Exhibit 10 TIA_1581_22_1 (2).pdf
TIA Standard PDF 158 KB Posted
- Solicitation number
- SRC0000019823
- Issued by
- Ohio
About this file
This document is a Tentative Interim Amendment (TIA) to the NFPA 1581 Standard on Fire Department Infection Control Program, 2022 Edition, issued by the National Fire Protection Association (NFPA). The TIA provides new requirements and guidance for the cleaning and disinfection of air-purifying respirator (APR) and self-contained breathing apparatus (SCBA) facepieces that have been exposed to airborne or liquidborne pathogens. It specifies training and personal protective equipment requirements for individuals handling contaminated facepieces, and establishes detailed procedures for the cleaning, disinfection, and reassembly of the facepieces.
The related state and local contract opportunity is for the Ohio Air National Guard to procure professional medical organization services to conduct annual firefighter medical evaluations at Mansfield, Toledo, and Rickenbacker Air National Guard Bases. The services must comply with the NFPA 1582-2022 edition and the associated U.S. Air Force Technical Implementation Guide 1582 2022 edition, including the examination schedule outlined in the TIG. The contractor will also be required to function as the officially designated fire department physician and provide post-infectious exposure care and testing in accordance with NFPA 1581 and relevant sections of NFPA 1582 and the TIG.
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Text version
Tentative Interim Amendment
NFPA® 1581
Standard on Fire Department Infection Control Program
2022 Edition Reference: 8.4.10 (new), D.1.1, and D.1.2.5
TIA 22-1
(SC 20-8-38 / TIA Log #1517)
Note: Text of the TIA was issued and approved for incorporation into the document prior to printing.
1. Add new Section 8.4.10 and associated Annex information to read as follows:
8.4.10* APR and SCBA Facepieces Exposed to Airborne and Liquidborne Pathogens.
8.4.10.1 Individuals involved in the cleaning and disinfection of air-purifying respirator (APR) and SCBA facepieces shall be trained in cleaning and disinfecting procedures in accordance with 8.4.10 and shall be familiar with the facepieces being cleaned and disinfected, including their inspection and assembly procedures.
8.4.10.2* Individuals handling contaminated APR and SCBA facepieces shall wear a minimum of a protective garment, gloves, goggles, and a respirator appropriate for the type of disinfectant and hazards associated with the respective airborne and liquidborne pathogens.
8.4.10.3* Where available, the specific instructions provided by the manufacturer shall be used for the cleaning and disinfection of APR and SCBA facepieces that have been exposed to airborne or liquidborne pathogens.
8.4.10.4* In the absence of specific cleaning and disinfection instructions, the procedures in 8.4.10.4.1 through 8.4.10.4.10.2 shall be used.
8.4.10.4.1 If filters or cartridges are present, the filters and cartridges shall be removed from the facepiece. Reusable filters or cartridges shall be cleaned as specified in 8.4.10.4.10.
8.4.10.4.2 Facepieces shall be further disassembled by removing speaking diaphragms, demand and pressure-demand valve assemblies, hoses, or any components recommended by the manufacturer.
8.4.10.4.3 The facepiece shall be washed in warm [43°C (110°F) maximum] water with a mild detergent or with a cleaning agent recommended by the manufacturer.
8.4.10.4.3.1 Use of a stiff bristle, not wire, brush shall be permitted to facilitate the removal of dirt.
8.4.10.4.4 Facepiece components shall be thoroughly rinsed in clean, warm [43°C (110°F) maximum], preferably running water.
8.4.10.4.4.1 If the rinsing is accomplished in a bucket or other vessel, the bucket or vessel shall be drained.
8.4.10.4.5* When the cleaning agent used does not contain a disinfecting agent, respirator components shall be immersed for 2 minutes in one of the following:
(1) A hypochlorite solution (50 ppm chlorine) that is made by adding approximately 1 mL laundry bleach to 1 L water at 43°C (110°F).
(2) An aqueous solution of iodine (50 ppm iodine) that is made by adding approximately 0.8 mL tincture of iodine (6 g to 8 g ammonium and/or potassium iodide/100 mL 45 percent alcohol) to 1 L water at 43°C (110°F).
(3)* Other commercially available cleaning agents of equivalent disinfectant quality used as directed in terms of its concentration, application, and dwell time, if their use is recommended or approved by the respirator manufacturer; where possible, EPA-registered disinfectants shall be used that are specific to the pathogens involved.
8.4.10.4.6 Following disinfection, facepiece components shall be thoroughly rinsed in clean, warm [43°C (110°F) maximum], preferably running water.
8.4.10.4.6.1 If the rinsing is accomplished in a bucket or other vessel, the bucket or vessel shall be drained.
8.4.10.4.7* Facepiece components shall be hand-dried with a clean lint-free cloth or air-dried.
8.4.10.4.8 The facepiece shall be reassembled, replacing filters, cartridges, and canisters in accordance with manufacturer’s instructions, where necessary.
