BSA HEALTH SYSTEM Infection Control during Construction, Renovation, Repairs, and Maintenance

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BSA HEALTH SYSTEMInfection Control during
Construction, Renovation, Repairs, and
Maintenance

• All workers engaged in the construction,
  renovation, repair, and/or maintenance of BSA
  Facilities are responsible for providing a safe
  environment

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HealthCare Facts
You Can Prevent Patient Harm

• Construction, renovation, repair, and maintenance
  at BSA facilities is typically different than
  work at most other sites.
• Patients who are ill and have unhealthy immune
  systems are considered at risk patients.
• Thousands of patient deaths around the world are
  reported each year from infections acquired
  during a hospital stay.
• Construction dust and debris can be a source of
  infection.
• When you step onto a BSA site, you become an
  important member of our Team.

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Checklist for Infection Control during
Construction, Renovation, Repair and Maintenance

• Know the Infection Control Risk Assessment (ICRA)
  results. The Check list needs to be completed
  when working in a patient area or hallway
• Understand requirements for working in ceilings
  (including pulling wire)
• Establish dust and debris control.
• Maintain ventilation and environmental controls.
• Develop pedestrian and equipment traffic control.
• Schedule continuous work site clean up.

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Infection Control Risk Assessment (ICRA)

• BSA has strict guidelines to keep our patients
  safe.
• Plan ahead know the guidelines before the
  project begins.
• The ICRA is a process to determine
• the risk of patient exposure to dust and debris
  contamination
• and the classification of the work involved
• Impact on areas above, below and adjacent to the
  work site.
• Completion of the ICRA is the responsibility of
  the BSA Facility Services Department.
• Complete the ICRA in any patient area or hallway.
• Results of the ICRA determine the safest methods
  to be used in completing the work.

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Working Above the Ceiling

• The ceiling is a prime area for major dust and
  debris.
• Mold and bacteria grow above the ceiling.
• Infection Prevention Rules
• When looking above the ceiling for 5 minutes or
  less no containment is needed.
• If looking longer than 5 minutes or if working
  above the ceiling, (i.e., plumbing, replacing
  wiring, HVAC, cable pulls etc.) a containment
  MUST be used.

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Example of Containment for Ceiling Work
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Dust and Debris Containment

• Bacteria and other harmful germs travel in dust
  and can harm patients and hospital staff.
• If a job, (regardless of type), includes
  disturbing existing dust, or creating new dust,
  containment must be used.
• Doors should be closed and sealed with duct tape
  to prevent the dust and debris from escaping.
• If the work area cannot be contained by walls and
  doors, use a plastic, fire rated barrier and seal
  all seams with duct tape. Tape up any holes.
• If working in high risk area (ICRA 3 or 4) Hepa
  filter will be needed in the containment area.
• Reassess your containment area daily to assure
  dust is not escaping.

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Traffic Control

• Entry and exit routes must be limited to those
  openings that result in the least amount of
  exposure to patients, staff, and visitors. When
  possible use dedicated doors, elevators, and
  stairways.
• All trash must be completely covered when being
  removed from the work site. Watch for dust on the
  wheels of the cart also.
• Use the buddy system to clean dirt and debris
  from clothing to assure no dust is going out with
  you from the worksite ( a vacuum equipped a hepa
  filtration system can be used to remove dust
  from clothing.)

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Ventilation and Environmental Control

• If mandated by the ICRA, negative air pressure
  must be maintained in the construction area.
• Use of a Hepa Filter System, when possible, will
  help maintain negative air pressure.
• Supply ducts should be blocked off and return air
  ducts should be covered with pleated air filters.
• Exhaust fans may be used in conjunction with a
  Hepa Filter System and must run continuously.

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Clean up of Work Site

• Walk off or tacky mats/ wet towels must be used
  at the entrance and exit of each site.
• Workers are responsible for vacuuming walk-off
  dust mats frequently and as needed.
• Any dust or debris outside of the work site area
  must be vacuumed/damp mopped immediately
• Vacuum cleaners must be equipped with a Hepa
  filtration system

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Leaving Work Site

• What comes in, STAYS IN!! The dust on your
  clothing makes a difference. This dust can very
  easily be transferred from your clothes to a
  patient care environment
• When leaving the worksite on breaks or for meals,
  be sure to remove dust from clothes and shoes AT
  THE WORK SITE. Use the buddy system to make sure
  all dust is removed completely
• Make sure trash and equipment or covered before
  leaving work site.

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Removing Trash and Debris

• All debris removed from construction site must be
  covered.
• Roll wheels over sticky mat/wet towel to remove
  dust
• Follow path with least patient/visitor involvement

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Patient Safety is 1 at BSA

• As a member of our team, it is important that you
  join us in our commitment to make
• BSA a 100 SAFE HOSPITAL.
• Attention to details can help save patients
  lives

For questions call BSA Infection Prevention 212
2171