Union intervention protects nurses and stops BC Health Authorities from reducing annual N95 Respirator fit tests

In the fall of 2013, BC's Health Authorities requested permission in the form of a variance from WorkSafeBC to conduct N95 respirator fit testing every two years rather than annually as required by regulation. BCNU worked with other healthcare unions in opposing the BC Health Authorities' request and we provided WorkSafeBC with a written submission of our concerns. BCNU's expert review identified serious problems with the study the employer relied upon and also demonstrated that reducing the frequency of N95 fit tests would provide less protection for our members.

BCNU has recently received WorkSafeBC's decision on the matter. The variance request has been denied. WorkSafeBC found that there is currently not enough evidence to say that someone who is fit tested every two years is provided the same or greater level of safety as someone who is fit tested every year.

Why fit testing matters:

N95 respirators are the last line of defence, protecting you from exposure to biological agents. They work by fitting tightly to your face, so that the air you breathe is filtered first. Fit testing, combined with education and training, is required to ensure that your respirator still fits you well enough to do its job, and protect you from respiratory illnesses like SARS, TB, and novel influenza virus.

Actions you can take:

• Raise concerns about exposure to biological agents and protective equipment with your manager or supervisor.
• Know where and when you can be fit tested at your worksite.
• Keep your fit test current. If you have not been fit tested in the past year, notify your manager or supervisor and request one.
• Conduct a point of care risk assessment prior to patient interaction to identify when you need to wear your fit tested N95 respirator.
• If your task requires a respirator, and your fit test is not current, stop and speak with your manager or supervisor. If unresolved, use your right to refuse unsafe work.
• If you need assistance, contact your steward or a BCNU Joint OH&S Committee member.

Providing quality patient care is always the first priority for BCNU, but it cannot be at the expense of nurses' safety.