36C25621R0122 ICRA .pdf

Overton Brooks VAMC Infection Prevention & Control Construction Risk Assessment (ICRA)

*A preliminary ICRA is required for contracting purposes only; do not post during construction. The FINAL ICRA must be posted at the construction site.

Project: Cath Lab 667-15-104 Preliminary Assessment* by: Date:____________ FINAL ICRA Determined and Processed by: Vickie L Moore Final Date: April 29, 2021___

STEP ONE: CIRCLE the Type of Construction Project based on scope and expected activity (Type A-D)

TYPE

A

Inspection and Non-Invasive Activities. Includes, but is not limited to:

removal of ceiling tiles for visual inspection only, e.g., limited to 1 tile per 50 square feet painting (but not sanding) wallcovering, electrical trim work, minor plumbing, 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.

Project Specific: Contracted asbestos abatement

TYPE

C

Work generates a moderate/high level of dust or requires demolition/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, removal of a complete cabling system, or excavation new construction.

STEP TWO: CIRCLE the affected Patient Risk Groups. If more than one risk group will be affected, select the higher risk group.

Low Risk Medium Risk High Risk Highest Risk

Office areas Kitchen storage area Public access, hallways, elevator Lobby

Non-clinical vacated engineering space

Cardiology Echocardiography Endoscopy Nuclear Medicine Physical Therapy Radiology/MRI Respiratory

Therapy Kitchen – food preparation area

Step Down Unit Emergency Room Laboratories (specimen) Medical Units Outpatient Surgery Pharmacy Post Anesthesia Care Unit Surgical Units Minor Procedure Rooms Sterile Supply storage/distribution

Immunocompromised patient care areas

Cardiac Cath Lab Sterile Processing Service Preparation Area Decontamination Area

Intensive Care Unit Negative pressure isolation rooms Oncology Operating rooms

STEP THREE: Using the IC Matrix CIRCLE the Class of Precautions as determined by Construction Type and Patient Risk Construction Project Type

Patient Risk Group TYPE A TYPE B TYPE C TYPE D

IC

M at ri x 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

Preliminary ICRA Approved Final ICRA Approved

X Vickie L. Moore MA, CIC, VHA-CM Infection Prevention Program Manager

4/29/2021

X Vickie L. Moore Vickie L. Moore MA, CIC, VHA-CM

Signed by: VICKIE L. MOORE 193380

Overton Brooks VAMC Infection Control Precautions Project: Fire Alarm Replacement – Installation and Removal

Maintain control measures until ALL work is completed.

Exceptions must be approved by Infection Prevention on a case by case basis.

Based on the Infection Control Risk Assessment of this construction/remodel project in the Highest Risk Areas, the following activities are required. Project: Cath Lab 667-15-104 During Construction Upon Completion of Project

C L

A

SS

IV

1. Seal unused doors with duct tape.

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

3. Block off & seal air vents if HVAC system is removed or isolated. Isolate HVAC system in area where work is being done if required to prevent contamination of adjacent areas.

4. Complete all critical barriers i.e. sheetrock, plywood, plastic, to seal area from non work area or implement control cube method (cart with plastic covering and sealed connection to work site with HEPA vacuum for vacuuming prior to exit) before construction begins.

5. Maintain negative air pressure within work site with filtration and pressure monitoring. Seal holes, pipes, conduits, and punctures.

Implement the following when working in occupied areas.

1. 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 work site AND entering occupied areas.

2. All personnel entering work site are required to wear shoe covers if returning to the occupied areas. Shoe covers must be changed each time the worker exits the work area into an occupied area.

3. Removing construction waste through the facility:

a. Contain in tightly covered containers before leaving construction area. DO NOT store containers outside the construction area.

b. Containers without tight fitting solid lids should have covering taped in place.

c. Utilize only the designated construction route when removing debris.

d. Clean outside of construction waste transport container when visibly soiled.

4. Removing construction waste via outside debris chute:

a. Chute located >25 feet from building air intake(s).

b. If debris receptacle within 10 feet of walkway, cover container when not actively in use.

c. Cover pedestrian walkway if under or immediately adjacent to debris chute.

5. Minimize construction worker traffic within the facility.

1. Wipe work surfaces with cleaner/disinfectant.

2. Upon completion, restore HVAC system where work was performed.

3. Do not remove barriers from work area until completed project is inspected by the owner’s Safety Department and Infection Prevention & Control Department and thoroughly cleaned by the owner’s Environmental Services Dept.

4. Remove barrier material carefully to minimize spreading of dirt and debris associated with construction.

5. Handle construction waste as outlined in “During Construction” section. before transport in tightly covered containers.

6. Cover transport receptacles or carts. Tape covering unless solid lid.

7. Wet mop area with cleaner/disinfectant.

4/29/2021

X Vickie L. Moore Vickie L. Moore MA, CIC, VHA-CM

Signed by: VICKIE L. MOORE 193380