THE ASSISTANT SECRETARY OF DEFENSE 1200 DEFENSE PENTAGON WASHINGTON, DC 20301-1200 HEW 20?: HEALTH AFFAIRS MEMORANDUM FOR ASSISTANT SECRETARY OF THE ARlny (WNPOWER AND RESERVE AFFAIRS) ASSISTANT SECRETARY OF THE NAVY (MANPOWER AND RESERVE AFFAIRS) ASSISTANT SECRETARY OF THE AIR FORCE (MANPOWER AND RESERVE AFFAIRS) DIRECTOR, JOINT STAFF DIRECTORS OF DEFENSE AGENCIES AND FIELD ACTIVITIES SUBJECT: Personal Protective Equipment for Department of Defense Military Treatment Facility Healthcare Workers Assessing or Caring for Ebola Virus Disease Patients and Others Possibly Exposed to Ebola Virus This memorandum provides the personal protective equipment (PPE) guidelines for Department of Defense Military Treatment Facility healtheare workers assessing or caring for Ebola Virus Disease (EVD) patients and others possibly exposed to the virus. This includes direct patient care, contact with blood or bodily ?uids, prolonged close interaction (less than three feet), and contact with deceased individuals. To protect our healtheare workers, this guidance exceeds that of the Centers for Disease Control and Prevention. All healtheare workers must be trained in PPE donning and dof?ng procedures before engaging with EVD patients. I am providing PPE selection guidance (Attachment a table listing PPE for continued or suspected EVD patients (Attachment a table listing PPE for patients with some or low risk of exposure (Attachment and a table listing PPE for assessing individuals, to include twice daily temperature checks (Attachment 4). A recommended list of national stock numbers for PPE and this memorandum with attachments can be found at: The Defense Logistics Agency is the preferred source for ordering all PPE. My points of contact are Dr. Craig Postlewaite, Defense Health Agency, Public Health Division, who may be reached at (7?03) 681?83 84, craig.postlewaite@dha.mil; and Major Craig Stachewicz, Defense Health Agency, Medical Logistics, who may be reached at (301) 619-8285, erai g. .stachewicz.mil@mail.mil. nathan Woodson, MD Attachments: As stated ee: Deputy Under Secretary of Defense (Installation& Environment) Surgeon General of the Army Surgeon General of the Navy Surgeon General of the Air Force Joint Staff Surgeon Medical Of?cer of the Marine Corps Coast Guard Director, Life and Safety Personal Protective Equipment (PPE) for Ebola Virus Disease Response Selection and Use Guidance for DoD MTF Healthcare Workers (Use in conjunction with attachments to ASD(HA) PPE Policy dated 31 Oct 2014) GLOVES - Single-use, disposable, non-sterile examination with extended cuffs; Nitrile (multiple sizes). - Single-use, disposable, non-sterile examination; Nitrile (multiple sizes). - Extended cuffs recommended; if both gloves are regular cuffs, inner glove must be taped to the coverall. HAND SANITIZER - 60% plus alcohol. - Extensive supplies of sanitizer are needed during doffing process and during patient care should contamination with body fluids occur on the PPE. SCRUBS - Regular washable or disposable (preferable for confirmed/suspected EVD patients). COVERALLS - Single use, disposable, impermeable or fluid-resistant, without integrated hood (preferable), with or without integrated socks are acceptable, prefer thumb hooks to secure sleeves over inner glove. - When using impermeable coverall, should meet ASTM 1670/1671 or AAMI level 4. CDC recommends garments without hoods, as hoods complicate the doffing process and could lead to skin contamination. GOWN - Single use, disposable; impermeable or fluid-resistant; covers