Attachment 5 - Drawings pt3 Modernize Elevators Marion.pdf

Infection Control Risk Mitigation Recommendations Matrix of Precautions for Construction and Renovation

Type of Construction / Project Activity Table

TYPE A

Inspection and Non-Invasive Activities

Includes, but is not limited to:

-Removal of ceiling tiles for visual inspection limited to 20 Ln Ft tile per 160 sq. ft. space.

-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.

-Patching walls - not exceeding 8 sq. ft.

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.

-Patching walls - exceeding 8 sq. ft.

TYPE C

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

Includes, but is not limited to:

-Sanding of walls for painting or wall covering exceeding 32 sq. ft., or vacant areas.

-Removal of floor coverings, ceiling tiles and casework.

-New wall construction -Uncontained duct, HVAC or electrical work above ceilings.

-Major cabling activities.

-Any other project where high levels of dust are generated.

TYPE D

Major demolition and construction projects

Includes, but is not limited to:

-Activities that require consecutive work shifts -Requires heavy demolition or removal of a complete cabling system.

-New Construction.

1. EXECUTE WORK BY METHODS TO

MINIMIZE RAISING DUST FROM

CONSTRUCTION OPERATIONS.

2.IMMEDIATELY REPLACE A CEILING TILE

DISPLACED FOR VISUAL INSPECTIONS.

DURING CONSTRUCTION PROJECT UPON COMPLETION OF PROJECT

C L

A S

S

I

C L

A S

S

II

1. PROVIDE ACTIVE MEANS TO PREVENT

AIRBORNE DUST FROM DISPERSING INTO

ATMOSPHERE.

2. WATER MIST WORK SURFACES TO

CONTROL DUST WHILE CUTTING.

3.SEAL UNUSED DOORS WITH DUCT TAPE.

4.BLOCK OFF AND SEAL AIR VENTS.

5.PLACE DUST MAT AT ENTRANCE AND EXIT

OF WORK AREA.

6.REMOVE OR ISOLATE HVAC SYSTEM IN

AREAS WHERE WORK IS BEING

PERFORMED.

1. WIPE WORK SURFACES WITH DISINFECTANT.

2.CONTAIN CONSTRUCTION WASTE BEFORE

TRANSPORT IN TIGHTLY COVERED

CONTAINERS.

3. WIPE WORK SURFACES WITH DISINFECTANT,

WET MOP AND/OR VACUUM WITH HEPA

VACUUM BEFORE LEAVING WORK AREA.

4.REMOVE ISOLATION OF HVAC.

IT IS THE CONTRACTOR'S RESPONSIBILITY TO PROVIDE THE FOLLOWING INFECTION CONTROL PRECAUTIONS

DEPENDING UPON THE AREA CLASS DESIGNATION

C L

A S

S

II

I

C L

A S

S

IV

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.,

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.

3.MAINTAIN NEGATIVE AIR PRESSURE WITHIN

WORK SITE UTILIZING HEPA EQUIPPED AIR

FILTRATION UNITS.

4.CONTAIN CONSTRUCTION WASTE BEFORE

TRANSPORT IN TIGHTLY COVERED

CONTAINERS.

5.COVER TRANSPORT RECEPTACLES OR

CARTS. TAPE COVERING UNLESS SOLID LID.

1. DO NOT REMOVE BARRIERS FROM WORK

AREA UNTIL COMPLETED PROJECT IS

INSPECTED BY THE ENVIRONMENTAL HEALTH

AND SAFETY AND INFECTION CONTROL AND

THOROUGHLY CLEANED BY ENVIRONMENTAL

SANITATION SECTION.

2.REMOVE BARRIER MATERIALS CAREFULLY TO

MINIMIZE SPREADING OF DIRT AND DEBRIS

ASSOCIATED WITH CONSTRUCTION.

3. VACUUM WORK AREA WITH HEPA FILTERED

VACUUMS.

4.WET MOP AREA WITH DISINFECTANT.

5.REMOVE ISOLATION OF HVAC SYSTEM IN AREAS

WHERE WORK IS BEING PERFORMED.

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.SEAL HOLES, PIPES, CONDUITS AND

PUNCTURES APPROPRIATELY.

6.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.

