Murphy D C
AAOHN J. 1992 Nov;40(11):545-8.
The requirements for adequate respiratory protection for the employees of this agency vary. Therefore, accurate, updated job descriptions are a critical piece of information. Although the agency has made an effort to establish a respiratory protection program, a number of limitations exist when compared to the program components defined in ANSI, NIOSH, and OSHA guidance documents. In response to a request from the agency, the nurse consultant evaluated the existing respiratory protection program and made specific recommendations for improvement. At this time, the agency has signed a formal agreement with the Division of Federal Occupational Health to request continued assistance with "overhauling" their program. Top management has begun assigning responsibilities for the program to specific individuals, and a centralized database is being set up. The agency has implemented two new DFOH developed forms to improve the testing process, and the nurse consultant has revised the educational/training session to more adequately meet the needs of the work force. The Agency and DFOH are collaborating on reassessment of employees to correctly assign them to appropriate respiratory risk categories. This will, in turn, affect the medical monitoring needs as well as the educational needs of each individual.
该机构员工对充分呼吸防护的要求各不相同。因此，准确、最新的职位描述是关键信息。尽管该机构已努力建立呼吸防护计划，但与美国国家标准学会（ANSI）、美国国家职业安全与健康研究所（NIOSH）和职业安全与健康管理局（OSHA）指导文件中定义的计划组件相比，仍存在一些局限性。应该机构的请求，护士顾问评估了现有的呼吸防护计划，并提出了具体的改进建议。目前，该机构已与联邦职业健康司签署正式协议，请求在“全面改革”其计划方面继续提供协助。高层管理人员已开始将该计划的职责分配给特定人员，并且正在建立一个集中式数据库。该机构已采用了联邦职业健康司开发的两种新表格来改进测试流程，护士顾问也修订了教育/培训课程，以更充分地满足员工需求。该机构和联邦职业健康司正在合作重新评估员工，以便将他们正确分配到适当的呼吸风险类别。这反过来又会影响每个人的医疗监测需求以及教育需求。
