ECRI Analysis: Majority of KN95 Masks Fail to Meet Minimum Standards

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An analysis of imported Chinese KN95 masks by the not-for-profit organization ECRI showed that up to 70% of these masks fail to meet the minimum U.S. standards for effectiveness, according to a news release.

ECRI tested 15 different manufacturer models of masks and nearly 200 total masks that had been purchased by large U.S. health systems. The tests, which ECRI indicated were performed according to "rigorous product testing protocols," showed that a majority of the masks did not filter 95% of aerosol particulates, as the "95" in KN95 is supposed to indicate. Thus, they do not meet the U.S. National Institute for Occupational Safety and Health (NIOSH) N95 standard.

While this analysis further supports that non-certified KN95 masks should never be used as an alternative to N95s, they can serve as a "surgical mask" alternative, states Infection Control Consulting Services Founder Phenelle Segal, RN, CIC, FAPIC.

Such sentiment was reflected in the ECRI news release, with Michael Argentieri, vice president for technology and safety for the organization, quoted as stating, "KN95 masks that don't meet U.S. regulatory standards still generally provide more respiratory protection than surgical or cloth masks and can be used in certain clinical settings."

ECRI also noted its researchers found that many non-certified masks with head and neck straps, as opposed to masks with ear loops, better conform to and seal against the wearer's face, which helps ensure air being breathed is filtered.

Joint Commission Infection Control Standards: Most Challenging for Accredited Ambulatory Healthcare Organizations in 2019

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The Joint Commission has identified its top 10 most challenging standards for accredited ambulatory healthcare organizations in 2019. Infection control standards are the most and second most challenging for the year.

Taking the top spot on the list is IC.02.02.01 — The organization reduces the risk of infections associated with medical equipment, devices, and supplies.

Right behind it is IC.02.01.01 — The organization implements infection prevention and control activities.

Rounding out the top three most challenging standards is EC.02.03.05 — The organization maintains fire safety equipment and fire safety building features.

The Infection Control Consulting Services (ICCS) team has a lengthy track record of success with assisting ambulatory healthcare and other types of facilities with preparation for surveys, mitigation of deficiencies, and development of plans of correction. To learn more, contact ICCS.

NJ Resumption of Services in All Long-Term Care Facilities Include Infection Control Requirements

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An executive directive issued by New Jersey Department of Health (DOH) details the criteria long-term care facilities, assisted living residences, comprehensive personal care homes, residential healthcare facilities, and dementia care homes (collectively "LTCFs" or facilities") must meet to proceed through a phased reopening process, which includes mandates concerning infection control.

Among the benchmarks LTCFs must comply with to enter a reopening phase are as follows:

  • Contract with an infection control service within two months or hire a full-time infection control employee if they have more than 100 beds or hemodialysis. 

  • Develop an updated outbreak plan with lessons learned from the COVID-19 pandemic. This plan must include a communications strategy that outlines regular communication with residents and families about cases and outbreaks or any other emergency and methods for virtual communication in the event of visitation restrictions.

  • Implement a respiratory protection program that complies with Occupational Safety and Health Administration (OSHA) standards, including medical screenings and fit testing of employees using respirators (N95 masks), within nine months.

  • Must be fully staffed and have a plan in place for additional staffing in the event of an outbreak or emergency. 

  • Weekly staff COVID-19 testing.

  • Secure enough personal protective equipment (PPE) for present use and a stockpile for emergencies.

  • Must not have an active outbreak.

The reopening plan is comprised of four phases, which are tied to the state's planned stages for reopening. All facilities started in Phase 0 on August 10.

The executive directive was issued in conjunction with an announcement that the state is making $155 million available to help LTCFs safely reopen. Of this $155 million, about $25 million will go to assist LTCFs with the weekly testing.

New Medicaid funding worth $130 million will be available to LTCFs beginning in October and running through June 30, 2021. Of that, $52 million is intended to help LTCFs in supporting COVID-19-related infection control and compliance. However, the funding would be subject to recoupment if a facility fails to meet the DOH-specified requirements or is found to have repeated infection control failures. The remaining $78 million will go toward increasing wages for certified nurse aides.

Phenelle Segal, RN, CIC, FAPIC, founder of Infection Control Consulting Services, which provides a range of services to all long-term care facilities, says she expects other states will take a similar approach as New Jersey in supporting LTCFs as they reopen and will also hold these facilities accountable.