1. DO NOT REMOVE BARRIERS FROM WORK

AREA UNTIL COMPLETED PROJECT IS

THOROUGHLY CLEANED BY ENVIRONMENTAL

MANAGEMENT.

2. VACUUM WORK AREA WITH HEPA FILTERED

VACUUMS.

3. WET MOP AREA WITH DISINFECTANT.

4.REMOVE BARRIER MATERIALS CAREFULLY

TO MINIMIZE SPREADING OF DIRT AND

DEBRIS ASSOCIATED WITH CONSTRUCTION.

5.CONTAIN CONSTRUCTION WASTE BEFORE

TRANSPORT IN TIGHTLY COVERED

CONTAINERS.

6.COVER TRANSPORT RECEPTACLES OR

CARTS. TAPE COVERING.

7.REMOVE ISOLATION OF HVAC SYSTEM IN

AREAS WHERE WORK IS BEING

PERFORMED.

DURING CONSTRUCTION PROJECT UPON COMPLETION OF PROJECT

PATIENT RISK GROUP TABLE

GROUP 1

LOW RISK

GROUP 2

MEDIUM RISK

GROUP 3

HIGH RISK

GROUP 4

HIGHEST RISK

- ADMINISTRATIVE OFFICES

- PUBLIC CORRIDORS

- ELEVATORS

- DAY ROOMS

- CANTEEN RETAIL STORE

- VACANT WARDS OR

VACANT ICU'S ETC.

- OUTPATIENT, URGENT

CARE & PRIMARY CARE

CLINICS

- LABORATORY

- CARDIOLOGY

- ECHOCARDIOGRAPHY

- ENDOSCOPY

- FOOD SERVICES

- INTERIM CARE & MEDICAL

UNITS

- NUCLEAR MEDICINE

- PHARMACY

- PHYSICAL THERAPY

- RADIOLOGY & NUCLEAR

MEDICINE

- RESPIRATORY THERAPY

- CCU

- EMERGENCY ROOM

- LABORATORY

- OUTPATIENT SURGERY

- PHARMACY

- POST ANESTHESIA CARE

UNIT

- SURGICAL UNITS

- ANY AREA CARING FOR

IMMUNICOMPROMISED

PATIENTS

- SPD STORAGE /

STERILIZATION

- INTENSIVE CARE UNITS

- TB NEGATIVE PRESSURE

ISOLATION ROOMS

-OPERATING ROOM

INFECTION CONTROL MATRIX - CLASS OF PRECAUTIONS:

CONSTRUCTION PROJECT BY PATIENT RISK

PATIENT RISK GROUP

LOW RISK GROUP 1

MEDIUM RISK GROUP 2

HIGH RISK GROUP 3

HIGHEST RISK GROUP 4

TYPE A TYPE B TYPE C TYPE D

I

I

I

II

II

II

II

III/IV

II

II

III/IV

III/IV

III/IV

IV

IV

IV

CONSTRUCTION PROJECT TYPE

NOTE: INFECTION CONTROL APPROVAL WILL BE REQUIRED WHEN THE CONSTRUCTION ACTIVITY AND RISK LEVEL

INDICATE THAT CLASS III OR CLASS IV CONTROL PROCEDURES ARE NECESSARY.

ICRA INFORMATION

A-100

RPSF

REPLACE/MODERNIZE

ELEVATORS 1-4

657A5-19-903

NO. DESCRIPTION DATE

BLDG. 1, 38

B

A

C

D

E

F

1 2 3 4 5 6 87 9

97 8654321

CONSTRUCTION DOCUMENTS

FULLY SPRINKLERED

Department of Veterans Affairs

PRINTS OF THIS DRAWING SHALL NOT BE USED FOR ANY PURPOSE

WHATSOEVER WITHOUT THE SEAL AND SIGNATURE OF THE

PROFESSIONAL ENGINEER.

