1、 Tentative Interim Amendment NFPA1999 Standard on Protective Clothing and Ensembles for Emergency Medical Operations 2013 Edition Reference: Various Sections TIA 13-1 (SC 15-4-13 / TIA Log #1169) Pursuant to Section 5 of the NFPA Regulations Governing the Development of NFPA Standards, the National
2、Fire Protection Association has issued the following Tentative Interim Amendment to NFPA 1999, Standard on Protective Clothing and Ensembles for Emergency Medical Operations, 2013 edition. The TIA was processed by the Technical Committee on Emergency Medical Services Protective Clothing and Equipmen
3、t and the Correlating Committee on Fire and Emergency Services Protective Clothing and Equipment, and was issued by the Standards Council on April 7, 2015, with an effective date of April 27, 2015. A Tentative Interim Amendment is tentative because it has not been processed through the entire standa
4、rds-making procedures. It is interim because it is effective only between editions of the standard. A TIA automatically becomes a public input of the proponent for the next edition of the standard; as such, it then is subject to all of the procedures of the standards-making process. 1. Revise the ti
5、tle to read as follows: New Title: Standard on Protective Clothing and Ensembles for Emergency Medical Operations 2. Add new sections to read as follows: 1.1.2 This standard shall also specify additional minimum design, performance, testing, documentation, and certification as requirements for singl
6、e-use and multiple-use emergency medical protective ensembles comprising the protective clothing items described in 1.1.1 for protection from airborne and liquid-borne pathogens. renumber current 1.1.2 and successive paragraphs 1.2.2 The purpose of this standard shall also be to establish a minimum
7、level of whole body protection for emergency services personnel and medical first receivers from airborne and liquid-borne pathogens. renumber current 1.2.2 and successive paragraphs 3. Revise 1.3.1 and 1.3.4 to read as follows: 1.3.1* This standard shall apply to the design, performance, testing, a
8、nd certification of new emergency medical garments; emergency medical examination gloves; emergency medical helmets; emergency medical cleaning/utility gloves; emergency medical work gloves; emergency medical facemasks; emergency medical face protection devices; emergency medical footwear and footwe
9、ar covers; medical care facility footwear; and single-use and multiple-use emergency protective ensembles; and shall apply to ensembles and ensemble elements for the additional CBRN protection from specified biological and radiological terrorism agents. 1.3.4* Other than the certification of emergen
10、cy medical protective ensembles to the single-use, multiple-use, and CBRN ensemble requirements of this standard, this standard shall not apply to respiratory protection in emergency medical operations as such requirements are specified by NIOSH in 42 CFR 84, and by OSHA in 29 CFR 1910.134 and 29 CF
11、R 1910.1030. 4. Add new referenced publications to Section 2.2: NFPA 1951, Standard on Protective Ensembles for Technical Rescue Incidents, 2013 edition. NFPA 1971, Standard on Protective Ensembles for Structural Fire Fighting and Proximity Fire Fighting, 2013 edition. NFPA 1991, Standard on Vapor-P
12、rotective Ensembles for Hazardous Materials Emergencies, 2005 edition. NFPA 1992, Standard on Liquid Splash-Protective Ensembles and Clothing for Hazardous Materials Emergencies, 2012 edition. NFPA 1994, Standard on Protective Ensembles for First Responders to CBRN Terrorism Incidents, 2012 edition.
