P09 OR Air Handlers Preliminary ICRA (002).pdf

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Z1DA--667-18-121 Upgrade & Replace Surgery HVAC System & Roofing
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36C25622R0065
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This document contains an Infection Control Risk Assessment (ICRA) for an upcoming construction project at the Overton Brooks VA Medical Center in Shreveport, Louisiana. The project, numbered 667-18-121, involves upgrading and replacing the surgery HVAC system and roofing. The ICRA classifies the project as a Type C activity based on the scope of work, which will generate a moderate to high level of dust and require demolition of fixed building components. The affected patient risk groups are determined to be high and highest risk, including operating rooms, intensive care units, oncology, and other areas where immunocompromised patients receive care. Based on the construction type and patient risk, the ICRA matrix circles Class III/IV precautions, the second highest level. The preliminary ICRA is approved, and will require a final signed ICRA to be posted at the construction site once awarded and during project execution.

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Overton Brooks VAMC

Infection Prevention & Control Construction Risk Assessment (ICRA)

*A preliminary ICRA is required for contracting purposes only; do not post during construction. The FINAL ICRA must be posted at the construction site.

Project: OR Air Handlers 667-18-121 Preliminary Assessment* by: Vickie L Moore Date:_2/2/2022_

FINAL ICRA Determined and Processed by: Final Date: ___

STEP ONE: CIRCLE the Type of Construction Project based on scope and expected activity (Type A-D)

TYPE

A

Inspection and Non-Invasive Activities. Includes, but is not limited to:

▪ removal of ceiling tiles for visual inspection only, e.g., limited to 1 tile per 50 square feet

▪ painting (but not sanding)

▪ wallcovering, electrical trim work, minor plumbing, activities which do not generate dust or require cutting of walls or access to ceilings other than for visual inspection.

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.

▪ Project Specific: Contracted asbestos abatement

TYPE

C

Work generates a moderate/high level of dust or requires demolition/removal of any fixed building components or assemblies Includes, but is not limited to:

▪ sanding of walls for painting or wall covering

▪ removal of floorcoverings, ceiling tiles and casework; new wall construction

▪ minor duct work or electrical work above ceilings

▪ major cabling activities

▪ any activity which cannot be completed within a single work shift.

TYPE

D

Major demolition and construction projects Includes, but is not limited to:

▪ activities which require consecutive work shifts

▪ requires heavy demolition, removal of a complete cabling system, or excavation

▪ new construction.

STEP TWO: CIRCLE the affected Patient Risk Groups. If more than one risk group will be affected, select the higher risk group.

Low Risk Medium Risk High Risk Highest Risk

▪ Office areas

▪ Kitchen storage area

▪ Public access, hallways, elevator

Lobby

▪ Non-clinical vacated engineering space

▪ Cardiology

▪ Echocardiography

▪ Endoscopy

▪ Nuclear Medicine

▪ Physical Therapy

▪ Radiology/MRI

▪ Respiratory

Therapy

▪ Kitchen – food preparation area

▪ Step Down Unit

▪ Emergency Room

▪ Laboratories (specimen)

▪ Medical Units

▪ Outpatient Surgery

▪ Pharmacy

▪ Post Anesthesia Care Unit

▪ Surgical Units

▪ Minor Procedure Rooms

▪ Sterile Supply storage/distribution

▪ Immunocompromised patient care areas

▪ Cardiac Cath Lab

▪ Sterile Processing Service

▪ Preparation Area

▪ Decontamination Area

▪ Intensive Care Unit

▪ Negative pressure isolation rooms

▪ Oncology

▪ Operating rooms

STEP THREE: Using the IC Matrix CIRCLE the Class of Precautions as determined by Construction Type and Patient Risk

Construction Project Type

Patient Risk Group TYPE A TYPE B TYPE C TYPE D

IC

M a tr ix LOW Risk Group I II II III/IV

MEDIUM Risk Group I II III IV

HIGH Risk Group I II III/IV IV

HIGHEST Risk Group II III/IV III/IV IV

Preliminary ICRA Approved Final ICRA Approved

2/2/2022

X Vickie L. Moore

Vickie L. Moore MA, CIC, VHA-CM

Infection Prevention Program Manager

Signed by: VICKIE L. MOORE 193380

X Vickie L. Moore MA, CIC, VHA-CM

Infection Prevention Program Manager

File details come from the government source that posted it. Updated .