Miller-Remick LLC

1010 KINGS HIGHWAY SOUTH

CHERRY HILL, NEW JERSEY 08034

PHONE: (856)429-4000

FAX: (856)429-5002

M.E.P. & Structural Engineering

A Service Disabled Veteran Owned Small Business

MR PROJECT NO: 0509-0004

B

A

C

D

E

F

MECHANICAL

IT

R.R. WOMEN

AUTOPSY

033A

SP. STORAGE

046C

STAIRS

SB1-01

CORRIDOR

CB1-01

CORRIDOR

CB5-01

ELEV 2

ELEV 1

FEC

REGISTRATION

001 FILE

AUDIOLOGY

PULMONARY/

RESPIRATORY

047 REGISTRATION

001A

STORAGE

P-001

UP

LOBBY

SURGERY

SERVICE

VISIT COORD.

102A

VISIT COORD.

103A

AN

DENTIST

RECEPTION

119C

DENTIST

WAITING

STAIR

S101-01R.R. WOMEN

FEC

ELEV 1

ELEV 2

DN

EXAM

EXAM

201A

WAITING ROOM

ONCOLOGY

HEMATOLOGY

HOSPITALIST

203 204

CARDIO

PHARMACY

231PHARMACY

231A

STAIR

S201-01

I.V. PUMP

STORAGE

CLOSET

ELEV 1

ELEV 2

FEC

RECEPTION/NURSES

STATION

WORK AREA

301A

BIO-MED EQUIP

BATH

302A

PATIENT

BEDROOM

BE

MULTI-PU

VISITOR LOUNGE

LOCKER

OFFICE

OXYGEN

STORAGE

RMACY

PATIENT

BEDROOM

PATIENT

BEDROOM

VISITOR'S TOILET

STAIR

S301-01

BATH

362A

BATH

363A

BATH

364A

HAC

ELEV 1

ELEV 2

TRASH CLOSET

LOUNGE

401 H.A.C.

PATIENT

RESTROOM

WASH

STERIS

ENDOSCOPY

ELEC.

CLOSET

STORAGE

OPERATING

ROOM NO. 2

PPLY OPERATING

ROOM NO. 3

Room

OFFICE

413B

STORAGE

417A

WOMENS

401B

WOMENS LOCKER

401C

MENS LOCKER

401D

MENS

401E

STAIR

S401-01

ELEV 1

ELEV 2

FAN ROOM

STAIR

S501-01

DUCT SPACE

DUCT SPACE

BUILDING 1

ARCHITECTURAL / ICRA

PARTIAL PLANS

ELEVATORS - BUILDING 1

A-101

RPSF

REPLACE/MODERNIZE

ELEVATORS 1-4

657A5-19-903

NO. DESCRIPTION DATE

BLDG. 1, 38

B

A

C

D

E

F

1 2 3 4 5 6 87 9

97 8654321

CONSTRUCTION DOCUMENTS

PLAN

NORTH

ACTUAL

NORTH

FULLY SPRINKLERED

MILLER-REMICK LLC

PROFESSIONAL ENGINEER

Department of Veterans Affairs

PRINTS OF THIS DRAWING SHALL NOT BE USED FOR ANY PURPOSE

WHATSOEVER WITHOUT THE SEAL AND SIGNATURE OF THE

PROFESSIONAL ENGINEER.

Miller-Remick LLC

1010 KINGS HIGHWAY SOUTH

CHERRY HILL, NEW JERSEY 08034

PHONE: (856)429-4000

FAX: (856)429-5002

M.E.P. & Structural Engineering

A Service Disabled Veteran Owned Small Business

MR PROJECT NO: 0509-0004

B

A

C

D

E

KEYPLAN

CARPENTER

SHOP

CORR.

CB2-38

ENGINEERING

MECH.

CLEAN LINEN

006A

RETAIL STOR.

005A

CLEAN LINEN

FIBER OPTIC

006B

CORR.

CB1-38

ELEV 3

ELEV 4

BREAK

STOR.

EXAM

EXAM

104A

EXAM

104B

XRAY

CART STOR.

HAC

TREATMENT

TREATMENT

TREATMENT

INSTR. PREP.

HYGIENE

ORAL SURGERY

CORR.

C104-38

CORR.

CORR.

C102-38

CORR.

C101-38

CHAPEL

CHAPLAIN

MEN

HAC

122 WOMEN

WAITING

123A

FIBER OPTIC

123B

ELEV 3

ELEV 4

WAIT.

201 EXAM.

EXAM

EXAM.

EXAM.

CLINIC

R.R.