the torso to at least mid-calf, prefer thumb hooks to secure sleeves over inner glove. - When using impermeable gown, should meet ASTM 1670/1671 or AAMI level 4. - If a PAPR will be worn, consider selecting an apron that ties behind the neck to facilitate easier removal during the doffing procedure. APRON - Single-use, disposable impermeable or fluid-resistant. - If a PAPR will be worn, consider selecting an apron that ties behind the neck to facilitate easier removal during the doffing procedure. Current a/o 6 November 2014 SURGICAL MASK - Single-use, disposable, molded, fluid-resistant. N-95 Respirator - Single-use, disposable; used in combination with single-use, disposable surgical hood extending to shoulders AND single-use, disposable full-face shield; use of respirators REQUIRES medical clearance, training and fit-testing. FACE SHIELD - Single-use, disposable; full face shield surgical splash. - Note: must be used in conjunction with the N-95 respirator or fluid resistant mask. Powered Air-Purifying Respirator (PAPR) - Full face shield, helmet or headpiece required; any reusable helmet or headpiece must be covered with a single-use (disposable), NON-INTEGRATED hood or head cover. A disposable hood or shroud should extend to the shoulders and fully cover the neck and be compatible with the selected PAPR. - Self-contained filter and blower unit integrated inside the helmet is preferred; use of respirators REQUIRES medical clearance, training and fit-testing. HOOD - Single-use, impermeable or fluid resistant, disposable; extends to the shoulders and fully covers the neck and is compatible with the selected PAPR or N-95 respirator. HOSPITAL-ISSUED SHOES - Crocs or similar washable shoes recommended when engaging with confirmed or highly suspected EVD patients. BOOT COVERS - Single-use, disposable; impermeable (preferable) or fluid-resistant; extend to at least mid-calf or knee level. - Should allow for ease of movement and not present a slip hazard to the worker. - Note: Required if using coverall without integrated socks. SHOE COVERS - Note: ONLY USED in combination with coverall with integrated socks. - Single-use, disposable; impermeable (preferable) or fluid-resistant. - Should allow for ease of movement and not present a slip hazard to the worker. Current a/o 6 November 2014 Recommended Personal Protective Equipment (NO Exposed Skin) for DoD MTF Health Care Workers Treating Confirmed or Suspected (Symptomatic w/High-Risk Exposure1) Ebola Patients Options A B 1. 2. 3. 4. 5. 6. Body Covering2 1) Regular or disposable scrubs; AND 2) Impermeable or fluid resistant 6 gown or coverall ; 3) If diarrhea or vomiting is present, impermeable gown or apron required 1) Regular or disposable scrubs; AND 2) Impermeable or fluid resistant 6 gown or coverall ; 3) If diarrhea or vomiting is present, impermeable gown or apron required Head & Neck /Long Hair2,3 4 Face Protection /Respirator2 Leg/Foot2 Shoes Hand2,5 (RESPIRATORS REQUIRE MEDICAL CLEARANCE, TRAINING AND FIT TESTING) PAPR Hood (impermeable or fluid resistant) PAPR 3 Knee-high OR calf-high boot cover (impermeable or fluid resistant ) Hospital-issued washable shoes Examination (or surgical) gloves with extended cuff, Nitrile (DOUBLE GLOVE Required) Surgical Hood (impermeable or fluid resistant) N-95 respirator/ full face shield Knee-high OR calf-high boot cover (impermeable or fluid resistant) OR coverall with integrated boot with shoe cover Hospital-issued washable shoes Examination (or surgical) gloves with extended cuff, Nitrile (DOUBLE GLOVE