Leopardo Companies Inc.
Acme Hospital
Leopardo Companies Inc.
Acme Hospital
Step 3: Match the Patient Risk Group (Low, Medium, High, Highes t) with the planned … Construction Project Type (A, B, C, D) on the following matrix, to find the … Class of Precautions (I, II, III or I V) or level of infection control activities recommended.
Step 2: Using the following table, identify the Patient Risk Groups that will be affected. If more than one risk group will be affected, select the higher risk group:
Class I-IV or Color-Coded Precautions are delineated on the following page.
Low Risk Office areas
Medium Risk
High Risk
High Risk
•
Cardiology Echocardiography Endoscopy Nuclear Medicine Physical Therapy Radiology/MRI Respiratory Therapy
Emergency Room Labor & Delivery Laboratories (specimen) Kitchen/Cafeteria Newborn Nursery Outpatient Surgery Pediatrics Pharmacy Post Anesthesia Care Unit Surgical Units
Any area caring for immunocompromised patients
IC Matrix - Class of Precautions: Construction Project by Patient Risk Construction Project Type
• • • • • • • • •
Burn Unit
Patient Risk Group
TYPE A
TYPE B
TYPE C
TYPE D
Cardiac Cath Lab
LOW
I I I
II II II
II
III IV IV
Central Sterile Supply
MEDIUM
III III III
ICU/CCU
HIGH
Medical Unit
HIGHEST IV Note: Infection Control approval will be recommended when the Construction Activity and Risk Level indicate that Class III or Class IV control procedures are necessary. II III
Negative pressure isolation
rooms
Oncology
Step 3: ________________________________________________________
Operating rooms including C-section rooms
Description of Recommended Infection Control Precautions by Class During Construction
Project Upon Completion of Project
Step 2: _______________________________________________________
CLASS I
1. Execute work by methods to minimize raising dust from construction operations. 2. Immediately replace a ceiling tile displaced for visual inspection 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. 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 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.
CLASS II
1. Wipe work surfaces with disinfectant. 2. Contain construction waste before transport in tightly covered containers. 3. Wet mop and/or vacuum with HEPA filtered vacuum before leaving work area. 4. Remove isolation of HVAC system in areas where work is being performed. 1. Do not remove barriers from work area until completed project is inspected by the owner’s Safety Department and Infection Control Department and thoroughly cleaned by the owner’s Environmental Services Department. 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..
CLASS III
PROJECT MANUAL – REV DATE: 7/04 SECTION 01170 – Infection Control Procedures
01170-7
ISSUE DATE: January 1, 2006
PROJECT MANUAL – REV DATE: 7/04 SECTION 01170 – Infection Control Procedures
01170-8
ISSUE DATE: January 1, 2006
Leopardo Companies Inc.
Acme Hospital
Leopardo Companies Inc.
Acme Hospital
CLASS IV
1. 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 before construction begins. 3. Maintain negative air pressure within work site utilizing HEPA equipped air filtration units. 4. Seal holes, pipes, conduits, and punctures appropriately. 5. Construct anteroom and recommend 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. 6. All personnel entering work site are recommended to wear shoe covers. Shoe covers must be changed each time the worker exits the work area. 7. Contain construction waste before transport in tightly covered containers. 8. 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 owner’s Safety Department and Infection Control Department and thoroughly cleaned by the owner’s Environmental Services Department. 2. Remove barrier material 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.
Step 9: Identify issues related to noise and vibration in terms of patient care and comfort, and the Effects to the facility.
Step 10: Work hours: Can or will the work be done during non-patient care hours?
Step 11: Do plans allow for adequate number of isolation/negative airflow rooms?
Step 12: Do the plans allow for the required number & type of handwashing sinks?
Step 13: Does the infection control staff agree with the minimum number of sinks for this project?
Step 4 : Identify the areas surrounding the project area, assessing potential impact Unit Below Unit Above Unit Adjacent Unit Adjacent Unit Adjacent Unit Adjacent Occupancy Type Activity Type
(Verify against AIA Guidelines for types and area)
Patient Risk Group Class of Precautions
Step 14: Does the infection control staff agree with the plans relative to clean and soiled Utility rooms?
Step 5: Identify specific site of activity eg, patient rooms, medication room, etc.
Step 15: Plan to discuss the following containment issues with the project team. i.e., traffic flow, housekeeping, debris removal (how and when).
Step 6 : Identify issues related to: ventilation, plumbing, electrical in terms of the occurrence of probable outages .
Step 7 : Identify containment measures, using prior assessment. What types of barriers? (i.e., solids wall barriers); Will HEPA filtration be recommended?
Step 16: Discuss the Facility’s emergency procedures as they relate to fire, wind, flood, code blue and other disasters. Identify potential barriers, resulting from construction, to those emergency procedures and the interim plans to bypass those barriers.
(Note: Renovation/construction area should be isolated from the occupied areas during construction and should be negative with respect to surrounding areas)
Identify and communicate the responsibility for project monitoring that includes infection control concerns and risks. The PCRA may be modified throughout the project. Revisions must be communicated to the Project Manager.
Step 8: Consider potential risk of water damage. Is there a risk due to compromising structural integrity? (eg, wall, ceiling, roof)
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PROJECT MANUAL – REV DATE: 7/04 SECTION 01170 – Infection Control Procedures
01170-9
ISSUE DATE: January 1, 2006
PROJECT MANUAL – REV DATE: 7/04 SECTION 01170 – Infection Control Procedures
01170-10
ISSUE DATE: January 1, 2006
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