13、 5. Add new referenced publication to 2.3.3: ASTM E96, Standard Test Methods for Water Vapor Transmission of Materials, 2013. 6. Revise Section 3.3 General Definitions and associated Annex items to read as follows: 3.3.8 Body Fluids. Fluids that are produced by the body, including, but not limited t
14、o, blood, semen, mucus, feces, urine, vaginal secretions, breast milk, amniotic fluid, cerebrospinal fluid, synovial fluid, sweat, vomit, and pericardial fluid. 3.3.23* Emergency Medical Cleaning/Utility Glove. Multipurpose glove that provides a barrier against body fluids, cleaning fluids, and disi
15、nfectants and limited physical protection to the wearer. A.3.3.23 Emergency Medical Cleaning/Utility Glove. Emergency medical cleaning/utility gloves are moderately thick rubber gloves and have limited application for emergency patient care because these gloves might not provide adequate hand functi
16、on in terms of dexterity and tactility for some medical tasks, such as palpitation of a pulse or setting an IV. However, emergency medical cleaning/utility gloves are more robust and provide greater resistance to physical hazards compared to emergency medical examination gloves and can be suitable f
17、or body recovery and other medical functions where blood and other body fluids could be encountered outside the provision of emergency patient care. 3.3.28 Emergency Medical Footwear Cover. An element or item of emergency medical protective ensemble or protective clothing designed and configured to
18、be worn over standard footwear to provide barrier and limited physical protection to the wearers feet. 7. Add new definitions and associated Annex items to Section 3.3 as follows: 3.3.XX Elements(s). See 3.3.XX, Ensemble Elements. 3.3.XX Ensemble Elements. The compliant products that provide protect
19、ion to the upper and lower torso, arms, legs, head, hands, and feet. 3.3.XX* Single-Use Emergency Medical Protective Ensemble. Multiple elements of compliant protective clothing and equipment providing full body coverage, intended for a single use, that when worn together provide protection from som
20、e risks, but not all risks, of emergency medical operations. A.3.3.XX Single-Use Emergency Medical Protective Ensemble. Single-use medical protective ensembles are intended for applications where no exposed skin is permitted and the majority of the elements, including the garment, gloves, footwear c
21、overs, and certain eye and face protection devices are disposable after use. These ensembles include a single-use medical protective garment that may be a coverall with or without a hood, or separate garments that can include a hood. These ensembles include two pairs of any NFPA 1999-certified singl
22、e-use emergency medical examination gloves. The use of double gloving is a precaution intended to offer additional protection and minimize the risk of cross-contamination during doffing. The effect of the double glove system on hand function is not evaluated as part of this standard. These ensembles
23、 are also either configured with multiple-use emergency medical or multiple-use medical care facility footwear or single-use emergency medical footwear covers worn over standard footwear. Footwear certified to NFPA 1951, NFPA 1971, NFPA 1991, NFPA 1992, or NFPA 1994 may be substituted since these it
24、ems have demonstrated material, seam, and overall product biopenetration resistance, integrity, and physical hazard resistance that is equivalent or greater than multiple-use emergency medical footwear specified in NFPA 1999. If single-use footwear covers are used as part of the ensemble, then it is
25、 recommended that additional physical foot protection be achieved by the use of footwear that complies with ASTM F2413. Garments that include bootie foot extensions as part of their construction can be used with any footwear that meets ASTM F2413. Eye and face protection is provided by a combination
26、 of emergency medical eye and face protection devices that may include goggles and faceshields that comply with ANSI Z87.1 requirements and respirators that are approved by NIOSH as N95 filtering facepieces that further demonstrate fluid resistance. Single-use medical protective ensembles may also b
27、e configured with the types of respirators established for multiple-use protective ensembles. 3.3.XX* Multiple-Use Emergency Medical Protective Ensemble. Multiple elements of compliant protective clothing and equipment providing full body coverage, intended for multiple use, that when worn together
28、provide protection from some risks, but not all risks, of emergency medical operations. A.3.3.XX Multiple-Use Emergency Medical Protective Ensemble. Multiple-use medical protective ensembles are intended for high-risk applications where no exposed skin is permitted and the majority of the elements c
29、an be reused, if properly cleaned and decontaminated. High-risk applications include situations where there is an increased likelihood of contacting individuals or contaminated items where exposure to contaminated fluids can occur. The risk of exposure increases based on the amount and reliability o
30、f information available if an individual is infected with a liquid-borne pathogen, the expected proximity of the wearer to the affected individuals, the duration for which the wearer may be in proximity with an infected individual, and the likelihood for any exposure with contaminated liquids or was
31、te as part of the operations. Multiple-use protective ensembles further offer a higher degree of ruggedness and resistance to physical hazards. These ensembles consist of a multiple-use emergency medical garment that may be a coverall with or without a hood, or multiple garments that can include a h