Required) NOTES: Risk of Exposure as defined by CDC. Final determination of which option to choose will be based on infection control requirements and PPE availability/limitations. All hair must be covered by the hood. PAPR – Powered Air Purifying Respirator. If using regular gloves (non-extended cuff), inner glove to be taped to the coverall. Non-hooded coveralls are preferable to help prevent healthcare worker contamination during doffing. Current a/o 6 November 2014 Recommended Personal Protective Equipment for DoD MTF Health Care Workers Providing Care to Symptomatic Patients with Some or Low Risk Exposure1 to EVD - NO Exposed skin Options Body Covering2 Head & Neck / Long Hair2,3 Face Protection / Respirator2 Leg/Foot2 Shoes Hand2,4 (RESPIRATORS REQUIRE MEDICAL CLEARANCE, TRAINING AND FIT TESTING) A B 1. 2. 3. 4. 5. 1) Regular or disposable scrubs; AND 2) Fluid resistant OR impermeable 5 gown or coverall 1) Regular or disposable scrubs; AND 2) Fluid resistant OR impermeable 5 gown or coverall Surgical Hood (fluid resistant or impermeable) N-95 respirator with full face shield Knee-high or calf-high boot cover (fluid resistant) OR coverall with integrated boot with shoe cover Hospital issued washable shoes recommended Examination (or surgical) Glove, extended cuff, Nitrile (DOUBLE GLOVE Required) Surgical Hood (fluid resistant or impermeable) Fluid resistant surgical mask with full face shield Knee-high or calf-high boot cover (fluid resistant) OR coverall with integrated boot with shoe cover Hospital issued washable shoes recommended Examination (or surgical) Glove, extended cuff, Nitrile (DOUBLE GLOVE Required) NOTES: Risk of exposure as defined by CDC. For purposes of this guidance, low risk exposure as defined by CDC is equivalent to “no known exposure” in the Under Secretary of Defense, Personnel and Readiness (USD(P&R)) memorandum dated October 31, 2014, “Pre-Deployment, Deployment, and Post-Deployment Training, Screening, and Monitoring Guidance for Department of Defense Personnel Deployed to Ebola Outbreak Areas – Change 1.” Final determination of which option to choose will be based on infection control requirements and PPE availability/limitations. The use of PPE should be determined based on the patient’s clinical status. Patients exhibiting obvious bleeding, vomiting, copious diarrhea or a clinical condition that warrants invasive or aerosol-generating procedures (e.g., intubation, suctioning, active resuscitation) may warrant a higher level of PPE as described for confirmed EVD or symptomatic high-risk exposure patients. All hair must be covered by the hood. If using regular (non-extended cuff) gloves, inner glove to be taped to the gown. Non-hooded coveralls are preferable to help prevent healthcare worker contamination during doffing. Current a/o 6 November 2014 Recommended Personal Protective Equipment for DoD MTF Health Care Workers Assessing or Providing Care to Asymptomatic Individuals with High, Some or Low Risk Exposure1 to EVD Risk Level Body Covering High, Some or Low Risk Exposure Standard 2 Precautions 1. 