8.4.10.4.9 The respirator shall be inspected in accordance with the manufacturer’s instructions to ensure that all components work properly and any damaged or defective components shall either be repaired or replaced.
8.4.10.4.10* The outside of any filters or cartridges to be reused shall be wiped down with a disinfectant wipe and then allowed to air dry.
8.4.10.4.10.1 The filter media shall not be wetted or exposed to liquid disinfectant.
8.4.10.4.10.2 Any filter or cartridge that has been soiled, contaminated, or clogged shall be replaced.
A.8.4.10 Departments often use their SCBA facepiece in conjunction with an adapter to configure the facepiece as part of an air-purifying respirator that when worn with appropriate filters or cartridges provides more portable protection against airborne pathogens and exposure to splatters of liquidborne pathogens. Alternatively, departments can have dedicated elastomeric half or full facepiece APRs.
A.8.4.10.2 It is recommended that departments use personal protective equipment that is certified to the respective product categories in NFPA 1999 for emergency medical single-use or multi-use garments, examination or cleaning gloves, eye and face protection devices, and respirators approved by NIOSH per 42 CFR 84.
A.8.4.10.3 SCBA manufacturers are required to provide cleaning instructions and disinfecting procedures as part of their user information as specified in NFPA 1981. Similarly, APR manufacturers are required to provide cleaning and disinfecting instructions for their products as part of the information for becoming approved respirators per 42 CFR 84 by NIOSH. These procedures might not address specific types of pathogens that warrant the use of certain disinfecting procedures to ensure complete decontamination of the facepiece and related parts. Where possible, departments should follow instructions specific to how individual parts of the SCBA facepiece are cleaned and disinfected, including the use of specific cleaning agents and disinfectants that are known not to adversely affect the continued use and performance of the APR or SCBA.
A.8.4.10.4 The procedures provided in this section are based on mandatory requirements established in Appendix B-2, Respirator Cleaning Procedures, of OSHA 29 CFR 1910.134 with minor adaptations to address specific concerns for disinfecting respirators that have been contaminated with airborne or liquidborne pathogens. These procedures are further consistent with the guidelines provided by the Centers for Disease Control and Prevention (CDC) at https://www.cdc.gov/coronavirus/2019-ncov/hcp/elastomeric-respirators-strategy/index.html.
A.8.4.10.4.5 The first two options for disinfecting procedures are given in Appendix B-2 of OSHA 29 CFR 1910.134. The third option is to use a disinfectant that has been registered with the U.S. Environmental Protection Agency (EPA) for demonstrating its effectiveness against specific pathogens to which the wearer has been exposed.
A.8.4.10.4.5(3) The EPA lists specific disinfectants for known forms of microbial contamination. For example, specific disinfectants for use against SARS-CoV-2, the virus responsible for COVID-19, can be found at https://www.epa.gov/pesticide-registration/list-n-disinfectants-use-against-sars-cov-2.
It is important to recognize that many disinfectants on this list might not be suitable for use on SCBA facepieces and related components. Any use of a specific disinfectant should be confirmed by both the respirator manufacturer and disinfectant supplier for its application for disinfecting the specific SCBA facepiece.
Departments are encouraged to obtain a copy of the registered EPA labeling for the respective disinfectant(s) under consideration to determine how the disinfectant should be properly used to be effective and to learn of any limitations for its use. A copy of the EPA-registered label instructions can be obtained from the supplier or conducting a search through the EPA website link https://iaspub.epa.gov/apex/pesticides/f?p=PPLS:1.
Searches can be conducted using the EPA registration number, supplier name, product name, and active ingredients.
A.8.4.10.4.7 The importance of thorough rinsing cannot be overemphasized. Detergents or disinfectants that dry on facepieces can result in dermatitis. In addition, some disinfectants can cause deterioration of rubber or corrosion of metal parts if not completely removed.
A.8.4.10.4.10 Certain types of unprotected filters known as pancake or flat filters cannot be reused. The department should make a determination if reuse of the filter is warranted based on information provided by the manufacturer or other competent sources.
2. Add the following documents to Annex D.1.1 to read as follows:
D.1.1 NFPA Publications.
NFPA 1981, Standard on Open-Circuit Self-Contained Breathing Apparatus (SCBA) for Emergency Services, 2019 edition.
NFPA 1999, Standard on Protective Clothing and Ensembles for Emergency Medical Operations, 2018 edition.
3. Add the following documents to Annex D.1.2.5 to read as follows:
D.1.2.5 U.S. Government Publications.
Title 29, Code of Federal Regulations, Part 1910.134, Appendix B-2, Respirator Cleaning Procedures.
Title 42, Code of Federal Regulations, Part 84.
Issue Date: August 11, 2020
Effective Date: August 31, 2020
(Note: For further information on NFPA Codes and Standards, please see www.nfpa.org/docinfo) Copyright © 2020 All Rights Reserved
NATIONAL FIRE PROTECTION ASSOCIATION
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