ATTACHMENT 5 - ICRA Classification.pdf
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- Solicitation number
- 36C77623B0008
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This document contains an infection control risk assessment for a construction project at the Oklahoma City VA Medical Center. The project will renovate approximately 7,700 square feet of existing space in the northwest area of the medical center for use as administration and training space to support the deployment of new electronic health record management equipment and software. The assessment evaluates the risk level of the construction activity based on factors such as the amount of dust generated and proximity to patient areas. It determines the project is low risk and provides precautions to minimize potential tuberculosis exposure for construction workers, such as controlling airborne dust, isolating HVAC systems, and cleaning procedures upon project completion. The Department of Veterans Affairs Technology Acquisition Center in Austin is the contracting agency for the solicitation to obtain a general contractor to perform the renovations.
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Text version
Center Memorandum 111-34, August 7, 2006 Page 1 Attachment A
Definitions of Infection Control Risk Groups
Type
“A” “B” “C” “D”
I II II III/IV
I II III IV
I III III/IV IV
III III/IV III/IV IV
Type:
11/08/22 Area:
Date
During Construction Upon Completion of Project
If YES, then go to question #3.
TB Risk Assessment►
No Comment
SUPPLEMENTAL ICRA ACTIONS
Risk Level
The construction activity types are defined by the amount of dust generated, the duration of the activity, and the amount of shared HVAC systems. The Oklahoma City VAMC Engineering Service or Infection Control Practitioner is responsible for answering questions related to this risk assessment.
Description of other areas► Administrative offices and classrooms
Major demolition and construction projects. Includes but is not limited to activities which require consecutive work shifts, heavy demolition or removal of a complete ceiling system and new construction.
D
Determine the level of the infection control classification necessary for the work by matching the construction activity with the designated risk group in the matrix below. This will identify the associated infection control procedures to be followed.
Low Risk
HIGHEST RISK Group 4 HIGH RISK Group 3
Class 3
1. Provide active means to prevent air-borne dust from dispersing into atmosphere with use of control cubes or other dust barriers.
2. Water mist work surfaces to control dust while cutting.
3. Seal unused doors with masking tape.
4. Block off and seal air vents.
5. Place walk-off mat or carpet at work area entrances to prevent tracking of construction dust into surrounding areas.
6. Remove or isolate HVAC system in areas where work is being performed.
7. EMS to be notified by ICP to wipe work surfaces and mop with disinfectant when project has been completed.
8. Complete all critical barriers, i.e., sheetrock, plywood, plastic, to seal area from non-work area or implement control cube method before construction begins.
9. Maintain negative air pressure (NPV) within the work site utilizing HEPA-equipped air filtration units.
10. NPV monitoring devices should be visible from outside the worksite and readings should be documented daily or more often as needed.
11. Contain construction waste before transport in tightly covered containers.
Tape covering unless solid lid. As above and:
12. Remove barrier materials carefully to minimize spreading of dirt and debris associated with construction.
13. Do not remove barriers from work area until completed project is thoroughly cleaned by Environmental Management Services Department and inspected by FMS, Safety and Infection Control.
1. Wet mop and/or vacuum with HEPA-filtered vacuum before leaving work area and wipe work surfaces with disinfectant.
2. Contain construction waste before transport in tightly covered containers. Tape may be used to ensure a tight cover.
3. Remove isolation of HVAC system in areas when work has been completed.
'As above and:
4. Remove barrier materials carefully to minimize spreading of dirt and debris associated with construction.
5. Do not remove barriers from work area until completed project is thoroughly cleaned by Environmental Management Services Department and inspected by FMS, Safety and Infection Control.
If YES, the the construction workers have a low risk of exposure to TB (End Assessment)
4. Is the construction located in an area where TB patients or suspected TB patients are located?
2. Will the work be conducted near exhaust systems for airborne isolation rooms?
If YES, is the exhaust HEPA filtered or can work be scheduled around when no TB patients are in the rooms served by the exhaust?
Status
No
NoIf NO, then the construction workers have a low risk of exposure to TB (End Assessment)
3. Is the construction area isolated from the patients (sheet rock walls, no patients traveling, waiting or treated in the area, the air handling system is separated from the patient care areas)?
Infection Control Nurse
If YES, then follow the precautions listed below to minimize or eliminate construction workers potential for TB Exposure.
EHRM Training and Admin Space Support
ICP Signature:
Date Assessed:
Construction Superintendent:
TB RISK ASSESSED
Class 3
Project Location:
If NO, then go to question #2.
TB RISK ASSESSED
1. Is the construction in an enclosed area where patients travel, wait or are treated?
Group Rating:
Low Risk
If NO, then the constructions workers have a low risk of exposure to TB. (End Assessement)
Old Auditorium Project Name:
Precautions to be taken to minimize construction workers potential for TB Exposure:
If NO, then go to question #4.
No
Yes
OKLAHOMA CITY VETERANS AFFAIRS MEDICAL CENTER
OKLAHOMA CITY, OKLAHOMA
CONSTRUCTION SITE RISK ASSESSMENT
FOR INFECTION CONTROL
MEDIUM RISK Group 2
Construction Activity/ Infection Control Matrix
LOW RISK Group I
TYPE D
Office Areas
Construction Activity
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