32、ood. Hand protection is provided by the combination of a single-use examination glove worn underneath either a single-use emergency medical cleaning/utility glove or a multiple-use emergency medical work glove. Foot protection is provided by multiple-use emergency medical or multiple-use medical car
33、e facility footwear. Footwear certified to NFPA 1951, NFPA 1971, NFPA 1991, NFPA 1992, or NFPA 1994 may be substituted since these items have demonstrated material, seam, and overall product biopenetration resistance, integrity, and physical hazard resistance that is equivalent or greater than multi
34、ple-use emergency medical footwear specified in NFPA 1999. Garments that include bootie foot extensions as part of their construction can be used with any footwear that meets ASTM F2413. Single-use emergency medical footwear covers may be provided but are not required for the certification of these
35、ensembles. These covers are suggested for minimizing contamination to more durable, reusable footwear. Eye or face protection is provided by either (1) a NIOSH-approved full facepiece air-purifying respirator (APR) with P100 filters, or (2) a NIOSH-approved appropriate tight or loose fitting powered
36、 air-purifying respirator (PAPR) with a protection level of HE. Alternative respiratory protective equipment can include CBRN APR, CBRN PAPR, or SCBA that is certified to NFPA 1981. 3.3.XX Storage Life. The life expectancy of protective clothing and ensemble elements from the date of manufacture whe
37、n it is only stored and inspected and has undergone proper care and maintenance in accordance with the manufacturers instructions, but not used, donned, doffed, or repaired. 8. In Table 4.4.1, change first row first column to read “Multiple-use emergency medical garments and ensembles”, and first tw
38、o instances of “Garment” in fourth column to “Garment or Ensemble” 9. In Table 4.4.1, change second row first column to read “Single-use emergency medical garments and ensembles”, and first two instances of “Garment” in fourth column to “Garment or Ensemble”; change the ninth line in the second row
39、second column from “Total Heat Loss Test (8.32)” to “Moisture Vapor Transmission Rate Test (8.28)”. 10. In Table 4.4.1, delete ninth line starting “Glove Donning Test (8.28)” from fifth row. 11. Revise 5.1.2 and 5.1.2.2 to read as follows: 5.1.2 Single-Use Emergency Medical Protective Garment and En
40、semble Product Label Requirements. 5.1.2.2 The product label shall have the certification organizations label, symbol, or identifying mark and at least the following statement legibly printed on the product label: “THIS insert the term GARMENT or ENSEMBLE here IS FOR SINGLE USE ONLY! THIS insert the
41、 term GARMENT or ENSEMBLE here MEETS THE SINGLE-USE EMERGENCY MEDICAL insert the term GARMENT or ENSEMBLE here REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS, 2013 EDITION. DO NOT REMOVE THIS LABEL!” 12. Add a new 5.1.2.4 as follows: 5.1.2.4
42、 Where the garment is certified as part of a single-use emergency medical protective ensemble, the following additional language shall be provided: TO PROVIDE FULL BODY PROTECTION, THE FOLLOWING ADDITIONAL ITEMS MUST BE WORN AS PART OF THIS ENSEMBLE. list items including manufacturer name and model
43、or style number. 13. Revise 5.1.3 to read as follows: 5.1.3 Multiple-Use Emergency Medical Protective Garment and Ensemble Product Label Requirements. 5.1.3.2 The product label shall have the certification organizations label, symbol, or identifying mark and at least the following statement legibly
44、printed on the product label: “THIS insert the term GARMENT or ENSEMBLE here MEETS THE MULTIPLE-USE EMERGENCY MEDICAL insert the term GARMENT or ENSEMBLE here REQUIREMENTS OF NFPA 1999, STANDARD ON PROTECTIVE CLOTHING AND ENSEMBLES FOR EMERGENCY MEDICAL OPERATIONS, 2013 EDITION. DO NOT REMOVE THIS L
45、ABEL!” 14. Add a new 5.1.3.6 as follows: 5.1.3.6 Where the garment is certified as part of a multiple-use emergency medical protective ensemble, the following additional language shall be provided: TO PROVIDE FULL BODY PROTECTION, THE FOLLOWING ADDITIONAL ITEMS MUST BE WORN AS PART OF THIS ENSEMBLE.
46、 list items including manufacturer name and model or style number. 15. Revise 5.2.2 to read as follows: 5.2.2 For protective ensembles, or protective ensembles certified to the CBRN requirements, the manufacturer shall provide the following additional instruction and information with each ensemble:
47、(1) A statement that only the ensemble and the specific items with which the ensemble has been certified shall be worn together to ensure that protection is provided. (2) A list of the specific items and interface components that shall be worn as part of the ensemble, including each type of NIOSH AP
48、R, PAPR, SCBA, or approved breathing system(s) that the ensemble has been certified with. (3) Specific limitations associated with the use of the ensemble for a response involving biological threats or CBRN hazards, including but not limited to a statement that protection against radiological and nu
49、clear hazards is limited to particulates only. (4) Specific care and maintenance provisions associated with properly maintaining the unique performance properties of the ensemble, its items, or interface components. (5) A statement that, if the ensemble is used in an emergency involving biological or CBRN hazards, the ensemble shall be retired from use and not be further used. 16. Add a new 5.2.3, A.5.2.3 and 5.2.4 as follows: 5.2.3* For single-use or multiple-use protective ensembles, the following additional instructions and information shall be provided: (1)
