If you dont need the negative pressure component or just want to purify the air all the time regardless of construction status, you can opt for one of our, HEPAFORCE GermBuster Room Air Purifiers. Step 4: Identify the areas surrounding the project area, assessing potential impact. Do the plans allow for the required number and type of handwashing sinks?

Our first duty is to provide what you need to make that happen. And how about cleaning the air itself? The HEPACART AnteRoom Classic is like that screened-in porch. Type C activities include: Type D: Heres the serious stuff. Like Class III, it'll need an inspection by the Safety Department and Infection Prevention & Control Department and a cleaning by the Environmental Services Department. When done, clean up, unseal, turn HVAC back on, and go through regular cleaning measures. hbspt.cta._relativeUrls=true;hbspt.cta.load(224884, 'c5e37ca8-3873-4ac2-9e04-3c7f4d3206aa', {"useNewLoader":"true","region":"na1"}); There are four types of construction that the ICRA covers for hospital construction. 9k /N|.1IItHzRl' _"'"r,~^ _6rhT"s)h$:J[0_DN Nl"Rh;44l ?-:OlC!rQs[.Ix(Brn!dyH5sH>Q3o8o>+c7W'JrXauG_XuB-'` zTP\LoP7]P9Eva`5r%0FBu>eiAnf/}EJp[l V\UY9L}HPx-x|]zcfV|t@d='*z6lQkI/MQ. Step 9. >>.T~X`aT*Mb\t. <>

STARC Systems LiteBarriers and RealWalls are temporary walls you can put up to create an airtight seal and match to any sized space. AN_DI}%}Rb&1+V1";+fp. Now were getting to higher levels of dust. Sometimes you need to have a wall to protect people from the construction of a wall. (e.g., solids wall barriers) Will HEPA filtration be required? endstream endobj startxref No one gets in or out without a thorough inspection. You can set up some STARC walls and keep all the nastiness contained. Does the infection prevention and control staff agree with the plans relative to clean and soiled utility rooms? Cm40il:11\WO_p_lpl!Y?V?(:nY;Ba*Mb"?Rc[IWOnqL\/dmzbo^ uZ*JHc1_/E_':a!J&v ~"X5o\C;&s87r)( TYcWwG*uS9 {K;W Step 10. <>

Step 8. The classes are a bit too in-depth to go through here, but we'll give you a brief overview. word/_rels/document.xml.rels ( X]S1}L}c? b:StPmB67*3}!9s?qO A8F~P, This isnt some inescapable catch-22; it just means you need a different kind of wall. Sometimes its just easier to check something out for yourself. 1006 0 obj <>stream Your first duty is to keep your patients safe. / ? ICRA stands for Infection Control Risk Assessment. OD KOTeaOHh(}xJ"_>h1|2p .f B [Content_Types].xml ( Vo0Gw!#L5ksNB-%Rr}|>j|P"2I?$0 WAHmBV#A@Y"Z %wBK{.A0b`g(zK',Y/JLy'bN6n/2u 987 0 obj <>/Filter/FlateDecode/ID[<6C50DE391348D742875ACD1F4927B116><03FDCAF233DF634B9752E4F82D722CE3>]/Index[966 41]/Info 965 0 R/Length 110/Prev 155657/Root 967 0 R/Size 1007/Type/XRef/W[1 3 1]>>stream Plan to discuss the following containment issues with the project team. Identify issues related to ventilation, plumbing, electrical in terms of the occurrence of probable outages. This is where youll have the major demolition and construction projects. Its important we tell you this because many online articles assume you know every initialism or acronym. The. Type D activities include: Now you need to figure out which patient populations could be affected by the hospital construction work. Consider potential risk of water damage. Plus, the air will get scrubbed through a HEPA filter to remove 99.97% of contaminants at 0.3 microns. Does the infection prevention and control staff agree with the minimum number of sinks for this project? Type D activities include: Any work that requires many consecutive shifts. The screened-in porch allows them space to come and go without their four-legged canine sprinting toward the nearest neighbor uninhibited. Our first duty is to provide what you need to make that happen. b`08F-Fq&1]`(rIKAh_G00y/@LQ > This can include demolition projects and the removal of fixed building components and assemblies. hb```c`` Sometimes you need to have a wall to protect people from the construction of a wall. Step 11. These tasks shouldnt cause much dust or debris to enter the air, but theyre listed here because theres potential. ICRA guidelines are presented in a matrix that analyzes every possible source of dust or construction contaminant that can make its way through your hospital and how to keep that from happening. endobj (Verify against FGI Design and Construction Guidelines for types and area).

