven by the scientific dogma of yesterday or even the scientific dogma of today. We should be driven by the precautionary principle that reasonable steps to reduce risk should not await scientific certainty." Actions you can take to prevent exposure to H1N1:
Download the H1N1 quick reference card by visiting www.bcnu.org (Health and Safety Resources) and familiarize yourself with how to conduct a point-of-care risk assessment.
Wear a fit-tested N-95 respirator, gloves, gown and face shield or goggles if you identify a risk of exposure to the virus.
Comply with infection control measures and policies at your workplace.
Contact your steward or BCNU Joint Occupational Health and Safety committee member if you need assistance.