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Who can provide medical evaluation for respirator testing?

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November 12, 2020

by A.J. Plunkett (aplunkett@decisionhealth.com)

A hospital safety manager was seeking help complying with OSHA’s Respiratory Protection standard. Healthcare Safety Leader went to Marge McFarlane, PhD, MT(ASCP), CJCP, CHSP, CHFM, MEP, HEM, principal of Superior Performance in Eau Claire, Wisconsin, and senior consultant with Compass Clinical Consulting in Cincinnati, for the answer. (The following Q&A has been lightly edited for clarity.)

Q: When an employee completes the OSHA Respirator Medical Evaluation Questionnaire (Appendix C to section 1910.134) and answers yes to one or more of the questions, they need a medical evaluation performed by a “physician or licensed healthcare professional.” Who in the organization does these medical examinations—physicians, advanced practice providers (APP), registered nurses (RN)? If it is an RN, should there be standing orders in place for any additional testing that may be indicated?

A hospital safety manager was seeking help complying with OSHA’s Respiratory Protection standard. Healthcare Safety Leader went to Marge McFarlane, PhD, MT(ASCP), CJCP, CHSP, CHFM, MEP, HEM, principal of Superior Performance in Eau Claire, Wisconsin, and senior consultant with Compass Clinical Consulting in Cincinnati, for the answer. (The following Q&A has been lightly edited for clarity.)



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