S06 Q_A Atch 7 - Revised Drawing GI201 - 1 page.pdf

TYPE D

A. IMPLEMENT INFECTION CONTROL RISK ASSESSMENT (ICRA)

PROCEDURES AS PER THE ICRA PLAN AND AS DIRECTED BY THE

CONTRACTING OFFICER REPRESENTATIVE (COR).

B. COORDINATE ALL DEMOLITION/ CONSTRUCTION DEBRIS PATH OF

TRAVEL AND INTERIM LIFE SAFETY MEASURES (ILSM) WITH THE COR.

ALL INTERIOR DOORS THAT LEAD TO THE CONSTRUCTION SITE

SHALL BE POSTED AS PER THE ISLM PLAN.

C. OBTAIN INFECTION CONTROL PERMIT PRIOR TO BEGINNING WORK.

D. THE ONE HOUR FIRE RATED CONSTRUCTION BARRIERS SHALL BE

CONSTRUCTED PRIOR TO BEGINNING OTHER WORK.

E. CONSTRUCT ANTEROOM AT ENTRANCES TO CONSTRUCTION AREAS

AND REQUIRE ALL CONSTRUCTION PERSONNEL TO PASS THROUGH

THIS ROOM TO BE VACUUMED WITH HEPA VACUUM CLEANER PRIOR

TO LEAVING THE SITE.

F. FIRE PROTECTION SYSTEMS SHALL REMAIN FUNCTIONAL FOR

OCCUPIED AREAS ON THE FLOOR.

G. PROVIDE FIRE EXTINGUISHERS IN CONSTRUCTION AREAS; REVIEW

WITH COR AND VA SAFETY GROUP.

H. MAINTAIN EXIT LIGHTS IN CONSTRUCTION AREA.

I. MAINTAIN NEGATIVE AIR PRESSURE IN CONSTRUCTION AREA AT ALL

TIMES (24/7). WHETHER OCCUPIED OR NOT, THROUGHOUT

DURATION OF PROJECT USING HEPA EQUIPPED AIR FILTRATION

UNITS.

J. CONSTRUCTION AREA SHALL REMAIN ISOLATED FROM THE OTHER

AREAS OF THE MEDICAL CENTER; NO RETURN AIR OR EXHAUST

SHALL PASS INTO THE AREAS OUTSIDE THE CONSTRUCTION AREA.

ISOLATE HVAC SYSTEM WITHIN CONSTRUCTION AREA TO PREVENT

CONTAMINATION OF EXISTING DUCT SYSTEM.

K. PROVIDE SIGNS ON DOORS INTO THE CONSTRUCTION AREA THAT

READS: "CONSTRUCTION AREA-DO NOT ENTER".

L. TACKY MATS SHALL BE PLACED AT ALL DOORS INTO THE

CONSTRUCTION AREA AND SHALL BE MONITORED TO MAKE SURE

THEY REMAIN EFFECTIVE.

M. MAINTAIN A CLEAN AND ORDERLY CONSTRUCTION AREA. ALL

DEBRIS REMOVAL SHALL BE IN COVERED CARTS AND/OR

CONTAINERS.

N. SEAL ALL HOLES, PUNCTURES, AND PENETRATIONS FROM PIPES AND

CONDUITS APPROPRIATELY AND IMMEDIATELY TO MAINTAIN DUST

PROTECTION AND NEGATIVE AIR PRESSURE.

O. AFTER COMPLETION OF WORK: VACUUM CONSTRUCTION AREA WITH

HEPA FILTERED VACUUMS, WET MOP WITH DISINFECTANT, REMOVE

CONSTRUCTION BARRIERS (UPON APPROVAL). PATCH OR REPAIR

ANY DAMAGE FROM CONSTRUCTION BARRIER REMOVAL AND

REMOVE ISOLATION OF HVAC SYSTEM.

P. CONSTRUCTION BARRIERS SHALL NOT BE REMOVE UNTIL PROJECT

IS COMPLETED AND INSPECTED BY VA SAFETY PERSONNEL,

INFECTION CONTROL GROUP, AND COR.