2. Head & Neck / Long Hair None Face Protection / Respirator Standard 2 Precautions Leg Shoes Standard 2 Precautions Footwear in accordance with MTF policy Hand 2 Standard precautions Examination (or surgical) Glove, Nitrile NOTES: Risk of exposure as defined by CDC. For purposes of this guidance, low risk exposure as defined by CDC is equivalent to “no known exposure” in the Under Secretary of Defense, Personnel and Readiness (USD(P&R)) memorandum dated October 31, 2014, “Pre-Deployment, Deployment, and Post-Deployment Training, Screening, and Monitoring Guidance for Department of Defense Personnel Deployed to Ebola Outbreak Areas – Change 1.” Standard precautions will be applied as a minimum. In addition to hand hygiene and sharps protection, other measures are guided by risk assessment and may include gloves, gown, mask, eye, and face protection. A higher level of PPE may be warranted based on clinical judgment. NOTE: For High Risk Exposure, consultation with an Infectious Disease specialist is required prior to phlebotomy and other invasive procedures that could expose a health care worker to blood and other body fluids. Current a/o 6 November 2014 DoD Recommended PPE list for Health Care Workers for EBV ITEM NOMENCLATURE MANUFACTURER NSN/PART # SOURCING AAC SUB SOURCING ALT NSN's REFERENCE DATE ADDED 6508013535671 Original / ARNORTH 29-Oct-14 / WR_DLA HAND SANITIZER 60% + Alcohol-based hand sanitizer GOJO NSN: 6508015355409 (Longer Lead Time) O&M PVON: 5276215608 Recommended NSN: 8520013469200 Item ID: GOJ965124CT 21749096503 GLOVES Gloves, Nitrile, Medium Gloves, Nitrile, large Surgical Gloves (multiple sizes) Gloves, Extended Cuff Gloves (multi sizes) Hand Gloves, General Nitrile Examination Powder Free Non Sterile with Extended Cuffs S Gloves, General Nitrile Examination Powder Free Non Sterile with Extended Cuffs M Gloves, General Nitrile Examination Powder Free Non Sterile with Extended Cuffs L Duck Tape - General purpose to affix gloves and sleeves together to ensure no skin exposure Gloves Surgeons Biogel 6.5 MoInlycke Gloves Surgeons Biogel 7 MoInlycke Gloves Surgeons Biogel 7.5 MoInlycke Glove Exam PF L Kimberly Clare NSN: 6515-01-461-8933 NSN: 6515-01-461-8950 NSN: 6515011498840 ECAT: 135650 PV Order Num AH6034050 O&M PVON: 04076034050 Ansell: 6034050 DLA, ECAT and PV Sourcing available DLA, ECAT and PV Sourcing available NSN AAC L PV NSN AAC L PV/ECAT/DLA Original Original 29-Oct-14 29-Oct-14 DLA, ECAT and PV Sourcing available NSN AAC D PV/ECAT/DLA Original 29-Oct-14 PV Sourcing available = Cardinal or O & M Original 29-Oct-14 O&M: 1314GLV7001 Prime Vendor ARNORTH 30-Oct-14 O&M: 1314GLV7002 Prime Vendor ARNORTH 30-Oct-14 O&M: 1314GLV7003 Prime Vendor ARNORTH 30-Oct-14 ARNORTH 30-Oct-14 NSN:5640014620102 NSN AAC L PN: 31465 PN: 31470 NSN: 6515013775436 PN: 31475 NSN: 6515014915719 PN: 55083 OUA OUA 29-Oct-14 29-Oct-14 OUA 29-Oct-14 OUA 29-Oct-14 OUA 29-Oct-14 Original 29-Oct-14 Original 29-Oct-14 Original 29-Oct-14 ARNORTH 30-Oct-14 OUA 29-Oct-14 Original 29-Oct-14 Original 29-Oct-14 ARNORTH 30-Oct-14 Owens-Minor will require PSR Owens-Minor will require PSR Owens-Minor will require PSR Owens-Minor will require PSR Owens-Minor will require PSR Owens-Minor will require PSR Owens-Minor will require PSR Owens-Minor will require PSR Owens-Minor will require PSR Owens-Minor will require PSR Original Original Original Original Original Original Original Original Original Original 29-Oct-14 29-Oct-14 29-Oct-14 29-Oct-14 29-Oct-14 29-Oct-14 29-Oct-14 29-Oct-14 29-Oct-14 29-Oct-14 Prime Vendor ARNORTH 30-Oct-14 Prime Vendor ARNORTH 30-Oct-14 Glove Exam PF Med Medline NSN: 6515011534874 CB6: 4352484402 PN: 484402 COVER BOOT KNEE HIGH IMPERVIOUS NON-SKID Medline PN: NON27144 PVON: 4352NON27144 Cardinal PV Cardinal High Guard Coverage Boot Ultra, white, covers the shoe & lower leg; with plastic film coating, traction strips, elastic at the ankle. Size Kimberly Clark universal ; Worn w/gown if not wearing coverall NSN: 6532013720178 PN: 69572 DLA and PV Sourcing