S06 - Amend 0009 - Att 06 - DWG GC111 - Rvd - SPS - Sioux Falls.pdf

121A

STAIR #5

TOILET

WORK

ROOM

PROCEDURE

ROOM

TOILET

CORRIDOR

MECH

SOILED

CLEAN

M.H.

ELEC

WORK

ROOM

WAITING128

RECEPTION

129A

HAC

STAIR #4 131

Room

131A Room

120A Room

126B

STAIR

TELECOM

111A

MECHANICAL

INTERSTITIAL

SPACE

126A

MECHANICAL

CONSTRUCTION / ICRA BARRIER

CONSTRUCTION / ICRA BARRIER

1 HOUR ICRA/CONSTRUCTION BARRIER.

1 HOUR ICRA/CONSTRUCTION BARRIER DOOR.

LIMITS OF CONSTRUCTION

CONSTRUCTION /

ICRA BARRIER.

CONTRACTOR TO

COORDINATE

INTERIM LIFE

SAFETY WITH

COR.

NOTE:

PROVIDE 1 HOUR FIRE RATED, STARC SYSTEMS FIREBLOCK WALL PANELS OR

APPROVED EQUAL FOR ALL ICRA/CONSTRUCTION BARRIERS.

WHERE CEILING IS COMPLETELY REMOVED, MODIFY SPRINKLER SYSTEM SO HEADS ARE

UPTURNED AND EXTENDED TO 18" OF STRUCTURE. REPLACE HEAD(S) TYPE AS REQUIRED.

SPRINKLER SYSTEM, WHERE EXISTING, ARE TO REMAIN IN SERVICE THROUGHOUT

CONSTRUCTION. CONTRACTOR MUST INSTALL FIRE PROTECTION SYSTEM AS

CONSTRUCTION PROGRESSES. ONCE INSTALLED SYSTEM MUST BE ACTIVATED EVEN IF

PENDING ACCEPTANCE.

PROVIDE MOBILE ICRA CARTS AS NEEDED TO ACCOMPLISH WORK OR AS DIRECTED BY COR.

PHASE - ALL:

CONSTRUCTION PROJECT ACTIVITY TYPE - D

INFECTION CONTROL RISK GROUP - GROUP 4: HIGH RISK

CONTROL PROCEDURE CLASS - IV

INFECTION CONTROL RISK ASSESSMENT (ICRA) BY

PROJECT AREA USE AND PHASE

CONSTRUCTION INFECTION CONTROL RISK ASSESSMENT (ICRA)

TYPE A

TYPE B

TYPE C

TYPE D

INSPECTIONS AND NON-INVASIVE ACTIVITIES. INCLUDES, BUT NOT

LIMITED TO, REMOVAL OF CEILING TILES FOR VISUAL INSPECTION

LIMITED TO 1 TILE PER 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.

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.

FLOOR COVERING REMOVAL (WITHOUT SANDING OR GRINDING).

ANY 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 WALL FOR PAINTING OR WALLCOVERING, REMOVAL OF

FLOOR COVERINGS, CEILING TILES AND CASEWORK, NEW WALL

CONSTRUCTION, MINOR DUCTWORK OR ELECTRICAL WORK ABOVE

CEILINGS, MAJOR CABLING ACTIVITIES, AND ANY ACTIVITY WHICH

CANNOT BE COMPLETED WITHIN A SINGLE WORK SHIFT. FLOOR

COVERING REMOVAL (WITH SANDING OR GRINDING).

MAJOR DEMOLITION AND CONSTRUCTION PROJECTS. INCLUDES, BUT IS

NOT LIMITED TO, ACTIVITIES WHICH REQUIRE CONSECUTIVE WORK

SHIFTS, REQUIRE HEAVY DEMOLITION OR REMOVAL OF A COMPLETE

CEILING SYSTEM, FLOORING AND NEW CONSTRUCTION.

GROUP 1

LOW RISK

• MECHANICAL SPACES: AREAS NOT DIRECTLY ADJACENT TO PATIENT

CARE, INCLUDING INTERSTITIAL SPACES.

• ENGINEERING OR EMS OFFICE/WORK AREAS

• OFFICE AREAS: AREAS NOT ATTACHED TO/ADJOINING PATIENT CARE

AREAS, NOT USED FOR PATIENT INTERVIEWS, EVALUATIONS OR

EXAMINATIONS.

• PUBLIC CORRIDORS: SPACES NOT ON OR DIRECTLY ATTACHED TO

PATIENT UNITS OR TREATMENT LOCATIONS.