ICRA NOTES:

INFECTION CONTROL RISK

ASSESSMENT:

STEP 1: TYPE D

IDENTIFY THE TYPE OF CONSTRUCTION PROJECT

ACTIVITY (TYPE A–D)

TYPE A: INSPECTION AND NONINVASIVE ACTIVITIES.

TYPE B: SMALL-SCALE, SHORT-DURATION ACTIVITIES

THAT CREATE MINIMAL DUST.

TYPE C: WORK THAT GENERATES A MODERATE TO

HIGH LEVEL OF DUST OR REQUIRES DEMOLITION OR

REMOVAL OF ANY FIXED BUILDING COMPONENTS OR

ASSEMBLIES.

TYPE D: MAJOR DEMOLITION AND CONSTRUCTION

PROJECTS.

STEP 2: HIGH RISK

IDENTIFY THE PATIENT RISK GROUPS THAT WILL BE

AFFECTED.

IF MORE THAN ONE RISK GROUP WILL BE AFFECTED,

SELECT THE HIGHER RISK GROUP.

STEP 3: CLASS IV

MATCH THE PATIENT RISK GROUP (LOW, MEDIUM,

HIGH, HIGHEST) WITH THE PLANNED CONSTRUCTION

PROJECT TYPE (A, B, C, D) ON THE FOLLOWING MATRIX,

TO FIND THE CLASS OF PRECAUTIONS (I, II, III OR IV) OR

LEVEL OF INFECTION CONTROL ACTIVITIES REQUIRED.

STEP 4: IDENTIFY THE AREAS SURROUNDING THE PROJECT

AREA, ASSESSING POTENTIAL IMPACT.

BELOW ABOVE NORTH SOUTH EAST WEST

_______________________RISK GROUP_____________________

LOW LOW N/A N/A N/A N/A

STEP 5:

IDENTIFY SPECIFIC SITE OF ACTIVITY, FOR EXAMPLE, PATIENT

ROOMS, MEDICATION ROOM, AND SO ON.

STEP 6:

IDENTIFY ISSUES RELATED TO: VENTILATION, PLUMBING, AND

ELECTRICAL IN TERMS OF THE OCCURRENCE OF PROBABLE

OUTAGES.

STEP 7.

IDENTIFY CONTAINMENT MEASURES, USING PRIOR

ASSESSMENT. WHAT TYPES OF BARRIERS (FOR EXAMPLE,

SOLIDS WALLS)? WILL HEPA FILTRATION BE REQUIRED?

STEP 8.

CONSIDER POTENTIAL RISK OF WATER DAMAGE. IS THERE A

RISK DUE TO COMPROMISING STRUCTURAL INTEGRITY (FOR

EXAMPLE, WALL, CEILING, ROOF)?

NOTE: RENOVATION/CONSTRUCTION AREA SHALL BE

ISOLATED FROM THE OCCUPIED AREAS DURING

CONSTRUCTION AND SHALL BE NEGATIVE WITH RESPECT TO

SURROUNDING AREAS.

STEP 9.

WORK HOURS: CAN OR WILL THE WORK BE DONE DURING

NON-PATIENT-CARE HOURS?

STEP 10.

DO PLANS ALLOW FOR ADEQUATE NUMBER OF

ISOLATION/NEGATIVE AIRFLOW ROOMS?

STEP 11.

DO THE PLANS ALLOW FOR THE REQUIRED NUMBER AND TYPE

OF HAND-WASHING SINKS?

STEP 12.

DOES THE INFECTION PREVENTION AND CONTROL STAFF

AGREE WITH THE MINIMUM NUMBER OF SINKS FOR THIS

PROJECT? (VERIFY AGAINST FACILITY GUIDELINES INSTITUTE

(FGI) DESIGN AND CONSTRUCTION GUIDELINES FOR TYPES

AND AREA.)

STEP 13.