CORR.

C203-38

CORR.

C201-38

MECH.

CORR.

C204-38

WOMEN

HAC

MEN

STOR.

236A

FIBER OPTIC

236B

STRESS LAB

CORR.

C202-38

ELEV 3

ELEV 4

DUMBWAITER

EQUIPMENT

STORAGE

SPD MGR.

STERILE/

NONSTERILE

DISPATCH

INVENTORY

MANANGEMENT

SPECIALIST

ANTE

308A

EQUIP. WASH

ETO

DECONTAMINATION

IRM

312A

MALE

LOCKER

CORR.

C301-38

FEMALE

LOCKER

CORR.

C302-38

HAC

ELEV 3

ELEV 4

MED. VAC.

MED. AIR

ROOFROOF

ELEV 3

ELEV 4

ARCHITECTURAL / ICRA

PARTIAL PLANS

ELEVATORS - BUILDING 38

A-102

RPSF

REPLACE/MODERNIZE

ELEVATORS 1-4

657A5-19-903

NO. DESCRIPTION DATE

BLDG. 1, 38

B

A

C

D

E

F

1 2 3 4 5 6 87 9

97 8654321

CONSTRUCTION DOCUMENTS

PLAN

NORTH

ACTUAL

NORTH

FULLY SPRINKLERED

MILLER-REMICK LLC

PROFESSIONAL ENGINEER

Department of Veterans Affairs

PRINTS OF THIS DRAWING SHALL NOT BE USED FOR ANY PURPOSE

WHATSOEVER WITHOUT THE SEAL AND SIGNATURE OF THE

PROFESSIONAL ENGINEER.

Miller-Remick LLC

1010 KINGS HIGHWAY SOUTH

CHERRY HILL, NEW JERSEY 08034

PHONE: (856)429-4000

FAX: (856)429-5002

M.E.P. & Structural Engineering

A Service Disabled Veteran Owned Small Business

MR PROJECT NO: 0509-0004

B

A

C

D

E

KEYPLAN

ABBREVATIONS, SYMBOLS & NOTES

M-001

BSGE

REPLACE/MODERNIZE

ELEVATORS 1-4

657A5-19-903

NO. DESCRIPTION DATE

BLDG. 1, 38

B

A

C

D

E

F

1 2 3 4 5 6 87 9

97 8654321

CONSTRUCTION DOCUMENTS

FULLY SPRINKLERED

Department of Veterans Affairs

PRINTS OF THIS DRAWING SHALL NOT BE USED FOR ANY PURPOSE

WHATSOEVER WITHOUT THE SEAL AND SIGNATURE OF THE

PROFESSIONAL ENGINEER.

Miller-Remick LLC

1010 KINGS HIGHWAY SOUTH

CHERRY HILL, NEW JERSEY 08034

PHONE: (856)429-4000

FAX: (856)429-5002

M.E.P. & Structural Engineering

A Service Disabled Veteran Owned Small Business

MR PROJECT NO: 0509-0004

B

A

C

D

E

SCHEDULES & DIAGRAM

ELEVATORS - BUILDINGS 1 & 38

M-701

BSMR

REPLACE/MODERNIZE

ELEVATORS 1-4

657A5-19-903

NO. DESCRIPTION DATE

BLDG. 1, 38

B

A

C

D

E

F

1 2 3 4 5 6 87 9

97 8654321

CONSTRUCTION DOCUMENTS

PLAN

NORTH

ACTUAL

NORTH

FULLY SPRINKLERED

Department of Veterans Affairs

PRINTS OF THIS DRAWING SHALL NOT BE USED FOR ANY PURPOSE

WHATSOEVER WITHOUT THE SEAL AND SIGNATURE OF THE

PROFESSIONAL ENGINEER.

Miller-Remick LLC

1010 KINGS HIGHWAY SOUTH

CHERRY HILL, NEW JERSEY 08034

PHONE: (856)429-4000

FAX: (856)429-5002

M.E.P. & Structural Engineering

A Service Disabled Veteran Owned Small Business

MR PROJECT NO: 0509-0004

B

A

C

D

E

F

KEYPLAN

BUILDING 38 BUILDING 1

BUILDING 38 BUILDING 1

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