CLC and Fourth Floor Elopement ICRA

VAMC WILMINGTON, DE

Step 1.

Infection Control Risk Assessment (ICRA)
Use the following chart to identify the Type of Construction Project Activity (Type A-D)

Inspect and Non-invasive Activities: Includes, but not limited to: Removal of ceiling tiles for visual inspection limited to 1 tile per 50 square feet Painting (but not sanding)
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

Type A

Type C

Small scale, short duration activities which create minimal dust: Includes, but not limited to: Installation of telephone and computer cabling
Access to chase spaces
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: Includes, but not limited to: Sanding of walls for painting or wall covering
Removal of floor covering, ceiling tiles and casework
New wall construction
Minor duct work or electrical work above ceilings
Major cabling activities
Any activity which cannot be completed within a single work shift

Type D

Major demolition and construction projects: Includes, but not limited to: Activities that require consecutive work shifts.
Requires heavy demolition or removal of a complete cabling system. New construction

Type B

Is it likely the Contractor's staff will be placed at risk for infection with tuberculosis? YES / NO Is it likely there will be physical disruption of the water system/lines during activity? YES / NO Selected Type of Construction: ___C___

Step 2. Using the following table, identify the Patient Risk Group that will be affected. Low Risk
Office areas

If more than one group is affected, select the higher risk group.

Medium Risk

Cardiology
Echocardiography
Endoscopy
Nuclear Medicine
Physical Therapy
Radiology/MRI
Respiratory Therapy

High Risk

CCU
Emergency Room
Laboratories
Outpatient Surgery
Pharmacy
Post Anesthesia Care Unit
Surgical Units

Highest Risk

Any area caring for immunocompromised patients
Cardiac Cath Lab
Central Supply
Intensive Care Units
Medical Units
Negative airflow rooms
Oncology
Operating Rooms

Step 3. Match the Patient Risk Group with the planned Construction Project Type (A, B, C, D) on the following matrix, to find the Class of Precautions (I, II, III, and IV) or level of infection control activities required.