available High Guard Coverage Boot Ultra, white, covers the shoe & lower leg; Kimberly Clark with plastic film coating, traction strips, elastic at the ankle. Size XL PN: 69672 PV Sourcing available Boot Covers- Knee high boot covers that are impervious and nonskid; Medline Medline PVON: 4352NON27144 Cover Boot Knee High M Smith and Nephew Boot Covers- Knee high boot covers that are impervious ICP Medical BOOT COVERS Leg No sourcing NSN AAC L CB6: SMN7209469 ECAT PN7209469 NSN: 6532013260729 CB6: ICPICPSCNS0001 ICP-BCNCS0003 HOSPITAL ISSUED SHOES-appropriate sized hospital issue shoes PPE Crocs, SM, MED, LRG, XLRG Not PVM, Non DMLSS, Local contract/ credit card NO ITEM IDENTIFIED/PREVIOUSLY VETTED PVC Boots - Chem/Bio fluid resistant boots JS LIST SOS Shoes Uniform Advantage-discount for volume buying Cros Classic unisex open toe holes part number Crocclas price 29.99; Crocs special unisex closed toe part number Special price 29.99 SCRUBS Paper Scrub, Disposable-v neck S Paper Scrub, Disposable-v neck M Paper Scrub, Disposable-v neck L Paper Scrub, Disposable-v neck XL Paper Scrub, Disposable-v neck XXL Paper Scrub, Disposable-O neck S Paper Scrub, Disposable-O neck M Paper Scrub, Disposable-O neck L Paper Scrub, Disposable-O neck XL Paper Scrub, Disposable-O neck XXL Scrubs Top - General disposable long-sleeve scrub top S Medline Medline Medline Medline Medline Medline Medline Medline Medline Medline PN: NON27212S PN: NON27212M PN: NON27212L PN: NON27212XL PN: NON27212XXL PN: NON27202S PN: NON27202M PN: NON27202L PN: NON27202XL PN: NON27202XXL Cardinal PVON: 66873XLA PVON is for 3XL Scrubs Top - General disposable long-sleeve scrub top M DoD Recommended PPE list for Health Care Workers for EBV As Of 2 Nov 14 DoD Recommended PPE list for Health Care Workers for EBV ITEM NOMENCLATURE MANUFACTURER SOURCING AAC SUB SOURCING ALT NSN's REFERENCE DATE ADDED Scrubs Top - General disposable long-sleeve scrub top L Prime Vendor ARNORTH 30-Oct-14 Scrubs Top - General disposable long-sleeve scrub top XL Prime Vendor ARNORTH 30-Oct-14 SMS ARNORTH 30-Oct-14 SMS ARNORTH 30-Oct-14 SMS ARNORTH 30-Oct-14 SMS ARNORTH 30-Oct-14 WR_DLA WR_DLA WR_DLA WR_DLA WR_DLA WR_DLA WR_DLA WR_DLA 30-Oct-14 30-Oct-14 30-Oct-14 30-Oct-14 30-Oct-14 30-Oct-14 30-Oct-14 30-Oct-14 Original 29-Oct-14 Scrubs Bottom - General disposable scrub bottom S Not in RMA or MMC NSN: 6532014695563 ECAT #: 4413645; 480-78841L 480-78841M NSN: 6532014695565 Scrubs Bottom - General disposable scrub bottom M Scrubs Bottom - General disposable scrub bottom L NSN: 6532014695566 Scrubs Bottom - General disposable scrub bottom XL Scrubs, Disposable,Top, Long Sleeve - Medium Scrubs, Disposable,Top, Long Sleeve - Large Scrubs, Disposable,Top, Long Sleeve - X-Large Scrubs, Disposable,Top, Long Sleeve - XX-Large Scrubs, Disposable, Pants - Medium Scrubs, Disposable, Pants - Large Scrubs, Disposable, Pants - XL Scrubs, Disposable, Pants - XXL Body Covering NSN/PART # Kimberly Clark Kimberly Clark Kimberly Clark Kimberly Clark Kimberly Clark Kimberly Clark Kimberly Clark Kimberly Clark PN: 69701 PN: 69702 PN: 69703 PN: 69704 PN: 69711 PN: 69712 PN: 69713 PN: 69714 GOWNS Gown (Impermeable) NSN: 6545-01-425-4663 Prime Vendor Sourcing available APRONS Sleeved Apron - Tychem ThermoPro Elastic Wrists 49 long Snaps at neck, waist ties, Taped Seams Sleeved Apron - Tychem ThermoPro Elastic Wrists 49 long Snaps at neck, waist ties, Taped Seams Dupont PN: TP278T OR Original 29-Oct-14 Dupont PN: TP278T GY Original 29-Oct-14 ARNORTH / OUA 30-Oct-14 Apron - Disposable, fluid