GROUP 2

MEDIUM

RISK

• OUTPATIENT AREAS:

1. PRIMARY CARE OR SPECIALTY CARE CLINIC AREAS

2. BEHAVIORAL/MENTAL HEALTH AREAS

3. EXTENDED CARE / REHAB CLINIC AREAS

4. COMMUNITY BASED OUT PATIENT CLINICS (CBOC’S)

GROUP 3

HIGH RISK

• IN-PATIENT UNITS:

1. INCLUDING, BUT NOT LIMITED TO: EMERGENCY DEPT.; NURSING

UNITS; RADIOLOGY/MRI/CT/ULTRASOUND; NUCLEAR MEDICINE;

CAFETERIA/KITCHEN/CANTEEN; LABORATORIES; RADIATION /

ONCOLOGY; DIALYSIS

GROUP 4

HIGHEST

RISK

• ICU/SICU

• OR/PACU/ENDOSCOPY

• GI

• STERILE PROCESSING SERVICES (SPS)

• PHARMACY

• CATH LAB

CLASS

I

KEEP AREAS FREE OF DEBRIS, TRASH

EXECUTE WORK TO MINIMIZE OF DUST MIGRATION (E.G. WET MOPPING, HEPA VACUUM)

IMMEDIATELY REPLACE ANY CEILING TILE DISPLACED FOR VISUAL INSPECTION

(INVOLVING MINOR DEMOLITION IN MAINTENANCE OR REMODELING.)

CLASS

II

SAME AS CLASS I PLUS:

1. ESTABLISH MATERIAL AND DEBRIS ROUTE USING NON-PATIENT/VISITOR PATHWAY

2. WATER MIST WORK SURFACE TO CONTROL DUST WHILE CUTTING OR DRILLING.

3. BLOCK OFF AND SEAL AIR VENTS

4. SEAL UNUSED DOORS WITH PLASTIC SHEATHING AND DUCT TAPE.

5. CREATE BARRIERS AS DEFINED BY INFECTION PREVENTION

6. CONTAIN CONSTRUCTION WASTE BEFORE TRANSPORT IN TIGHTLY COVERED CONTAINER; TAPE COVERING UNLESS SOLID LID.

7. WET MOP AND/OR VACUUM WITH HEPA FILTERED VACUUM BEFORE LEAVING WORK AREA.

8. PLACE STICKY MAT AT ALL WORK AREA ENTRANCES AND EXITS.

9. REMOVE OR ISOLATE HVAC SYSTEM IN CONSTRUCTION AREA

CLASS

III

SAME AS CLASS I AND II PLUS:

1. ISOLATE HVAC SYSTEM IN CONSTRUCTION AREA TO PREVENT DUCT SYSTEM CONTAMINATION

2. COMPLETE CRITICAL BARRIERS (I.E. SHEETROCK, PLYWOOD, PLASTIC) AT ALL CONSTRUCTION ENTRIES AND EXITS; MONITOR FOR SEAL AND TAKE IMMEDIATE

CORRECTIVE ACTION AS NEEDED

3. MAINTAIN AND MONITOR NEGATIVE AIR PRESSURE WITHIN CONSTRUCTION SITE UTILIZING HEPA EQUIPPED AIR FILTRATION UNITS.

4. REMOVE OR ISOLATE HVAC SYSTEMS IN AREA WHERE WORK IS BEING PERFORMED.

5. CHECK AND REPLACE AIR FILTERS AS NEEDED REGULARLY

6. DO NOT REMOVE BARRIERS FROM WORK SITE UNTIL PROJECT IS COMPLETE & HAS BEEN THOROUGHLY CLEANED; REMOVE BARRIERS CAREFULLY TO MINIMIZE

SPREADING DUST. DEBRIS.

7. VACUUM WORK WITH HEPA FILTERED VACUUM.

8. WET MOP AREA WITH CLEANER/DISINFECTANT.

9. MITIGATE VIBRATION AND NOISE TO LOWEST IMPACT WHERE POSSIBLE.

10. DISPLAY ICRA AT SITE

11. SEAL HOLES, PIPES, CONDUITS AND PUNCTURES.

CLASS

IV

SAME AS CLASS I, II AND III PLUS:

1. INSPECT ADJACENT AREAS FOR DUST MIGRATION; TAKE IMMEDIATE CORRECTIVE AS NEEDED

2. USE HEPA VACUUM IN AREA PRIOR TO START OF CONSTRUCTION

3. CONSTRUCT ANTE ROOM; ALL PERSONNEL MUST ENTER THROUGH IT TO BE VACUUMED USING HEPA VACUUM BEFORE LEAVING OR TO DON/DOFF PPE

INFECTION CONTROL &

CONSTRUCTION BARRIER

GENERAL NOTES

1. SEE SPEC SECTION 01 35 26 SAFETY REQUIREMENTS FOR ADDITIONAL

INFORMATION

2. THE INTENT OF INFECTION CONTROL ISOLATION IS TO CONTAIN DUST AND

PARTICULATE MATTER TO THE CONSTRUCTION AREA. CONSTRUCTION AREA

PERIMETER NEEDS TO BE SEALED COMPLETELY WITH SHEET PLASTIC AS

SPECIFIED AND DUCT TAPE DURING OPERATIONS, WHERE PERMITTED BY CLASS.

