S02 ICRA Matrix ACAD-17-111 GI003-Model.pdf

INFECTION CONTROL RISK MITIGATION RECOMMENDATIONS MATRIX

OF PRECAUTIONS FOR CONSTRUCTION AND RENOVATION

Class III

Patient Risk Group Table

Infection Control Matrix - Class of Precautions: Construction Project by Patient Risk

TYPE A

Construction Project Type

Major demolition and construction projects

Includes, but is not limited to:

- activities which require consecutive work shifts

- requires heavy demolition or removal of a complete ceiling system

- new construction

Work that generates a moderate to high level of dust or requires demolition or removal of any fixed building components or assemblies

Includes, but is not limited to:

- sanding of walls for painting or wall covering

- removal of floor coverings, ceiling tiles and casework

- new wall construction

- minor duct work or electrical work above ceilings

- major cabling activities

- any activity which cannot be completed within a single work shift

Small scale, short duration activities which create minimal dust

Includes, but is not limited to:

- installation of telephone and computer cabling

- access to chase spaces

- cutting of walls or ceiling where dust migration can be controlled

Inspection and Non-Invasive Activities

Includes, but is not limited to:

- removal of ceiling tiles for visual inspection limited to 1 tile to 50 square feet

- painting (but not sanding), wall covering

- electrical trim work, minor plumbing, and activities which do not generate dust or require cutting of walls or access to ceilings other than for visual inspection

Type of Construction / Project Activity Table

Group 2 Medium Risk

Group 1 Low Risk

- Bldg. #69 Therapy areas

- Respiratory Therapy

- Outpatient Clinics

- CBOC's

- Mental Health Units

- VACANT AREA ADJACENT TO

OCCUPIED AREA

- Office areas (non-clinical)

- Hallways

- FES/EMS areas

I

Patient Risk Group

TYPE

D

TYPE

C

TYPE

B

TYPE

A

Group 4 Highest Risk

Group 3 High Risk

- Pharmacy

- Radiology/ CT Scanner

- Urgetn Care

- Laboratories

- CLCs (1B Med, 59B, 138A, 138B)

- SPD; AMCU; 1B Medicine;

- Respiratory Isolation Rooms

III

TYPE DTYPE CTYPE B

o r control procedures are necessary.

C

LA

SS

IV

C

LA

SS II

During Construction Project

C L- I

C

LA

SS

III

1. Remove barrier materials carefully to minimize spreading of dirt and debris associated with construction.

2. Contain construction waste before transport in tightly covered containers.

3. Cover transport receptacles or carts. Tape covering

4. Vacuum work area with HEPA filtered vacuums.

5. Wet mop area with disinfectant after barriers are removed.

6. Remove or isolate HVAC system in areas where work was being performed.

1. Remove barrier materials carefully to minimize spreading of dirt and debris associated with construction.

2. Contain construction waste before transport in tightly covered containers.

3. Cover transport receptacles or carts. Tape covering.

4. Vacuum work with HEPA-filtered vacuums.

5. Wet mop with disinfectant.

6. Remove isolation of HVAC system in areas where work is being performed.

1. Wipe surfaces to remove dust

Upon Completion of Project

1. Wipe work surfaces with disinfectant.

2. Contain construction waste before transport in tightly covered containers.

3. Wet mop and/or vacuum work area with HEPA filtered vacuum before leaving work areas.

4. Remove isolation of HVAC system in areas where work is being performed.

1. Includes all activities required by Class II

2. Obtain Infection Control Permit from Hospital Safety Officer or Facilities

Management Maintenance and Engineering department before construction begins.

3. Remove or isolate HVAC system in area where work is being done to prevent contamination of duct system.

4. Complete all critical barriers before construction begins or implement control cube method.

5. Maintain negative air pressure within work site utilizing HEPA-equipped air filtration units.

6. Contain construction waste before transport in tightly covered containers.7. Cover transport receptacles or carts. Tape covers.

8. Wet mop and/or vacuum with HEPA filtered vacuum before leaving workareas.

9. Remove isolation of HVAC system in areas where work is being performed.

1. Execute work by methods to minimize raising dust from construction operations.

1. Includes all activities required by Class I

2. Provide active means to prevent airborne dust from dispersing into atmosphere.

3. Water mist work surfaces to control dust while cutting.

4. Seal unused doors with duct tape.

5. Block off and seal air vents.

6. Replace adhesive walk-off mats at entrance and exit of work area.

Replace used mats in accordance with manufacturer's recommendations.

7. Remove or isolate HVAC system in area where work is being done to prevent contamination of duct system.

1. Includes all activities required by Class III

2. Obtain Infection Control Permit from Hospital Safety Officer or Facilities

Management Maintenance and Engineering department before construction begins.

3. Isolate HVAC system in areas where work is being done to prevent contamination of duct system.

4. Complete all critical barriers or implement control cube method before construction begins.

5. Maintain negative air pressure within work site utilizing HEPA equipped air filtration units.

6. Seal holes, pipes, conduits, and punctures appropriately.

7. Construct anteroom and require all personnel to pass through this room so they can be vacuumed sing a HEPA vacuum cleaner before leaving work site or they can wear cloth or paper coveralls that re removed each time they leave the work site.

8. All personnel entering work site are required to wear shoe covers.

Shoe covers must be changed each ime the worker exits the work area.

9. Place adhesive walk-off mats at entrance to work area within anteroom.

10. Replace per manufacturer's recommendations. Do not remove barriers work area until completed project is inspected each by the Hospital Department Safety Officer, Facilities Management Maintenance and Engineering and thoroughly cleaned by the Hospital Environmental Services Department or their contracted Environmental Service Company Contain construction waste before transport in tightly covered containers.

11. Cover transport receptacles or carts. Tape covering

12. Vacuum work area with HEPA filtered vacuums.

13. Wet mop with disinfectant after barriers are removed.

14. Remove isolation of HVAC system in areas where work is being performed.

Class IV

Note: Infection Control approval will be required when the Construction Activity and Risk Level indicate that

It is the Contractor's Responsibility to provide the following Infection Control Precautions depending upon the Area Class Designation

II

I

LOW Risk Group 1

HIGH Risk Group 3

HIGHEST Risk Group 4

MEDIUM Risk Group 2

IV

IV

IV

III/IV

III/IV

III/IV

III/IV

III

III

III

WALL LEGEND

1HR HOUR FIREWALL

1HR HOUR FIRE SMOKE

BARRIER

2HR HOUR FIREWALL

I

AutoCAD SHX Text

2HR

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2HR

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2HR

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1HR

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1HR

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1HR

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SM

AutoCAD SHX Text

SM

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SM

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1HR

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1HR

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1HR