Table 6 Description of Required Infection Control Precautions by Class

CLASS 1

1. Execute work by methods to minimize raising dust from construction operations

2. Immediately replace a ceiling tile displaced for visual inspection

Clean work area upon completion of task.

CLASS 2

1. Identify the type of construction project

2. Identify those patients at risk area

3. Discuss with Department of Engineering, Department of Facilities, Department of Nursing, Department of OSHA and Contractor regarding control of dust generation, patient placement and putting up of barriers

4. Get infection control permit

1. Provide active means to prevent airborne dust from dispersing into atmosphere.

2. Water mist for work surfaces to control dust while cutting

3. Seal unused doors with duct tape

4. Block off and seal air vents.

5. Place dust mat at entrance and exit of work area.

6. Remove or isolate air handling system in areas where work is being performed

1. Contain construction waste before transport in tightly covered containers.

2. Wipe work surfaces with detergent and water/disinfectant forward areas.

3. Wet mop and/ or vacuum with HEPA-filtered vacuum before leaving work area.

4. Remove alterations of air handling system in the area where the work is being performed.

CLASS 3

1. Identify the type of construction project

2. Identify those patients at risk area

3. Discuss with Department of facilities, Department of Nursing, Department of OSHA and Contractor regarding control of dust generation, patient placement and putting up of barriers

4. Get infection control permit

1. Remove or isolate air handling system in area where work is being done to prevent contamination of duct system.

2. Complete all critical barriers i.e., sheetrock, plywood, plastic, to seal area from non-work area

3. Maintain negative air pressure within work site if necessary. Cease work immediately if negative pressure lost.

4. Contain construction waste before transport in tightly covered containers.

5. Cover transport receptacles or carts. Tape covering unless solid lid.

1. Do not remove barriers from work area until completed project is inspected by the Department of Engineering, Department of Infection Control, and thoroughly cleaned by Department of Facilities.

2. Remove barrier materials carefully to minimize spreading of dirt and debris associated with construction.

3. Vacuum work area including barriers with HEPA-filtered vacuums.

4. Wet mop area with water & detergent

/disinfectant in ward areas.

5. Remove alteration to the air handling system in areas where work is being performed.

CLASS 4

1. Identify the type of construction project

2. Identify those patients at risk area

3. Discuss with Department of Facilities Department of Nursing and Department of OSHA and Contractor regarding control of dust generation, placement of patients and putting up of barriers

4. Get infection control permit

1. Isolate air handling system in area where work is being done to prevent contamination of duct system.

2. Complete all critical barriers i.e., sheetrock, plywood, plastic, to seal area from non-work area

3. Maintain Negative air pressure within the work site. Cease work immediately if negative pressure lost.

4. Contain construction waste before transport in tightly covered containers.

5. Cover transport receptacles or carts. Tape covering unless solid lid.

6. Seal holes, pipes, conduits and punctures appropriately.

7. Construct anteroom and require all personnel to pass through this room so they can be vacuumed using HEPA vacuum before leaving the work site; or they can wear cloth or paper coveralls that are removed each time they leave the work site

8. All personal entering the work site are required to wear shoe covers. Shoe covers must be changed each time the worker exits the work area.

1. Do not remove barriers from work area until completed project is inspected by Department of Engineering, Department of Infection Control and thoroughly cleaned by Department of Facilities

2. Remove barrier materials carefully to minimize spreading of dirt and debris associated with construction.

3. Contain construction waste before transport in tightly covered containers.

4. Contain transport receptacles or carts. Tape covering unless solid lid.

5. Vacuum work area with HEPA-filtered vacuums.

6. Wet mop area with disinfectant.

7. Remove isolation of air handling system in areas where work was performed.

Pre-Construction

During Construction Project

Upon Completion Project

CLASS 2, 3 & 4

1. Put on air conditioning full blast for 2 days

2. Lock doors to prevent intruder

3. Final walk through inspection

4. Observe if any dust on furniture

5. Review effectiveness of any problems noted before

6. Air sampling if necessary.