ICRA - CONSTRUCTION BARRIER TO BE PROVIDED AS SPECIFIED AND LISTED IN

ICRA CLASS.

3. PROVIDE NEGATIVE PRESSURE MONITORS DURING CONSTRUCTION OPERATIONS

AS SPECIFIED. MONITOR TO MEASURE PRESSURE DIFFERENTIAL BETWEEN

CONSTRUCTION AREA AND ADJACENT CORRIDOR OR ROOM AS DIRECTED BY VA.

4. AS CONSTRUCTION PROGRESSES, FROM TYPE D TO TYPE C AND THEREON,

PROVIDE A REQUEST VIA "INFECTION CONTROL CONSTRUCTION PERMIT" TO THE

VA INFECTION CONTROL NURSE. UPON AUTHORIZATION, PROCEED TO NEXT TYPE

OF CONSTRUCTION. PROVIDE AT LEAST TEN (10) WORKING DAYS NOTICE FOR

EACH PERMIT.

5. CONSTRUCT IC (INFECTION CONTROL) CONSTRUCTION BARRIER(S) FROM FLOOR

TO DECK/FLOOR ABOVE. EXCEPTION. IF BARRIER IS ADJACENT TO SMOKE, FIRE,

OR EXISTING WALL CONSTRUCTION WHICH WILL NOT BE DEMOLISHED AND

TERMINATES TO FLOOR/DECK ABOVE, THEN CONSTRUCT DUST PROOF IC

BARRIER, SEE DETAIL(S). TAPE, MUD, SAND JOINTS AND PAINT ON NON-

CONSTRUCTION SIDE OF BARRIER.

6. CONTROL BARRIERS ARE TO BE INSTALLED AND REMOVED ONLY BEFORE 7:00 AM

AND AFTER 8:00 PM OR DIRECTED BY COR

7. DURING CONSTRUCTION OPERATIONS IN EACH ENCLOSED AREA PROVIDE

NEGATIVE PRESSURE MONITORS, MINIMUM (1) ONE IN AREAS LESS THAN 1000 SF,

(2) TWO MINIMUM IN AREAS BETWEEN 1000 SF AND 5000 SF, AND (3) THREE FOR

AREAS BETWEEN 5000 SF AND 10000 SF.

8. LIFE SAFETY EGRESS IS TO BE MAINTAINED AT ALL TIMES.

9. THE CONTRACTOR SHALL PROVIDE ENOUGH NEGATIVE AIR MACHINES TO

COMPLETELY EXCHANGE THE REGULATED AREA AIR VOLUME (4) FOUR ACTUAL

TIMES PER HOUR. THE COMPETENT PERSON SHALL DETERMINE THE NUMBER OF

UNITS NEEDED FOR EACH REGULATED AREA BY DIVIDING THE CUBIC FEET IN THE

REGULATED AREA BY (15) FIFTEEN AND THEN DIVIDING THAT RESULT BY THE

ACTUAL CUBIC FEET PER MINUTE (CFM) FOR EACH UNIT TO DETERMINE THE

NUMBER OF UNITS NEEDED TO EFFECT (4) FOUR AIR CHANGES PER HOUR.

PROVIDE A STANDBY UNIT IN THE EVENT OF MACHINE FAILURE AND/OR

EMERGENCY IN AN ADJACENT AREA.

10. PRIOR TO ANY REMOVAL OF SMOKE BARRIER FIRE RATED PARTITIONS,

CONSTRUCT NEW SMOKE BARRIER/APPROPRIATE FIRE RATED PARTITIONS PER

PLANS OR CONSTRUCT INFECTION CONTROL BARRIER TO ACT AS SMOKE

BARRIER.

CONSTRUCTION PHASING

GENERAL NOTES

1. THE WORK UNDER THIS CONTRACT SHALL BE DIVIDED INTO PHASES. A PHASE

CAN INVOLVE MULTIPLE LOCATION AREAS. SEE SPECIFICATIONS SECTION 01 00 00

1.6.G PHASING.

2. THE GENERAL CONTRACTOR SHALL COORDINATE ALL PHASING AND SEQUENCING

WITH ALL TRADES AND THE OWNER. THE GENERAL CONTRACTOR SHALL PROVIDE

A WRITTEN NARRATIVE TO OUTLINE CONSTRUCTION PHASING AND SEQUENCE

PLANS, VALIDATING AND ELABORATING ON THIS PHASING DESCRIPTION.

