GACP 1st Quarter Newsletter 2020 2020_1stQrtrNewsletter | Seite 15

Opioid Exposure Risk Assessment
Situation
Powder Presence
No Visible Powder
Present
Small Amount
Visible Powder
Present
Threat Lev-
el
Low Risk
PPE Recommended*
Disposable nitrile gloves 1
Disposable nitrile gloves 1
Moderate
Risk
Carfentanil or other
fentanyl-related com-
pounds potentially or
confirmed present at
scene or with patient
Safety goggles or glasses for eye protection
Disposable filtering facepiece respirator (“mask”)
rated to P100 2
Wrist/arm protection 3
Disposable nitrile gloves 1
(double or use thicker gloves)
Liquid Fentanyl or
Large Amount
Visible Powder
Present
Safety goggles or glasses for eye protection
High Risk
Half or full-facepiece APR with P100 filters 4
Particulate hazards protective ensemble
(garments, gloves, and footwear) certified to
NFPA 1999 Single or Multi-Use or NFPA 1994
Class 4 Ensemble
* The threat level initially selected can change and PPE should be adjusted accordingly.
1. Nitrile gloves should be a minimum 5 mil thickness and powder-free. Consider double gloving as an additional precaution
if appropriate. Replace gloves immediately if torn or after 30-60 minutes of use. Dark gloves may allow better visualization
of any drug powder residue.
2. If P100 filtering facepiece is not available, R100 or N100 should be utilized.
3. Wrist/arm protection may include: on-duty uniform with sleeves, sleeve covers, gowns, or coveralls.
4. Air-purifying respirator (APR); must be medically cleared, trained, and fit-tested for respirator use.
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