Healthcare Respiratory Protection Resources
Program Evaluation
NIOSH Documents
Hospital Respiratory Protection Program Toolkit
This toolkit was developed to assist hospitals in developing and implementing effective respiratory protection programs, with an emphasis on preventing the transmission of aerosol transmissible diseases (ATDs) to healthcare personnel.
Healthcare personnel are paid and unpaid persons who provide patient care in a healthcare setting or support the delivery of healthcare by providing clerical, dietary, housekeeping, engineering, security, or maintenance services. Healthcare personnel may potentially be exposed to ATD pathogens. Aerosols are particles or droplets suspended in air. ATDs are diseases transmitted when infectious agents, which are suspended or present in particles or droplets, contact the mucous membranes or are inhaled.
Protecting workers from exposure to all types of respiratory hazards is an important issue for hospitals and other healthcare organizations. In order to address this often overlooked danger, The Joint Commission and Centers for Disease Control and Prevention (ÐÇ¿ÕÓéÀÖ¹ÙÍø), National Institute for Occupational Safety and Health (NIOSH), National Personal Protective Technology Laboratory (NPPTL) have collaborated to develop a new educational monograph designed to assist hospitals in implementing their respiratory protection programs (RPPs).
Preparedness through Daily Practice: The Myths of Respiratory Protection in Healthcare
Evidence from surveillance studies indicates gaps in hospitals’ respiratory protection programmatic operations and healthcare workers’ (HCWs) marginal compliance with respiratory protection recommended practices. Improper use of respiratory protective devices (RPDs) may expose HCWs to infectious respiratory illnesses. In this document, NIOSH addresses common myths related to respiratory protection and provides information to reinforce respiratory protection program administrator responsibilities and HCW knowledge concerning the proper use of these devices so that they can be prepared for the next public health emergency and best protect themselves in daily practice.
Blogs
Consistent use of personal protective equipment (PPE) is an important part of the strategy to protect healthcare professionals from inhaling infectious particles, preventing the spread of respiratory infection between healthcare professionals and patients.
Researchers at NIOSH conducted a study to determine HCW familiarity with recommended respiratory protection practices including the selection of respiratory protective devices.
Infographics

Key Resources of a Respiratory Protection Program (2015)
Infographic listing the nine key requirements of a respiratory protection program.
English: PDF [1.059 KB], Image [833 KB]
Spanish: PDF [324 KB], Imagen [1,592 KB]
Journal Articles
Grinshpun SA; Corey J; Yermakov M; Wu B; Strickland KT; Bergman M; Zhuang Z
J Occup Environ Hyg 2020 Dec; 17(11-12):538-545.
Peterson K, Novak D, Stradtman L, Wilson D, Couzens L
Am J Infect Control. 2015; 43:63–71.
Beckman-S; Materna-B; Goldmacher-S; Zipprich-J; D’Alessandro-M; Novak-D; Harrison-R
Am J Infect Control 2013 Aug; 41(11):1024-1031.
Peterson-K; Rogers-BME; Brosseau-LM; Payne-J; Cooney-J; Joe-L Novak-D
Workplace Health Saf 2016 Jul; 64(7):326-336
Harkavy-LM; Novak-DA
OR Nurse. 8(6):1-7, November 30, 2014.
Benson-SM; Novak-DA; Ogg-MJ
AORN J 2013 Apr; 97(4):457-470.
Burgel-BJ; Novak-D; Burns-CM; Byrd-A; Carpenter-H; Gruden-M; Lachat-A; Taormina-D
Workplace Health Saf 2013 Mar; 61(3):103-115.
Janssen-L; Zhuang-Z; Shaffer-R
J Occup Environ Hyg 2014 Apr; 11(4):218-226.