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PAPR use in the OR

PAPR use in the OR

posted by Molly Litchfield on Aug 23, 2017 12:06 pm

I have read through the comments/questions about this topic, and have yet to get an answer. Does AORN recommend using a PAPR with a surgical mask for staff that cannot pass a fit test? According to 3M, PAPRs should not be used in the OR in order to maintain a sterile field. Is this AORN's position, and if so, what would they recommend? 

On another note- airborne precaution patients should be in a negative pressure room, so does that mean they are automatically excluded from the OR considering our OR suites are all positive pressure rooms? 

Thank you in advance for your help!

-Molly Litchfield, RN, BSN, CNOR

Re: PAPR use in the OR

posted by Sunny Austin on Sep 13, 2017 11:05 pm

I'm not an expert on this, but in our OR we all wear masks, pt included, until they are intubated.   At that point they are on a closed circuit. Of course we do a terminal clean after the case.  I'd like to hear what other facilities do.  We fortunately don't encounter these often.

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