resistant/impermeable that extends to midMedline calf NSN: 6532015961700 CB6 Stock Item ID DINON24280 Contract COVERALLS Tychem QC with Collar, elastic wrists, elastic ankles, Storm Flap, Adhesive Clos. Taped Seams Tychem QC with Collar, elastic wrists, elastic ankles, Storm Flap, Adhesive Clos. Taped Seams Tychem SL with Collar, open wrists, open ankles, Storm Flap, Adhesive Clos. Taped Seams Tychem SL with Collar, elastic wrists, elastic ankles, Storm Flap, Adhesive Clos. Taped Seams Tychem SL with Collar, elastic wrists, Socks Storm Flap, Adhesive Clos. Taped Seams Extra Protection Coverall, White, Elastic Wrist and Cuff, SMS, XL Kimberly Clark Coverall - Tyvek® Coverall w/ Collar Open Wrists Open Ankles Serged Seams Coverall - Tyvek® Coverall w/ Collar Elastic Wrists Elastic Ankles Serged Seams Coverall - Tyvek® Coverall w/ Collar Elastic Wrists Elastic Ankles Serged Seams Anti Skid Resistant Boots Extra Protection Coverall, White, Elastic Wrist and Cuff, SMS, XL Kimberly Clark Dupont PN: QC125T YL DHA Medlog 31-Oct-14 Dupont PN: QC125T GY DHA Medlog 31-Oct-14 Dupont PN: SL120T WH DHA Medlog 31-Oct-14 Dupont PN: SL125TWH DHA Medlog 31-Oct-14 Dupont PN: SL121T WH ARNORTH 29-Oct-14 Kimberly Clark PN: 10085 OUA 29-Oct-14 Dupont PN: TY120S WH ARNORTH 30-Oct-14 Dupont PN: TY125S WH ARNORTH 30-Oct-14 Dupont PN: TY121S WH option NS DHA Medlog 31-Oct-14 Kimberly Clark PN: 10085 OUA 29-Oct-14 Original 29-Oct-14 Original 29-Oct-14 DLA TS PAPR HOODS Head & Neck / Long Hair Disposable Hood, 18 inches long, universal size, white, SMS material, Dupont elastic closure to be worn over PAPR hood ECAT: DPZTY657SWH00010000C PN: TY657SWHxx +size KLEENGUARD A60 ULTRA Bloodborne Pathogen & Chemical Splash Protection Hoods ASTM F1670/1671 Kimberly Clark PN: 45343 PAPR Hood 3M BE-10 (R Series) Hood 3M PN: BE-10-20 70070887313 Hood, Double Shroud for CAPR Product, Fluid Resistant, Welded Seams MAXAIR PN: 2261-01ml Hood Cover Kimberly Clark PN: 4381 HOOD, SURGEON, MLTI LYR, TIE UNDER CHIN, BLU Medline NSN: 6532015961735 NONSH100C (SMS) Surgical Hood Kimberly Clark PN: 69110 PN: ECAT Sourcing available Contract ARNORTH / WR_DLA 30-Oct-14 ARNORTH 31-Oct-14 Original 29-Oct-14 Original 29-Oct-14 ARNORTH / OUA 30-Oct-14 SURGICAL HOODS DLA Sourcing available PN: ECAT Sourcing available DoD Recommended PPE list for Health Care Workers for EBV As Of 2 Nov 14 NSN AAC L 6532015961735 Commercial DoD Recommended PPE list for Health Care Workers for EBV ITEM NOMENCLATURE MANUFACTURER NSN/PART # SOURCING AAC NSN AAC L SUB SOURCING ALT NSN's REFERENCE DATE ADDED Original / ARNORTH 29-Oct-14 30-Oct-14 Powered Air-Purifying Respirator (PAPR) and Supplies Breathe Easy Turbo Powered Air Purifying Respirator Unit (PAPR) 3M 3M RESPIRATOR BLOWER UNIT F/3M BREATHE EASY NSN: 6530-01-459-8422 PN: 022-00-03R01 DLA/ECAT Sourcing available PAPR Breathing tube 3M 520-00-01-00R01 tube combatible with BE3M 10 hood PN: 520-01-00R01 Contract ARNORTH High Efficiency Cartridge 3M NIOSH Certified cartridge 3M NSN: 4240013233530 01R06 PN: 453-03- Contract ARNORTH / WR_DLA 30-Oct-14 PAPR Battery Charger 3MBC-210 Battery Charger 3M NSN: 6130015419084 PN: BC-210 Contract ARNORTH / WR_DLA 30-Oct-14 PAPR Battery 3M NiMH BP-15 Breathe Easy Turbo PAPR rechargeable battery replacement 3M PN: BP-15 70071094182 Hooded PAPR 3M BE10 (with Battery Pack & FR-57 Cartridge) 3M NSN: 4240014961951 (90 Day Turn around - DLA Confirm) PAPR filter respirator 3M: 453-07-01R06 3M CHARGER BATTERY PACK AIR PURIFYING RESPI 3M 3M Contract Original / ARNORTH 29-Oct-14 Original 29 Oct 