Outside ICRA.pdf

Construction Activity Types

Infection Control Risk Groups

Construction Project Type Patient Risk Group TYPE A TYPE B TYPE C TYPE D

LOW Risk Group I II II III/IV

MEDIUM Risk Group I II III IV

HIGH Risk Group I II III/IV IV

HIGHEST Risk Group II III/IV III/IV IV

TYPE A

Inspection and Non-Invasive Activities.

Includes, but is not limited to:

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

• painting (but not sanding)

• wallcovering, 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 B

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.

TYPE C

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 floorcoverings, 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.

TYPE D

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 cabling system

• new construction.

Low Risk Medium Risk High Risk Highest Risk

Office areas Energy building Trade offices

- Carpentry

- Plumbing

- HVAC

All other pt care areas not listed:

Patients

Emergency Room Laboratories (specimen) Outpatient Surgery Pharmacy Post Anesthesia Care Unit Surgical Units Physical Therapy Nuclear Medicine

Cardiology Echocardiography Endoscopy Radiology/MRI Respiratory Therapy

Any area caring for immunocompromised patients

Cardiac Cath Lab Central Sterile Supply Intensive Care Units Medical Unit Negative pressure isolation rooms Oncology Operating rooms Pharmacy Admixture

Infection Control Construction Permit Upgrade & Expand Exterior Lighting Permit No: 506-21-208

Location of Construction: all OUTSIDE, main AA campus Project Start Date:

Project Coordinator: David Gedraitis x55871 Estimated Duration:

Contractor Performing:

TBD, for BID

Permit Expiration Date: Permit is good until construction is completed or a change order is submitted

Supervisor: tbd Telephone

YES NO CONSTRUCTION ACTIVITY YES NO INFECTION CONTROL RISK GROUP

X TYPE A: Inspection, non-invasive activity X GROUP 1: Low Risk, OUTSIDE

TYPE B: Small scale, short duration, moderate to high levels GROUP 2: Medium Risk

TYPE C: Activity generates moderate to high levels of dust, requires greater 1 work shift for completion GROUP 3: Medium/High Risk

TYPE D: Major duration and construction activities Requiring consecutive work shifts

GROUP 4: Highest Risk

CLASS I

05/05/23 For BID

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

2. Immediately replace any ceiling tile displaced for visual inspection.

3. Contractor shall verify that dust will not be introduced into the medical center through intake vents, or building openings. HEPA filtration on intake vents is required if/when/where dust may be introduced.

4. Dust created from disturbance of soil such as from vehicle movement will be wetted (with use of a water truck if necessary)

5. All cutting, drilling, grinding, sanding, or disturbance of materials shall be accomplished with tools equipped with either local exhaust ventilation (i.e.

vacuum systems) or wet suppression controls.

CLASS II

1. Provides active means to prevent air-borne dust from dispersing into atmosphere

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

HEPA vacuum during sawing

3. Seal unused doors with duct tape.

4. Block off and seal air vents.

5. Wipe surfaces with disinfectant.

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

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

8. Place dust mat at entrance and exit of work area.

9. Remove or isolate HVAC system in areas where work is being performed.

10. Coordinate with our EMS for terminal cleaning.

CLASS III

Date

Initial

1. Obtain infection control permit before construction begins.

2. Isolate HVAC system in area where work is being done to prevent contamination of the duct system.

3. Complete all critical barriers or implement control cube method before construction begins. Have ICC contacted before barriers are removed.

4. Maintain negative air pressure within work site utilizing HEPA equipped air filtration units. (Document compliance)

5. Remove or isolate HVAC system in areas where work is being performed

6. Vacuum work with HEPA filtered vacuums.

7. Wet mop with disinfectant

8. Contain construction waste before transport in tightly covered containers

9. Cover transport receptacles or carts. Tape covering.

10. Do not remove barriers from work area until complete project is thoroughly cleaned by Env. Services Dept.

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

CLASS IV

1. Obtain infection control permit before construction begins.

2. Isolate HVAC system in area where work is being done to prevent contamination of duct system.

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

4. Maintain negative air pressure within work site utilizing

HEPA equipped air filtration units.

5. Remove or isolate HVAC system in areas where work is being performed.

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 using a HEPA vacuum cleaner before leaving work site or they can wear cloth or paper coveralls that are removed each time they leave the work site.

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

8. Vacuum work area with HEPA filtered vacuums.

9. Wet mop with disinfectant.

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

11. Cover transport receptacles or carts. Tape covering.

12. Do not remove barriers from work area until completed project is thoroughly cleaned by the Environmental Service Dept.

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

Date

Initial

Date Initials ___________ Exceptions/Additions to this permit Date Initials are noted by attached memoranda

Permit Request By:

Permit Authorized By: for BID only, seek IC for final permit

Date: Date: 05/05/23

TB transmission risk for this facility was assessed as LOW on 06/27/2022 by the Infection Control Committee.