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What do you do if you're not sure which mask filter to use in your nursing practice?

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As a nurse, you know how important it is to protect yourself and your patients from airborne pathogens and contaminants. But with so many types of masks and filters available, how do you choose the right one for your nursing practice? In this article, you'll learn about the different levels of mask filtration, the advantages and disadvantages of each, and some tips to help you make an informed decision.

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Adriano Siqueira ??????????? (ele/dele)

Enfermeiro PCD / Gest?o em saúde / Gest?o da qualidade e seguran?a do paciente/ Lideran?a / Supervisor de Enfermagem l…

1 Mask filtration levels

The most common mask filters used in healthcare settings are N95, P95, R95, and surgical masks. Each of these has a different level of filtration efficiency, which indicates how well they can block particles of a certain size. N95 filters can block 95% of particles that are 0.3 microns or larger, P95 filters can block 95% of particles that are 0.3 microns or larger and are oil-resistant, and R95 filters can block 95% of particles that are 0.3 microns or larger and are oil-proof. Surgical masks, on the other hand, are not designed to filter particles, but to protect the wearer from splashes and sprays of bodily fluids.

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Adriano Siqueira ??????????? (ele/dele)

Enfermeiro PCD / Gest?o em saúde / Gest?o da qualidade e seguran?a do paciente/ Lideran?a / Supervisor de Enfermagem l Enfermeiro sênior | UTI adulto e infantil | clínica médica e cirúrgica/ Promo??o e preven??o à saúde.
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Sim cada mascara tem sua filtragem e modo de usar, em preven??o contra aerossóis, goticulas, prevenindo contamina??o e prote??o. O nível de prote??o é a principal diferen?a entre os principais modelos. A PFF2 e a N95, por exemplo, apresentam até 95% de eficácia, enquanto a KN95, a cirúrgica e a de tecido têm índices preventivos contra a COVID-19 menores.

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Bill Cantrell, RN, BSN, CEN

ResusMed, Leader in Virtual TNCC & ENPC Training (Over 800 classes a year, Over 5000 nurses trained in 2023)
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Choosing the right mask filter is crucial in nursing to ensure both patient and personal safety. From the more commonly used surgical masks that block large particles and splashes, to N95 respirators designed to tightly seal and filter out 95% of very small particles, each type serves its specific purpose. It's essential to match the mask to the task—N95s are indispensable during aerosol-generating procedures or when dealing with airborne pathogens, while surgical masks suffice for general patient care. Always stay updated with the latest health guidelines to choose wisely!

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2 Advantages and disadvantages

Each type of mask filter has its own advantages and disadvantages, depending on the situation and the risk of exposure. N95 filters are the most widely used and recommended for nurses who work with patients who have or are suspected of having infectious respiratory diseases, such as COVID-19, tuberculosis, or influenza. They offer a high level of protection, but they also require a proper fit test, regular replacement, and careful disposal. P95 and R95 filters are similar to N95 filters, but they also offer resistance to oil-based particles, such as those from aerosolized medications or industrial pollutants. However, they are more expensive, less available, and harder to breathe through than N95 filters. Surgical masks are the easiest to use and the most comfortable, but they only provide a barrier against droplets and splashes, not airborne particles. They are suitable for nurses who work with patients who do not have respiratory infections, or who perform low-risk procedures, such as wound care or medication administration.

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Adriano Siqueira ??????????? (ele/dele)

Enfermeiro PCD / Gest?o em saúde / Gest?o da qualidade e seguran?a do paciente/ Lideran?a / Supervisor de Enfermagem l Enfermeiro sênior | UTI adulto e infantil | clínica médica e cirúrgica/ Promo??o e preven??o à saúde.
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Cada mascara tem suas vantagens e desvantagens e as mais utilizadas s?o essas: Máscara cirúrgica: produzida industrialmente com materiais específicos e descartáveis, a máscara cirúrgica é normalmente utilizada por profissionais de saúde durante procedimentos. Ela apresenta como diferenciais: um material que filtra partículas menores que os tecidos comuns; a presen?a de um arame que permite uma melhor adequa??o ao contorno da área do nariz, minimizando frestas e aumentando a prote??o. A máscara N95 é um modelo de respirador de utiliza??o hospitalar que filtra elementos contaminantes em forma de aerossóis, segundo a classifica??o americana.