14 DLA/ECAT Sourcing available 6130014649558 Original 29 Oct 14 DLA/ECAT Sourcing available 4240014947750 Original 29 Oct 14 DLA/ECAT Sourcing available 6140015794083 Original 29 Oct 14 Original 29 Oct 14 WR_DLA 2 Nov 14 Original 29 Oct 14 (Model No's.: 70501-61, 70501-62, 70501-63) Original 29 Oct 14 Model No.: 7-2174-1 Original 29 Oct 14 3M NSN: 4240014966106 191304871 High Efficiency Cartridge (PAPR) 3M: BE224 (SMS) 3M NSN: 4240014186096 Breathing Tube BE-324 3M PN: 78812400790 MAXAIR PAPRS--800 Hood System could be used with coverall or would replace full face shield, hood cover and fluid shield surgical mask if used with gowns MAXAIR MSA UltraR Elite Responder Face Piece ) with MSA Firehawk M7 Responder CBRN Cap 1 PAPR (NIOSH Approval No: TC-14G-0298) NSN AAC Z 30-Oct-14 4240015119905 Breathe Easy PAPR Battery 3M: BP-15 Avon C50 Full Fitting Face Piece (Model No's.: 70501-61, 70501-62, 70501-63) with Avon CBRN Cap1 PAPR (NIOSH Approval No: TC-14GAvon 0293) DLA/ECAT Sourcing available ARNORTH DLA/ECAT Sourcing available ECAT: GSS: 520-01-77 ECAT: FSC19520017EA PAPR Breathing tube Face Protection / Respirator ECAT: VWR67100144PK PN: 520-03-72 67100-286 PN: ECAT: DLA/ECAT Sourcing available Scott AV3000 SureSeal SystemT Face Piece Scott Model No's.:805337-31, 805337-32 Original 29 Oct 14 Immediate Response Technologies (IRT) Model C420 CBRN Cap1 PAPR System Immedicat Response Technologies Model C420 CBRN Cap1 Original 29 Oct 14 Controlled Air Purifying Respirator (CAPR 710) / PAPR MAXAIR PN: 2074-04 ARNORTH 30 Oct 14 Comfort Strips (CAPR) MAXAIR PN: 2000-201 ARNORTH 30 Oct 14 CAPR Li-Ion Battery (small) 2 extra MAXAIR PN: 2000-36 ARNORTH 30 Oct 14 Immediate Response Technologies (IRT) Model C420 CBRN Cap1 PAPR System Immedicat Response Technologies Model C420 CBRN Cap1 Original 29 Oct 14 N95 RESPIRATORS MASK N95 PARTICULATE 3M REG 3M NSN 6532014225282 PVON: 1860 O&M Prime Vendor, ECAT and DLA Sourcing available Respirator, Air Filtering N95 Sm/Med NSN: 6515015860215 DLA Sourcing available Respirator, Air Filtering N95 Med/Lg NSN: 6515015860267 DLA and Prime Vendor Sourcing available SURGICAL MASKS DoD Recommended PPE list for Health Care Workers for EBV As Of 2 Nov 14 Medline NSN AAC L PV 6515014445223, 6515014684276, 6515015338138, Original / ARNORTH 6515016229571, 653201422528265320 14398571 29-Oct-14 Original 29-Oct-14 Original 29-Oct-14 DoD Recommended PPE list for Health Care Workers for EBV ITEM NOMENCLATURE MANUFACTURER NSN/PART # SOURCING AAC Prime Vendor, ECAT (CONUS) and DLA Sourcing available NSN AAC L PV ALT NSN's REFERENCE DATE ADDED Original 29-Oct-14 Mask, Surgical, Anti-fog, Pleated Disposable NSN: 6515011535988 Mask Surgical, non-sterile, non-woven, fabric cupped adjustable nose piece NSN: 6515009827493 WR_DLA 2-Nov-14 Mask with Splashguard Kimberly Clark NSN: 6532014502057 or 6515014997201 PN: 46727 Original 29-Oct-14 Fog Free Surgical Mask Kimberly Clark PN: 49214 Original 29-Oct-14 Original / ARNORTH 29-Oct-14 Original Original 29-Oct-14 29-Oct-14 Original 29-Oct-14 OUA 30-Oct-14 FACE SHIELDS Face Shield Splash Shield Fluid Shield Surgical Mask Face Shield, Surgical Splash Guard Kimberly Clark Medline - Full Face Shield w/Elastic Band Manf #: 5970004505 PVON: 4505B PN: 48227 NSN: 6515013746757 NSN: 6515013928422 Face Shield Surgical Full Face Fog Resistant Medline O&M ECAT Sourcing available PV Sourcing available DLA Sourcing available Terminal Item no suggested replacement PN: NONFS300 DoD Recommended PPE list for Health Care Workers for EBV As Of 2 Nov 14 SUB SOURCING PV ECAT