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KN95 mask?

Posted

Specializes in Peds. Has 17 years experience.

How is a KN95 mask supposed to be equivalent to an N95 mask when I can feel air leaking out of the front,near my chin? They are one size fits all. I cant even tighten up the strings.

I work in a LTC facility on floor with Covid patients only.

We get 1 KN95 mask/shift

EllaBella1, BSN

Specializes in ICU. Has 6 years experience.

Were you fit tested for the mask? It sounds like it's not a good fit for you.

Missingyou, CNA

Specializes in Long term care. Has 20 years experience.

I was wondering the same thing. From the very beginning of wearing KN 95 masks in my long term care facility we, as CNA s, are going into patient rooms caring for " actively positive patients" rooms with a mask that is not fit tested to us....wearing gowns that have been hanging outside patient rooms to be reused for 5 days.

.....we get 1 mask every 5 days (often 12 hour gifts) in & out of covid positive rooms & into other patient rooms.....wearing the same mask.....for 5 days before getting a new one.

....am I missing something?

Idiosyncratic, BSN, RN

Has 3 years experience.

I have been wondering the same exact thing. When I first tried on a KN95, it was stabbing me in the eyes, wasn't fitting around my face well, and my glasses kept fogging up. I ended up having to kind of "play" with the mask to make it safer - which ended up with me having something behind my head pulling the strings more, and super bending the metal. The whole time I was with a COVID+ patient hoping to go I didn't get anything.

I still don't like them. I still think they aren't safe. We get one mask and are told it's good for "20 uses." Since when did we lower our standards so much? I know we are running low on PPE, but at least allow us to have some sort of something where we can't ACTIVELY see its failure.

AND THERE'S NO FIT TESTING FOR THESE! ONE SIZE FITS ALL. 😐

I apologize for my mini rant.😅

Edited by Idiosyncratic
Added info.

Marisette, BSN, RN

Specializes in Registered Nurse. Has 28 years experience.

6 hours ago, Missingyou said:

I was wondering the same thing. From the very beginning of wearing KN 95 masks in my long term care facility we, as CNA s, are going into patient rooms caring for " actively positive patients" rooms with a mask that is not fit tested to us....wearing gowns that have been hanging outside patient rooms to be reused for 5 days.

.....we get 1 mask every 5 days (often 12 hour gifts) in & out of covid positive rooms & into other patient rooms.....wearing the same mask.....for 5 days before getting a new one.

....am I missing something?

I don't think your missing something. It sounds like you and the patient's are not well protected, although I don't know what the acceptable guidance is for KN95 mask. I don't think we as a society value elders. It also appears that we don't value their caregivers either. So sorry you are going through this. I hope thinkgs get better. It's definitely worth looking into Osha requirements in your state to see if your work place is following acceptable guidelines and If not, report this.

Runsoncoffee99

Specializes in Peds. Has 17 years experience.

On 6/28/2020 at 11:43 AM, EllaBella1 said:

Were you fit tested for the mask? It sounds like it's not a good fit for you.

No KN95 masks are one size fits all

14 hours ago, Runsoncoffee99 said:

No KN95 masks are one size fits all

Some employers require fit testing, or used to.

1 hour ago, toomuchbaloney said:

Some employers require fit testing, or used to.

It's still an annual OSHA requirement. However, considering the PPE shortages some facilities are accepting any fit test date. And, some only require the employee successfully complete a seal check.

Idiosyncratic, BSN, RN

Has 3 years experience.

39 minutes ago, chare said:

It's still an annual OSHA requirement. However, considering the PPE shortages some facilities are accepting any fit test date. And, some only require the employee successfully complete a seal check.

Mine doesn't even require that. They just throw it at you and say good luck.

EllaBella1, BSN

Specializes in ICU. Has 6 years experience.

On 6/30/2020 at 2:26 AM, Runsoncoffee99 said:

No KN95 masks are one size fits all

You should still be fit tested. If it doesn't fit you well and you fail the fit test then you need to talk to your manager and refuse to take covid patients until they provide you with a mask that protects you.

HartRN22, BSN

Specializes in Cardiology, Progressive Care. Has 8 years experience.

KN95 are China’s standard N95. They are not NIOSH approved in the US, however, they have been given an Emergency Use Authorization (EUA) due to the shortages.
https://www.fda.gov/medical-devices/coronavirus-disease-2019-covid-19-emergency-use-authorizations-medical-devices/personal-protective-equipment-euas
I wear them for when I have to go shopping as I figure it’s better than a reused surgical mask. They are readily available at Staples.
I would not be comfortable using them at work with a positive.
yes, using an ear saver or a paper clip to stretch the bands behind your head makes for a tighter seal.

Runsoncoffee99

Specializes in Peds. Has 17 years experience.

It is easier to breathe in,I give it at.

I asked a nursing supervisor and she said only N95 are fit tested,not KN95.

Feral.Cat.Herder, RN

Specializes in Peds, MS, DIDD, Corrections, HH, LTC, School Nurse. Has 28 years experience.

On 7/1/2020 at 9:09 PM, EllaBella1 said:

You should still be fit tested. If it doesn't fit you well and you fail the fit test then you need to talk to your manager and refuse to take covid patients until they provide you with a mask that protects you.

A KN95 mask is not considered a tight-fitting respirator and therefore does not require a fit test per OSHA regulations. A KN95 is not equivalent to a N95, this is something a lot of facilities are not comprehending before they order these masks, my facility included.

Runsoncoffee99

Specializes in Peds. Has 17 years experience.

So apparently a KN95 mask and an N95 mask have the same filter performance at greater than or equal to 95%

5 hours ago, Runsoncoffee99 said:

So apparently a KN95 mask and an N95 mask have the same filter performance at greater than or equal to 95%

I was under the impression that there wasn't real difference between the masks.

Missingyou, CNA

Specializes in Long term care. Has 20 years experience.

On 6/28/2020 at 6:36 PM, Marisette said:

It's definitely worth looking into Osha requirements in your state to see if your work place is following acceptable guidelines and If not, report this.

This facility IS following "acceptable" guidelines.....acceptable to whom, I don't know...

On 6/28/2020 at 12:40 PM, Missingyou said:

I was wondering the same thing. From the very beginning of wearing KN 95 masks in my long term care facility we, as CNA s, are going into patient rooms caring for " actively positive patients" rooms with a mask that is not fit tested to us....wearing gowns that have been hanging outside patient rooms to be reused for 5 days.

.....we get 1 mask every 5 days (often 12 hour gifts) in & out of covid positive rooms & into other patient rooms.....wearing the same mask.....for 5 days before getting a new one.

....am I missing something?

Do you cover your KN95 with a surgical mask? That's what we do, and dispose of the surgical masks on the end of the shift. 

The KN95 is nowhere near as good as an N95 because you can't get fitted for it/it comes in one size fits all. But it's better than nothing I guess. 

 

Kitiger, RN

Specializes in Private Duty Pediatrics. Has 42 years experience.

On 7/15/2020 at 10:34 AM, toomuchbaloney said:

I was under the impression that there wasn't real difference between the masks.

There is a huge difference between an N95 and a KN95. The KN95 allows air to come in around the mask; a properly fitted N95 mask does not allow this.

When you wear a KN95, do your glasses fog up? This is proof that you have an air leak.

OK, if you don't wear glasses, ask a coworker who does.

I agree with NewRN'16, the KN95 is better than nothing. In fact, I'd say it's most likely better than a surgical mask. But it is not enough to protect you from a virus that is at least partially airborne.