Vents are sealed, barriers are put up, and the room is made into a negative pressure area. If you dont need the negative pressure component or just want to purify the air all the time regardless of construction status, you can opt for one of our HEPAFORCE GermBuster Room Air Purifiers with or without UV-FORCE. Identify issues related to ventilation, plumbing, electrical in terms of the occurrence of probable outages. ; -ufI'EGfhlrPqA(Icat.{N% Let's put it this way you should be able to manufacture microchips right outside the construction zone. This isnt some inescapable catch-22; it just means you need a different kind of wall. endstream endobj startxref

Don't worry; there are only four of them, so you won't have to try to remember what C or L is in Roman Numerals. Type A: These are non-invasive activities. endstream endobj 44 0 obj <> endobj 45 0 obj <> endobj 46 0 obj <>stream %PDF-1.5 % `S___x CCR The difference between the two is that RealWalls are sturdier and have improved noise reduction (they also cost more than LiteBarriers, but you probably figured that). hb```<= ea rq1^_!Tgw[X'k$ .}5R0in` h`h`R. (e.g., traffic flow, housekeeping, debris removal plans), mobile containment and filtration units are compliant for all ICRA precaution classes, from I through IV. But, it's what's necessary to keep patients safe. 1 0 obj These tasks shouldnt cause much dust or debris to enter the air, but theyre listed here because theres potential. The difference between the two is that RealWalls are sturdier and have improved noise reduction (they also cost more than LiteBarriers, but you probably figured that). That's how much effort it will take to keep dust from getting out. Step 12. Lets go through the most critical steps of the ICRA guidelines. It keeps stuff from going where it shouldnt. 43 0 obj <> endobj are what you want. e`a`P8 @1V pcMwae~/p1WyAI2@a2q 0 - This is broken into four groups. Cutting into walls or ceilings where dust is easily controlled. So, you know how your friend with the dog has a screened-in porch? Like Class III, it'll need an inspection by the Safety Department and Infection Prevention & Control Department and a cleaning by the Environmental Services Department. Now it's connecting the dots and matching the Patient Risk Group with the Construction Project Type. STARC Systems LiteBarriers and RealWalls, HEPAFORCE AIR Negative Air Machines and Scrubbers, Download the Infection Control Risk Assessment (ICRA) Matrix here, HEPAFORCEAIR Negative Air Machines & Scrubbers, Healthcare Facility Construction & Renovation. It keeps stuff from going where it shouldnt. The only difference between the Classic and Auto Lift is that the Auto Lift raises and lowers with electric power. If you don't need the negative air machine, you can get the otherwise identical, So, you know how your friend with the dog has a screened-in porch? The AnteRoom sucks all that away and filters the air before expelling it. Plan to discuss the following containment issues with the project team. Vacuum everything, mop everything, and disinfect everything. x\[o~7o%W{FORqpEeJQI}gv%Ijy{7: {Q.#4 Ez|_H~|h&{8>p#($"wOp[C3x$o~H/r8>6Ul J. Type C activities include: Sanding walls in prep for paint or wallcovering, Removing floor coverings, tiles, and/or casework, Work that needs several shifts to complete. Again, youre going to be looking over the ICRA guidelines in detail for many years.

Both the HEPACART Classic and HEPACART Autolift mobile containment and filtration units are compliant for all ICRA precaution classes, from I through IV. Identify containment measures using prior assessment. These are non-invasive activities. PK ! In a non-healthcare associated office, if a wall needs to be torn down (or installed), employees can leave and come back when its safe.

Is there a risk due to compromising structural integrity? Step 13. Facility Management: ICRA Guidelines for Hospital Construction, In a non-healthcare associated office, if a wall needs to be torn down (or installed), employees can leave and come back when its safe. Step 14. Step 6. Vents are sealed, barriers are put up, and the room is made into a negative pressure area.

