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Infection Control Risk Assessment Guidelines
Identify the Type of Construction Project Activity (Types
A-D)
A on-inv!sive !ctivities" includin#" $ut not limited to%a.
Removal of ceiling tiles where no dust is expectedb. Painting, but
not sandingc. 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
B &m!ll sc!le" short dur!tion !ctivities 'hich cre!te
minim!l dust" includin# $ut not limited to%a. nstallation of
telephone and computer cablingb. Access to chase spacesc. !utting
of walls or ceiling where dust migration can be controlled.
! ork th!t #ener!tes ! moder!te to hi#h level of dust or reuires
demolition or remov!l of !ny *+ed$uildin# components or !ssem$lies"
includin# $ut not limited to%a. "anding of walls for painting or
wall coveringb. Removal of #oor coverings, ceiling tiles, and
caseworkc. $ew wall constructiond. %inor duct work or electrical
work above ceilingse. %a&or cabling activities
f. An' t'pe A, B or ! activit' that cannot be completed
within a single work shift.
( ,!jor demolition !nd construction projects" includin# $ut not
limited to%
a. Activities requiring heav' demolition or removal of a
complete cabling s'stemb. $ew construction
Identify the P!tient Risk Group th!t 'ill $e !ected. If more
th!n one risk #roup 'ill $e !ected" select the hi#her#roup. /or !ll
construction cl!sses" p!tients must $e removed from the room 'hile
'ork is performed.
0o' ,edium 1i#hAll outpatient clinics and o)ces,
exceptoutpatient transplant clinics and outpatientcancer center
clinics
All inpatient areas, except inpatient oncolog',bone marrow
transplant, adult oncolog', andpediatric oncolog'. *utpatient
transplantclinics and outpatient cancer center clinics.
npatient oncolog', inpatient bone marrowtransplant, inpatient
adult oncolog', inpatientpediatric oncolog', an' other areas caring
forimmunocompromised patients.
,!tch the P!tient Risk Group (0" ," 1) 'ith the Construction
Project Type (A" 2" C" D) to *nd the Cl!ss ofPrec!utions (I 3
4)
Construction Project TypeP!tient Risk Group Type A Type 2 Type C
Type D
0o' Risk I II I4 4
,edium Risk II (no cone" unless$urn p!tient 'ith
uncovered 'ounds ortr!nspl!nt)
III (no cone" unless$urn p!tient 'ith
uncovered 'ounds ortr!nspl!nt)
4 4
1i#h Risk II (cone5 pts. ,ust $eout of room5 this
includes lun#
tr!nspl!nt pts.)
I4 4 4
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Description of Reuired Infection Control Prec!utions $y
Cl!ss
Cl!ss Durin# Construction Project 6pon Completion of Project
Cl!ss I +. xecute work b' methods to minimi-e raising dustfrom
construction operations.
. mmediatel' replace ceiling tile if displaced.
Cl!ss II +. /igh Risk patients must remain out of room for
onehour after completion of work.
. xecute work b' methods to minimi-e raising dust.0. mmediatel'
replace ceiling tile if displaced.
+. Remove all visible debris with a wet towel and1or mop..
/ousekeeping to wipe work surfaces with disinfectant.
Cl!ss III +. xecute work b' methods to minimi-e raising dust..
mmediatel' replace ceiling tile if displaced0. Provide active means
to prevent airborne dust from
dispersing into atmosphere.2. Water3mist work surfaces to
control dust while cutting.4. "eal unused doors with duct tape.5.
Block o6 and seal /7A! registers and grills.8. Place dust mat at
entrance and exit of work area.9. !over construction waste before
transport in covered
containers
+. !over construction waste before transport in covered
containers.. Wet mop and1or vacuum with /PA :ltered vacuum
before
leaving work area.0. *pen previousl' sealed /7A! registers and
grills.2. /ousekeeping to wipe work surfaces with disinfectant.
Cl!ss I4 +. nstall plastic dust barriers to seal area from
non3work
area or implement control cube method ;cart withplastic covering
and sealed connection to work sitewith /PA vacuum for vacuuming
prior to exit< beforeconstruction begins.
. solate /7A! s'stem in areas where work is beingperformed to
prevent contamination of duct s'stem.
0. %aintain negative pressure within work site utili-ing/PA
equipped air :ltration units.
2. Place dust mat at entrance and exit of work area.4. !over
construction waste before transport in covered
containers.5. All work associated with a ma&or pro&ect
that has an
approved !RA authori-ation form will be assessed on
an individual basis.
+. !over construction waste before transport in covered
containers.
. (o not remove barriers from work area until a /ealth
"'stemresponsible person inspects completed pro&ect.
0. Remove barrier materials carefull' to minimi-e spread of dirt
anddebris associated with construction.
2. Wet mop and vacuum with /PA :ltered vacuum before leavingwork
area.
4. Remove isolation of /7A! s'stem in areas where work was
beingperformed.
5. /ousekeeping to wipe work surfaces with disinfectant.
Cl!ss 4 +. !onstruct g'psum board1metal stud dust
partition,extend and seal to ceiling.
. solate /7A! s'stem within work areas to preventcontamination
of duct s'stem.
0. "eal doors opening to ad&acent areas with duct tape.2.
Block o6 and seal /7A! registers, grills and an'
openings in ductwork to remain.4. %aintain negative pressure
within work site utili-ing
/PA equipped air :ltration units.5. Place dust mat at entrance
and exit of work area.8. !over construction waste before transport
in covered
containers.
9. All work associated with a ma&or pro&ect that has
anapproved !RA authori-ation form will be assessed on
+. !over construction waste before transport in covered
containers.. (o not remove barriers from work area until a /ealth
"'stem
responsible person inspects completed pro&ect.0. Remove
barrier materials carefull' to minimi-e spread of dirt and
debris associated with construction.2. Wet mop and vacuum with
/PA :ltered vacuum before leaving
work area.4. Remove isolation of /7A! s'stem in areas where work
was being
performed.5. /ousekeeping to wipe work surfaces with
disinfectant.