3. THE GENERAL CONTRACTOR SHALL COOPERATE FULLY WITH THE OWNER SO

WORK MAY BE CARRIED OUT SMOOTHLY, WITHOUT INTERFERING WITH OR

DELAYING WORK UNDER THIS CONTRACT, OR OTHER CONTRACTS ON THE

PROJECT SITE OR WORK BY OWNER.

4. THE GENERAL CONTRACTOR'S CONSTRUCTION SCHEDULE SHALL INDICATE THE

SEQUENCE, COMMENCEMENT AND COMPLETION DATES, OWNER INSPECTION AND

APPROVAL DATES AND MOVE-OUT AND MOVE-IN DATES OF OWNER'S PERSONNEL

FOR ALL PHASES OF THE WORK.

5. THE GENERAL CONTRACTOR SHALL PERFORM THE WORK IN EACH PHASE IN THE

SEQUENCE SHOWN ON THE PHASING PLAN DRAWING(S) AND CONSTRUCTION

PHASING DESCRIPTION.

6. THE GENERAL CONTRACTOR MUST COMPLETE ALL WORK IN EACH PHASE WITH

THE VA INSPECTING AND ACCEPTING THE WORK PRIOR TO VA OCCUPANCY AND

THE CONTRACTOR PROCEEDING TO THE NEXT SCHEDULED PHASE. UPON

COMPLETION OF A PARTICULAR PHASE, THE ENTIRE AREA COVERED BY THAT

PHASE CAN BE OCCUPIED BY THE VA PERSONNEL WITH ALL SYSTEMS

FUNCTIONING PROPERLY.

7. BEFORE COMMENCING WORK ON EACH SUCCESSIVE PHASE, THE GENERAL

CONTRACTOR SHALL SUBMIT AN UPDATED COPY OF THE SCHEDULE.

8. ANY ICRA / CONSTRUCTION BARRIERS CONSTRUCTED BY THE CONTRACTOR

PRIOR TO THE START OF DEMOLITION MUST REMAIN IN PLACE UNTIL THE

COMPLETION OF THAT PHASE OR SUBSEQUENT PHASE WHERE REQUIRED.

9. THE CONTRACTOR SHALL PERFORM ALL WORK ADJACENT TO VA OCCUPIED

AREAS IN SUCH A MANNER TO ENSURE THE CONTINUOUS AND UNINTERRUPTED

USE OF ALL OCCUPIED AREAS, INCLUDING THE APPLICABLE MECHANICAL AND

ELECTRICAL SYSTEMS SERVING THESE AREAS.

10. FOR ADDITIONAL NOTES AND INFORMATION REFER TO INFECTION CONTROL

DRAWING(S) AND DEMOLITION PLANS.

11. ANY INFORMATION REGARDING SEQUENCING PROVIDED IN THE DOCUMENTS IS

FOR ARCHITECT-OWNER PLANNING PURPOSES ONLY.

12. THE CONTRACTOR DURING CONSTRUCTION SHALL MAINTAIN REQUIRED MEANS

OF EGRESS THROUGHOUT ALL PHASING.

13. THE CONTRACTOR SHALL PLAN FOR A MINIMUM OF 4 WEEKS' TIME BETWEEN

PHASES TO ALLOW THE VA TO OCCUPY THE NEWLY ACCEPTED SPACE AND

VACATE THE FOLLOW-ON PHASES. THE VA WILL ACCELERATE THIS TIME WHEN

POSSIBLE AND WILL NOTIFY THE CONTRACTOR IF THIS OCCURS.

Project Number

Building Number

Drawing Number

Project Title

Location

Issue Date Checked Drawn

Drawing Title

Approved:

VA FORM 08 - 6231

A

BID DOCUMENTS

FULLY SPRINKLERED

Office of Construction and Facilities Management

U.S. Department of Veterans Affairs

B

C

D

E

F

A

B

C

D

E

F

21 4 5 6 7 8 9 10

Phase

ARCHITECT/ENGINEER OF RECORD STAMPCONSULTANT

321 4 5 6 7 8 9 10

I hereby certify that this plan, specification or report was prepared by me or under my direct supervision and that I am a duly Licensed Architect under the laws of the State of Minnesota.

Name:

Tom Olesak

Date: 02/14/2025

License Number: 18157

2882 106th St, Urbandale, IA 50322

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GC111

FIRST LEVEL INFECTION

CONTROL & PHASING PLAN

CONSTRUCT NEW SPS

Sioux Falls, SD.

438-460

02/14/2025 LA GJB16584

1/8" = 1'-0"

FIRST LEVEL ICRA, CONSTRUCTION BARRIER & PHASING PLAN

0 8' 16'4'

Revisions: Date:

ADDENDUM 1 (AD-1) 03/28/2025

ADDENDUM 3 (AD-3) 05/20/2025

AD-1

AD-3