DOES THE INFECTION PREVENTION AND CONTROL STAFF

AGREE WITH THE PLANS RELATIVE TO CLEAN AND SOILED

UTILITY ROOMS?

STEP 14.

PLAN TO DISCUSS THE FOLLOWING CONTAINMENT ISSUES

WITH THE PROJECT TEAM, FOR EXAMPLE, TRAFFIC FLOW,

HOUSEKEEPING, DEBRIS REMOVAL (HOW AND WHEN).

C

LA

S S

IV

DURING CONSTRUCTION

PROJECT

UPON COMPLETION OF

PROJECT

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

2. Complete all critical barriers— i.e., drywall, plywood, plastic—to seal area from non-work area before construction begins. Or, implement control cube method with HEPA-fiItered vacuum for vacuuming prior to exit.

3. Maintain negative air pressure within worksite utilizing HEPA-equipped air filtration units.

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

5. Cover transport receptacles or carts. Tape down covering unless cart has a solid lid.

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

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

3. Vacuum work area with HEPA-filtered vacuum.

4. Wet mop area with disinfectant.

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

Construction Project Type

Patient Risk Group

LOW Risk Group MEDIUM Risk Group

HIGH Risk Group

HIGHEST Risk Group

I II II III/IV

I II III IV

I II III/IV IV

II III/IV III/IV IV

TYPE A TYPE B TYPE C TYPE D

WEEKLY CHANGED OR MORE

AS NEEDED PRE-FILTER

FLEX DUCT

MONTHLY CHANGED HEPA FILTER

HEPA NEGATIVE AIR UNIT

PROVIDE STICKY MATS (CHANGED END OF

EVERY SHIFT OR MORE IF NECESSARY TO

MAINTAIN CLEANLINESS).

STATIC PRESSURE WATER GAUGE INDICATOR

SHALL -0.03" W.G. MINIMUM TO MAINTAIN NEGATIVE

PRESSURE IN CONSTRUCTION AREA (VERIFY DAILY). IF

NOT VERIFY ALL OPENING SUCH AS DOOR ARE CLOSED

AND/OR CHANGE NEGATIVE AIR PRE-FILTER.

SUPPLY DUCTS EITHER

KEEP RUNNING OR

COVER WHEN NOT

RUNNING TO KEEP

DUST OUT.

A

V

O

TAPE ALL WALL, FLOOR, AND CEILING

SERVICES, TO PROTECT AGAINST

CONTAMINATION

E

FIRE EXTINGUISHER ON

PORTABLE FLOOR BRACKET

(SHALL REQUIRE MORE THAN

ONE.)