Class I (Green): Minimally invasive work; just clean up when you're done. The only difference between the Classic and Auto Lift is that the Auto Lift raises and lowers with electric power. % and examine the guidelines to see whats expected of hospitals undergoing construction. (e.g., traffic flow, housekeeping, debris removal plans). This is why, if youre a facility manager, you need to be familiar with the ICRA guidelines. endobj Class III (Purple): Now you're treating the room like a prison for dust. Here are steps 4 through 14 verbatim. They go from minor to significant in intensity and receive an associated letter. A bit more serious, take measures to keep dust from traveling through the air by sealing off places it could escape. s)'o(Aq#~,}MFx*4eo/xaZSv4>mY* ->9o%@hhB7p1NK6=\ o_wC]fF? When done, clean up, unseal, turn HVAC back on, and go through regular cleaning measures. :tRhI3HQ*;=y n yo[vrfA63[>_-K\NH!?|h0Gtv?i>34H8' PK !

Step 7. hbspt.cta._relativeUrls=true;hbspt.cta.load(224884, '9b345c66-5043-41c1-811f-3f6368283f45', {"useNewLoader":"true","region":"na1"}); Read more articles about infection control. 66 0 obj <>/Filter/FlateDecode/ID[<2A2FC26C8A2547AEF7B6345AC5934FA6>]/Index[43 39]/Info 42 0 R/Length 109/Prev 154533/Root 44 0 R/Size 82/Type/XRef/W[1 3 1]>>stream In a hospital, if the building needs renovation or other invasive work, patients cant go home for a few days or relocate to another part of the building. 2 0 obj Download the Infection Control Risk Assessment (ICRA) Matrix here and examine the guidelines to see whats expected of hospitals undergoing construction. Do the plans allow for the required number and type of handwashing sinks? v^Zfp;N((p=H:v{1T(Xp4Bghj,|+'eEh>#EJnbs MP_fQA=XQ`Pic|QMs;+@56 K[Cj4bxXS4 m+c1ENGk-S-+*&_2Q / |"TA yT.X!ZX>M'r\FT&HZE/_Mx/zq:Su1bzaSb>r>@Hf\4C*q IVb.OX'h? Do plans allow for an adequate number of isolation/negative airflow rooms? Type A activities include: Type B: This is short-duration work that will generate minimal dust. You can set up some STARC walls and keep all the nastiness contained. <>/Metadata 133 0 R/ViewerPreferences 134 0 R>> Step 5: Identify specific sites of activity (e.g., patient rooms, medication rooms, etc.). (Verify against FGI Design and Construction Guidelines for types and area). hbbd```b``f qdL `\{0[,{ ,rL>/T`v j [v%Ii`vd,H5? V Heres the serious stuff. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 20 0 R 21 0 R 22 0 R 23 0 R 24 0 R 25 0 R 26 0 R 29 0 R 30 0 R 31 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> %%EOF Negative pressure machines and scrubbers are built in to make sure no dust has a chance of getting out. %PDF-1.5 % 0 *TQ&*A;PuYHuH8"{ug8"5RZ958shn6wENEIJM1 x5)I+.eNip430Z PK ! Identify specific sites of activity (e.g., patient rooms, medication rooms, etc.). Do plans allow for an adequate number of isolation/negative airflow rooms? (e.g., wall, ceiling, roof). What types of barriers? Do not remove barriers from the work area until the completed project is inspected by the owner's Safety Department and Infection Prevention & Control Department and thoroughly cleaned by the owner's Environmental Services Department. stream endobj The screened-in porch allows them space to come and go without their four-legged canine sprinting toward the nearest neighbor uninhibited. Cardiology, echocardiography, endoscopy, nuclear medicine, physical therapy, radiology/MRI, respiratory therapy, CCU, emergency room, labor & delivery, laboratories (specimen), medical units, newborn nursery, outpatient surgery, pediatrics, pharmacy, post-anesthesia care unit, surgical units, Any area caring for immunocompromised patients, burn unit, cardiac cath lab, central sterile supply, intensive care units, negative pressure isolation rooms, oncology, operating rooms including c-section rooms.

This is when things get really serious. Type B activities include: Type C: Now were getting to higher levels of dust. Just seal it up against a doorway (a job that takes five minutes), then workers go in and out without bringing unwanted particles with them. When workers are done with construction, theyll still be covered in dust from the job. When done, don't remove any barriers until the inside is spotless. are temporary walls you can put up to create an airtight seal and match to any sized space.

