ATTACHMENT 7 - Infection Control Risk Assessment.pdf

This is a VHA Infection Control Risk Assessment (ICRA) template for construction, renovation, and maintenance activities in Department of Veterans Affairs healthcare facilities. The document provides a baseline framework for categorizing construction activities and determining required infection prevention and control precautions based on patient risk levels and activity scope.

The template uses a four-step completion process: (1) categorizing the construction/renovation/maintenance activity using Table 1 (Categories A through D, ranging from inspection and facility upkeep to large-scale construction exceeding six months); (2) identifying affected areas and associated patients using Table 2; (3) determining overall patient risk category using Table 3 (Low, Medium, High, or Highest Risk); and (4) determining the minimum level of infection prevention and control precautions using Table 4 (Levels I through IV). The document specifies required control measures for each precaution level, including dust containment, barrier construction meeting NFPA 241 requirements, negative pressurization maintenance, HEPA filtration, and worker PPE protocols. Completion measures upon project conclusion are detailed in Table 6, requiring HVAC system isolation verification, potable water flushing, and comprehensive area cleaning. An infection prevention and control permit is required for Level III and Level IV activities and must be posted at the activity site. Appendix A provides alternative interior construction space exhaust procedures with detailed monitoring and documentation requirements for facilities unable to exhaust directly to the building exterior.