E4

GI201

PUBLIC AREA

CONSTRUCTION AREA

ANTE

ROOM

4' -0

M

IN

IM

U M

S E

E

F L O

O R

P

L A

N

TEMPORARY WALL

FLOOR LINE

CEILING SYSTEM AS

SCHEDULED

EXISTING STRUCTURE

FIRE RATED PLASTIC TO

PREVENT DUST INSTALL

PRIOR TO CONSTRUCTION

F

IN

IS

H E

D F

LO

O

R T

O U

N D

E R

S

ID

E O

F S

T R

U C

T U

R E

V E

R

IF

Y F

LO

O

R T

O F

LO

O

R H

E

IG

H T

RENOVATED SPRINKLER

SYSTEM

HJKLM

PROVIDE ICRA BARRIERS TO

CREATE ANTE-ROOM OUTSIDE OF

CONSTRUCTION ENTRY

PROVIDE ICRA BARRIERS TO

CREATE ANTE-ROOM OUTSIDE OF

CONSTRUCTION ENTRY - THIS SIDE

FOR EMERGENCY EGRESS ONLY

PATH OF TRAVEL FOR MATERIAL /

WASTE TRANSPORTATION -

VERIFY WITH COR - SEE

CONSTRUCTION MATERIALS PLAN

THIS SHEET

5' -8

213 SF

PATIENT 9

3D-109

79 SF

RR 9

3D-109A

69 SF

RR 8

3D-108A

256 SF

PATIENT 8

3D-108

285 SF

PATIENT 7

3D-107

69 SF

RR 7

3D-107A

297 SF

PATIENT 6

3D-106

72 SF

RR 6

3D-106A

289 SF

PATIENT 5

3D-105

72 SF

RR 5

3D-105A

300 SF

PATIENT 4

3D-104

69 SF

RR 4

3D-104A

298 SF

PATIENT 3

3D-103

70 SF

RR 3

3D-103A

69 SF

RR 2

3D-102A

296 SF

PATIENT 2

3D-102

299 SF

BARIATRIC 1

3D-101

90 SF

RR 1

3D-101A

269 SF

PATIENT 18

3D-133

78 SF

RR 18

3D-133A

68 SF

RR 17

3D-132A

268 SF

SAFER PATIENT 17

3D-132

299 SF

STAFF WORK

3D-136

245 SF

MSA'S

3D-100

190 SF

CLEAN LINENS

3D-138

98 SF

ASST. NURSE MNGR

3D-110

93 SF

NURSE MNGR OFFICE

3D-111

127 SF

MED ROOM

3D-112

106 SF

NUTRITION

3D-135

292 SF

SAFER PATIENT 16

3D-131

67 SF

RR 16

3D-131A

67 SF

RR 15

3D-129A

252 SF

PATIENT 15

3D-129

280 SF

PATIENT 14

3D-128

71 SF

RR 14

3D-128A

71 SF

RR 13

3D-126A

102 SF

PHARM OFFICE

3D-120

108 SF

SOILED UTILITY

3D-134

49 SF

STAFF TOILET

3D-117

131 SF

SPS STORAGE

3D-114

315 SF

EQUIPMENT ROOM

3D-115 16 SF

EQUIP. ALCOVE

3D-140

245 SF

PATIENT 13

3D-126

260 SF

PATIENT 12

3D-12567 SF

RR 12

3D-125A

67 SF

RR 11

3D-123A

61 SF

HAC

3D-119

259 SF

STAFF BREAK ROOM

3D-116

238 SF

PATIENT 11

3D-123

206 SF

PATIENT 10

3D-121

74 SF

RR 10

3D-121A

54 SF

ANTE ROOM

3D-133B

74 SF

CLEAN UTILITY

3D-113

30 SF

OXYGEN STOR.

3D-118

262 SF

CIRCULATION

C3-18

55 SF

ANTE ROOM

3D-101B

186 SF

CORRIDOR

C3-27

49 SF

TOILET

3C-104

49 SF

TOILET

3C-105

RE-FINISH ONLY, NO

DESTRUCTIVE DEMOLITION

TAKING PLACE

CONSTRUCT NEW

CORRIDOR WALLS

AS ICRA BARRIERS

PRIOR TO COMMENCEMENT

OF REST OF CONSTRUCTION.

CONSTRUCT NEW

CORRIDOR WALLS

AS ICRA BARRIERS

PRIOR TO COMMENCEMENT

OF REST OF CONSTRUCTION.

4' -0

PROVIDE ANTE-ROOM FOR

MECHANICAL ROOM AND TELECOM

ROOM SCOPE OF WORK

ELEVATORS

ELE

VA

TO

R S

FREIGHT

ELEVATOR

ELEVATORS

ELEVATORS

ELEVATORS

PATH OF TRAVEL FOR MATERIAL / WASTE

TRANSPORTATION - VERIFY WITH COR

PROJECT SCOPE AREA

on e-ei gh th in ch o ne fo ot on e-qu ar te r ne fo ot th re e-ei gh th s ne fo ot on e-ha lf ne fo ot th re e-qu ar te r ne fo ot in ch on e ne fo ot on e an d on e-ha lf ne fo ot th re e in es ne fo ot

REVISIONS DATE

General Notes:

GENERAL CONTRACTOR AND/OR ALL SUBCONTRACTORS SHALL FIELD VERIFY ALL DIMENSIONS SHOWN ON THESE PLANS AND SHALL BE RESPONSIBLE FOR VARIATIONS BETWEEN PLAN DIMENSIONS AND ACTUAL FIELD DIMENSIONS. WHERE VARIATIONS ARE FOUND TO OCCUR, THE CONTRACTOR SHALL NOTIFY THE PROJECT ENGINEER IN WRITING PRIOR TO PROCEEDING WITH CONSTRUCTION; NO ADJUSTMENT TO

THE WORK WILL BE MADE WITHOUT THE PRIOR APPROVAL OF THE PROJECT ENGINEER.

GENERAL CONTRACTOR SHALL BE RESPONSIBLE FOR GENERAL DEMOLITION INCLUDING REMOVAL OF WALLS, PARTITIONS, DOORS & CEILING & FLOORS. ANY AND ALL CUTTING OF CONCRETE FLOORS, WALLS OR STRUCTURE SHALL BE THE GENERAL CONTRACTOR'S RESPONSIBILITY. CORE DRILLING THROUGH CONCRETE WALLS, FLOORS OR STRUCTURE FOR PIPING OR CONDUIT SHALL BE THE RESPONSIBILITY OF THE SUBCONTRACTOR BY TRADE; FIRESTOPPING OF THESE OPENINGS SHALL BE DONE BY THE RESPECTIVE SUBCONTRACTOR. REMOVAL OF DEBRIS RESULTING FROM DEMOLITION, CUTTING, AND/OR DRILLING IS THE RESPONSIBILITY OF THE GENERAL CONTRACTOR. PATCHING AND REPAIR OF CONCRETE WALLS, FLOOR, OR STRUCTURE SHALL BE THE RESPONSIBILITY OF THE GENERAL CONTRACTOR; THIS WILL BE ACCOMPLISHED UPON COMPLETION OF THE INSTALLATION OF ANY AND ALL UTILITIES INSTALLED

BY THE VARIOUS SUBCONTRACTORS.

Approved: Division Chief

Issue Date Checked Drawn

DrawingNumber

Building Number

Project NumberDrawing Title Project Title

Location Drawing Scale

Approved: Service DirectorPlot Scale U.S. Department of Veterans Affairs

Office of Construction and Facilities Management

FULLY SPRINKLERED

Phase

A

B

C

D

E

F

A

B

C

D

E

F

21 4 5 6 7 8 9 10

321 4 5 6 7 8 9 10

TRUE NORTH

PLAN NORTH

KEYPLAN

A/E:

TRIPLE C - The A/E Group

(520) 481-8548

Mat Perkins

A

B D

EF

G

H

J

K

L

M

C

As indicated

B

IM

/6

-2

-1

R e n o v a te

D

B e d W in g -B

-M

P L S

V A

M C

/6 -2

-7

.M

P L S

.3 D

B e d W in g .A

R C

H .B

.L

.r v t

/1

/2

:0

:2

A

M

09/12/2022 M.PERKINS C.LOWERY

618-22-102

1391 - GI201

INFECTION CONTROL PLAN & INTERIM LIFE

1 Veterans Drive, Minneapolis, MN 55417

B70

RENOVATION OF BUILDING 70 3D

BED WING100% CONSTRUCTION

DOCUMENTS

1/4" = 1'-0" F4

TYPICAL CONSTRUCTION LAYOUT- CLASS IV

1/2" = 1'-0" E4

CROSS SECTION A'-A'- CLASS IV

NTS

F1

TYPICAL ICRA PRODUCTS

1/8" = 1'-0"

F6

ICRA PLAN

1" = 60'-0" C3

CONSTRUCTION MATERIALS PLAN

NOTE: PROJECT WING WILL NOT

BE OCCUPIED DURING CONSTRUCTION.

CONTRACTOR TO UTILIZE SPACE IN

WING FOR TEMPORARY MATERIAL

STORAGE AS NEEDED DURING

CONSTRUCTION

1 ADDENDUM 1 04/06/23