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Bill Cantrell, RN, BSN, CEN

ResusMed, Leader in Virtual TNCC & ENPC Training (Over 800 classes a year, Over 5000 nurses trained in 2023)
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Navigating mask filters in nursing can feel like a balancing act. HEPA filters offer top-tier viral protection, ideal for high-risk environments, but they can be heavier and more restrictive, sometimes slowing you down during a hectic shift. On the flip side, lighter surgical masks increase comfort and ease of communication, crucial for patient interaction and long hours, though they offer less protection against airborne pathogens. Choosing the right mask is a dance between maximum defense and practical wearability, a decision that echoes the nuanced nature of nursing itself.

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3 Tips for choosing the right mask filter

When selecting the right mask filter for your nursing practice, you should take into account the type and level of exposure you have to airborne pathogens or contaminants, the availability and cost of the mask filters, and the fit and comfort of the mask filters. If you work with patients who have or are suspected of having respiratory infections, or who undergo aerosol-generating procedures, you should use a N95, P95, or R95 filter. However, if you work with patients who do not have respiratory infections, or who only require standard precautions, a surgical mask may be suitable. Additionally, it is important to check with your employer or local health authority about the availability and allocation of mask filters. Furthermore, you should always use a mask filter that fits your face snugly and securely without any gaps or leaks. Lastly, make sure to choose a filter that allows comfortable breathing and does not cause any skin irritation or pressure ulcers. Ultimately, choosing the right mask filter for your nursing practice is essential for protecting yourself and your patients from harmful particles and preventing the spread of infections.

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Adriano Siqueira ??????????? (ele/dele)

Enfermeiro PCD / Gest?o em saúde / Gest?o da qualidade e seguran?a do paciente/ Lideran?a / Supervisor de Enfermagem l Enfermeiro sênior | UTI adulto e infantil | clínica médica e cirúrgica/ Promo??o e preven??o à saúde.
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Sim importante escolher o tipo de filtro adequado, que promova uma respira??o adequada, que n?o te machuque, e tenha a prote??o correta para você e o seu paciente, sem causar danos a ambos.

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Bill Cantrell, RN, BSN, CEN

ResusMed, Leader in Virtual TNCC & ENPC Training (Over 800 classes a year, Over 5000 nurses trained in 2023)
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Choosing the right mask filter for your nursing practice feels a bit like being a detective in a world of microbes! Picture this: a mask is your trusty sidekick, & the filter is its superpower. You want a filter that's a perfect match for the threats you face—be it viruses, bacteria, or dust. Think about your environment: is it a bustling ER or a quiet clinic? Each setting has its own villainous germs to guard against. Go for a high-efficiency particulate air (HEPA) filter if you're frequently facing airborne adversaries. Always check the mask's fit & seal, because the best filter in the world can't help if the bad guys sneak in around the edges! And remember, changing your filter regularly is like renewing your superpower—don't let it fade

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4 Here’s what else to consider

This is a space to share examples, stories, or insights that don’t fit into any of the previous sections. What else would you like to add?

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Adriano Siqueira ??????????? (ele/dele)

Enfermeiro PCD / Gest?o em saúde / Gest?o da qualidade e seguran?a do paciente/ Lideran?a / Supervisor de Enfermagem l Enfermeiro sênior | UTI adulto e infantil | clínica médica e cirúrgica/ Promo??o e preven??o à saúde.
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A seguran?a do paciente é sempre relevante, e a partir de agora, a orienta??o para utiliza??o de prote??o facial vai focar em algumas situa??es e perfis específicos de pessoas, deixando de ser de uso universal. Em resumo, as máscaras continuar?o sendo recomendadas para: Pacientes com sintomas respiratórios ou positivos para Covid-19 e seus acompanhantes.

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What do you do if you're not sure which mask filter to use in your nursing practice?

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1 Mask filtration levels

2 Advantages and disadvantages

3 Tips for choosing the right mask filter

4 Here’s what else to consider

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