Occupational Safety and Health Administration (OSHA) Respiratory Protection Program
OSHA requires employers to maintain a site-specific Respiratory Protection Program (RPP) whenever employees must wear respirators to perform their jobs. For skilled nursing and healthcare teams, this creates a heavy, recurring administrative burden.

What OSHA Requires
Workers must complete a medical evaluation first, using the mandatory medical questionnaire or an equivalent method.
Workers must be fit tested before wearing a respirator in the workplace.
These requirements are time-consuming and costly to administer manually, and non-compliance can result in serious penalties. CareAscendium has developed the first skilled-nursing-facility-based modernization of the OSHA Respirator Medical Evaluation process — fully compliant with OSHA guidelines, efficient, and cost-effective.
How the CareAscendium Process Works:
Register employees in seconds
Import current staff at the facility level and assign the required OSHA respirator medical evaluation questionnaire.
Let employees complete evaluations anywhere
Employees receive a secure link and passcode to complete the questionnaire online from any device, with progress saved seamlessly.
Streamline clinical review
Route completed evaluations to the right reviewer for fast online approval, or to recommend further consultation when needed.
Support specialist & telehealth follow-up
Capture medical specialist notes and telehealth evaluations directly in the workflow when a case requires additional clearance.
Move approved staff straight to fit testing
Seamlessly assign the fit-test questionnaire once a medical evaluation is approved.
Send smart reminders
Built-in weekly, monthly, and follow-up reminders keep employees, reviewers, and leaders moving without manual chasing.
Protect employee privacy
Confidentiality is maintained at all times; access and actions are permitted strictly by clearly defined roles, as required by OSHA.

Visibility & Reporting
- Facility and company-wide dashboards to monitor evaluation and fit-test status at a glance.
- Real-time status monitoring so administrators always know who is pending, approved, or overdue.
- Exportable PDF and variance reports to stay audit- and survey-ready every day.
