Infection Control Risk Assessment

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Presentation transcript:

Infection Control Risk Assessment Guidelines and Standards Richard Vogel - Infection Control Specialist

FGI Guidelines For new construction Minimum guidelines Source of information for ICPs in planning , design, and implementation of Infection Prevention and Control requirements in construction projects In 2014 edition. Infection Control (ICRA) is now included in the Safety Risk Assessment (SRA) Good reference.

ICRA Requirements 1.2-3.2.1 ICRA Requirement. For a health care facility project to support safe designs, HVAC/plumbing systems, and surfaces and finishing material selections, an infection control risk assessment shall be a part of integrated facility planning, design, construction, and commissioning activities and shall be incorporated into the safety risk assessment. 1.2-3.2.2 ICRA Considerations. At a minimum, the ICRA shall address the following: Design Elements Isolation Rooms HVAC needs Water/plumbing systems Surfaces and furnishings Construction Elements Infection Control Risk Mitigation Requirements Is water treatment needed? Copper/silver, high temp? Filtration –RO?

2010 FGI Guidelines 1.2-3 Infection Control Risk Assessment (ICRA) The infection control risk assessment is a multidisciplinary, documented assessment process intended to proactively identify and mitigate risks from infection that could occur during construction activities. This process identifies and takes into account the patient population at risk, the nature and scope of the project, and the functional program of the health care facility. The ICRA determines the potential risk of transmission of various air and waterborne biological contaminants in the facility YJC has adopted these guidelines. FGI requires that an ICRA be done for all construction/renovation projects.

2010 FGI Guidelines 1.2-3.1.1 ICRA Requirement 1.2-3.1.2 ICRA Timing For a health care facility project to support safe designs, finishes, surfaces, and HVAC/plumbing systems, an infection control assessment shall be a part of an integrated facility planning, design, construction, and commissioning activities. 1.2-3.1.2 ICRA Timing An ICRA shall be conducted during the early planning phase of a project, before construction begins, and continue through the project construction and commissioning. Get involved early. Architects? Only like pretty. Red Bag waste in millwork

2010 FGI Guidelines 1.2-3.1.4 ICRA Recommendations Based on the results of the initial stage of the ICRA, the owner shall provide the following recommendations for incorporation in the functional program: (1) Design recommendations generated by the ICRA (2) Infection Control Risk Mitigation Recommendations (ICRMRs)

Determining Dust Control Measures How big is the construction project? How ill/frail are the patients? STEP 3: Project Class In-patient area/ High risk ambulatory? Non-patient area? Ambulatory Patient / Patient access area? STEP 2: Identify the Risk Group Major renovation? Minor repair? STEP 1: Type of Construction

Design Elements 1.2-3.2 ICRA Considerations 1.2-3.2.1 Design Elements: The ICRA shall address, but not limited to covering, the following: 1.2-3.2.1 Design Elements: Airborne and Protective Isolation Rooms Hand Hygiene HVAC Surfaces and Finishes Impact on Water Systems Building techniques sheetrock. Architects. Soiled Utility, Isolation Rooms

Design Elements Soap dispenser, sink

Design Elements

ICRA Compliance 1.2-3.3 Compliance Elements 1.2-3.3.1 ICRA Documentation This written record shall remain an active part of the project documents for the duration of the construction project and through commissioning. Infection Control Risk Mitigation Recommendations (ICRMR) Monitoring Plan Daily/weekly checklist to verify described methods are in place Plans which describes specific methods by which transmission of contaminates will be avoided Barriers, negative pressure, sticky mats, HEPA filters, etc Communication Report checklist findings to Infection Control/Safety Committee Projects should have a project manager. May also be consultant, facilities manager. They should be responsible for a daily checklist and maintaining the site . IPC weekly

Dust Control Measures 1.2-3.4 Infection Control Risk Mitigation 1.2-3.4.1 ICRMR Planning Infection control mitigation recommendations (ICRMRs) shall be prepared by the ICRA team and shall, at a minimum, address the following: Patient placement Barriers and other protective measures Protection from demolition Training Debris and traffic flow Bathrooms and food for construction workers

Prevention is the best cure