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

2. 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.

3. ICRA Requirements
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.
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?

4. 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.

5. 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.
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

6. 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)

7. 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

8. 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:
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

9. Design Elements
Soap dispenser, sink

10. Design Elements

11. ICRA Compliance 1.2-3.3 Compliance Elements
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

12. Dust Control Measures 1.2-3.4 Infection Control Risk Mitigation
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

13. Prevention is the best cure