And how about cleaning the air itself? Each Class of Precautions comes with a color code and a Roman Numeral. Negative pressure machines and scrubbers are built in to make sure no dust has a chance of getting out. is like that screened-in porch. Type B work is more invasive than Type A but is still relatively limited in terms of the scope of work. Now you're treating the room like a prison for dust. Your first duty is to keep your patients safe. Type A activities include: Removing ceiling tiles for inspection purposes (limit one tile per 50 feet), Any activity that doesnt generate dust, such as wallcovering, electrical trim work, or minor plumbing. U~ _rels/.rels ( J@4ED$Tw-j|zszz*X%(v6O{PI Does the infection prevention and control staff agree with the plans relative to clean and soiled utility rooms? That's a lot to remember and apply. In a hospital, if the building needs renovation or other invasive work, patients cant go home for a few days or relocate to another part of the building. Does the infection prevention and control staff agree with the minimum number of sinks for this project? When done, don't remove any barriers until the inside is spotless. If you want to create a negative pressure zone to keep harsh particles like asbestos and lead out of the air, then. Work hours: Can or will the work be done during non-patient care hours? 966 0 obj <> endobj hbbd```b``6 SA$df @$)>"9@ X=[0{&+H(0;H2'C30=@ n^ Class II (Yellow): A bit more serious, take measures to keep dust from traveling through the air by sealing off places it could escape. short-duration work that will generate minimal dust. }E* oQ;J\Qzo` %%EOF

(e.g., wall, ceiling, roof). Is there a risk due to compromising structural integrity? This is where youll have the major demolition and construction projects. Negative pressure, plastic seals over every crack, HEPA filtration units, the whole shebang. Sometimes its just easier to check something out for yourself. The construction work has to accommodate. Plus, the air will get scrubbed through a HEPA filter to remove 99.97% of contaminants at 0.3 microns.

@ g// 4 0 obj Hospital construction must somehow keep all the dust, fumes, contaminants, and unpleasant particles from reaching the sick and infirmed who may be mere feet away. If you don't need the negative air machine, you can get the otherwise identical DUSTBUGGY Classic. Consider potential risk of water damage. Identify the areas surrounding the project area, assessing potential impact. 3git)Tn: ho8}l1dz?X.s?~iCXIm,a8%&"jb("V$V!V<5"dZ"Z;"I&_Q*x=N*~41HIam6Pfm31:5w91:YD)_08#v :im>E&ceo>_^U7= =YepMz2A =h}EXgF wp=>=N'i|6q]z~Mre'ur qUe;[u`WY/7w/.f]5 t2>tgDMiojLQw zDhD3F.pA$eXu No one gets in or out without a thorough inspection. 0 Minimally invasive work; just clean up when you're done. 81 0 obj <>stream The construction work has to accommodate their needs. This can include demolition projects and the removal of fixed building components and assemblies. Now, let's talk about the tools you'll need to control construction dust. %PDF-1.7

Do not remove barriers from the work area until the completed project is inspected by the owner's Safety Department and Infection Prevention & Control Department and thoroughly cleaned by the owner's Environmental Services Department. 3 0 obj Type B work is more invasive than Type A but is still relatively limited in terms of the scope of work. Identify containment measures using prior assessment. Work hours: Can or will the work be done during non-patient care hours? "]RADG!5D:|Grx&Sy>z$|NENn"Kg)bL3+5u4!O4#)Sr=|Tfsry~sFnHQJ>g34mlW]aO^"%e&*SD'qwN6 )FhW'kFex"!TA: This will tell you the Class of Precautions. (e.g., solids wall barriers) Will HEPA filtration be required? If you want to create a negative pressure zone to keep harsh particles like asbestos and lead out of the air, then HEPAFORCE AIR Negative Air Machines and Scrubbers are what you want. ;"%GjB+0pA)PTO.$CeUD "Fpdyy")&1-"E6'SfM$ah !I}bAX@HpZZ`g,Xad?WB]a.4 `KDC,X^D]S=9s6G\H@ b:as.bbGn*(L Class IV (Red): This is when things get really serious. l3TiEp1MpkptH7#Pgadqv. Vacuum everything, mop everything, and disinfect everything. What types of barriers? The other steps are fairly short, so well breeze through them here. They're dust containment carts that can be placed underneath a ceiling and sealed up for safe, contained work.

They're dust containment carts that can be placed underneath a ceiling and sealed up for safe, contained work. Let's put it this way you should be able to manufacture microchips right outside the construction zone. That's how much effort it will take to keep dust from getting out. Its your job to straddle the line between keeping patients safe and making necessary upgrades to your building. Negative pressure, plastic seals over every crack, HEPA filtration units, the whole shebang.