Infection Control Risk Assessment Guidelines
Identify the Type of Construction Project Activity (Types A-D)
Non-invasive activities, including, but not limited to:
A
a.
b.
B
C
D
Removal of ceiling tiles where no dust is expected
Painting, but not sanding
c. Wall covering, electrical trim work, minor plumbing, and activities which do not generate dust or require cutting of walls or access to
ceilings other than for visual inspection
Small scale, short duration activities which create minimal dust, including but not limited to:
a. Installation of telephone and computer cabling
b. Access to chase spaces
c. Cutting of walls or ceiling where dust migration can be controlled.
Work that generates a moderate to high level of dust or requires demolition or removal of any fixed building components
or assemblies, including but not limited to:
a. Sanding of walls for painting or wall covering
b. Removal of floor coverings, ceiling tiles, and casework
c. New wall construction
d. Minor duct work or electrical work above ceilings
e. Major cabling activities
f. Any type A, B or C activity that cannot be completed within a single work shift.
Major demolition and construction projects, including but not limited to:
a. Activities requiring heavy demolition or removal of a complete cabling system
b. New construction
Identify the Patient Risk Group that will be affected. If more than one risk group will be affected, select the higher group. For all
construction classes, patients must be removed from the room while work is performed.
Low
Medium
High
All outpatient clinics and offices, except outpatient
transplant clinics and outpatient cancer center clinics
All inpatient areas, except inpatient oncology, bone
marrow transplant, adult oncology, and pediatric
oncology. Outpatient transplant clinics and
outpatient cancer center clinics.
Inpatient oncology, inpatient bone marrow
transplant, inpatient adult oncology, inpatient
pediatric oncology, any other areas caring for
immunocompromised patients.
Match the Patient Risk Group (L, M, H) with the Construction Project Type (A, B, C, D) to find the Class of Precautions (I – V)
Construction Project Type
Patient Risk Group
Low Risk
Medium Risk
Type A
I
II (no cone, unless burn
patient with uncovered
wounds or transplant)
High Risk
II (cone; pts. Must be
out of room; this
includes lung transplant
pts.)
Type B
II
III (no cone, unless
burn patient with
uncovered wounds or
transplant)
IV
Type C
IV
V
Type D
V
V
V
V
Description of Required Infection Control Precautions by Class
Class
Class I
1.
Class II
2.
1.
Class III
Class IV
2.
3.
1.
2.
3.
4.
5.
6.
7.
8.
1.
2.
3.
4.
5.
6.
Class V
1.
2.
3.
4.
5.
6.
7.
8.
During Construction Project
Execute work by methods to minimize raising dust from
construction operations.
Immediately replace ceiling tile if displaced.
High Risk patients must remain out of room for one hour after
completion of work.
Execute work by methods to minimize raising dust.
Immediately replace ceiling tile if displaced.
Execute work by methods to minimize raising dust.
Immediately replace ceiling tile if displaced
Provide active means to prevent airborne dust from dispersing
into atmosphere.
Water-mist work surfaces to control dust while cutting.
Seal unused doors with duct tape.
Block off and seal HVAC registers and grills.
Place dust mat at entrance and exit of work area.
Cover construction waste before transport in covered containers
Install plastic dust barriers to seal area from non-work area or
implement control cube method (cart with plastic covering and
sealed connection to work site with HEPA vacuum for
vacuuming prior to exit) before construction begins.
Isolate HVAC system in areas where work is being performed to
prevent contamination of duct system.
Maintain negative pressure within work site utilizing HEPA
equipped air filtration units.
Place dust mat at entrance and exit of work area.
Cover construction waste before transport in covered
containers.
All work associated with a major project that has an approved
ICRA authorization form will be assessed on an individual basis.
Construct gypsum board/metal stud dust partition, extend and
seal to ceiling.
Isolate HVAC system within work areas to prevent
contamination of duct system.
Seal doors opening to adjacent areas with duct tape.
Block off and seal HVAC registers, grills and any openings in
ductwork to remain.
Maintain negative pressure within work site utilizing HEPA
equipped air filtration units.
Place dust mat at entrance and exit of work area.
Cover construction waste before transport in covered
containers.
All work associated with a major project that has an approved
ICRA authorization form will be assessed on an individual basis.
Upon Completion of Project
1.
2.
Remove all visible debris with a wet towel and/or mop.
Housekeeping to wipe work surfaces with disinfectant.
1.
2.
Cover construction waste before transport in covered containers.
Wet mop and/or vacuum with HEPA filtered vacuum before leaving work
area.
Open previously sealed HVAC registers and grills.
Housekeeping to wipe work surfaces with disinfectant.
3.
4.
1.
2.
3.
4.
5.
6.
1.
2.
3.
4.
5.
6.
Cover construction waste before transport in covered containers.
Do not remove barriers from work area until a Health System responsible
person inspects completed project.
Remove barrier materials carefully to minimize spread of dirt and debris
associated with construction.
Wet mop and vacuum with HEPA filtered vacuum before leaving work area.
Remove isolation of HVAC system in areas where work was being
performed.
Housekeeping to wipe work surfaces with disinfectant.
Cover construction waste before transport in covered containers.
Do not remove barriers from work area until a Health System responsible
person inspects completed project.
Remove barrier materials carefully to minimize spread of dirt and debris
associated with construction.
Wet mop and vacuum with HEPA filtered vacuum before leaving work area.
Remove isolation of HVAC system in areas where work was being
performed.
Housekeeping to wipe work surfaces with disinfectant.