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2. Albert Rolon
Project Manager/Operations Health Care
Oscar Rodriguez
Project Manager/Operations Health Care

3. References/Standards/Guidelines
• ASHE – Guidelines for design and Construction of
Healthcare facilities.
• ANSI/ASHRAE/ASHE- Standards 170-2008: Ventilation
of Health-Care Facilities
• Joint Commission 2009 – Environment of Care.
EC02.06.05: EP-1, EP-2 and EP-3
• Facility Guidelines Institute 2010
• AIA Guidelines -2001
• CDC Guidelines for Environmental Infection Control in
Health-Care Facilities.
• ACAC- American Council for Accredited Certification

4. Why is training required and so
important?

5. POSITIVE AIR PRESSURE RESULTS IN CROSS
CONTAMINATION OF DUST PARTICLES INTO THE
HALLWAYS AND ADJACENT PATIENT CARE AREAS.

7. WHY INFECTION / DUST CONTROL BARRIERS?
• HEALTHCARE FACILITY INFECTION CONTROL POLICIES AND
PROCEDURES DOCUMENTS REQUIRE IT. (ICRA)
• ARCHITECT FIRMS PUT IT IN THE PROJECT PLANS & SPECS.
• HELPS PREVENT AND REDUCE THE (HAI) HOSPITAL ACQUIRED
INFECTIONS BY PREVENTING CROSS CONTRAMINATION OF AIR
BORNE DUST PARTICLES. THE CONSTRUCTION SITE IS UNDER
HEPA FILTERED NEGATIVE AIR PRESURE THROUGHOUT
DURATION OF THE CONSTRUCTION PROJECTS.
• IC BARRIERS KEEP THE WORK SITE SAFE AND PREVENTS THE
UNAUTHORIZED ACCESS INTO THE CONSTRUCTION SITE.
• TO PROTECT THE HEALTH AND SAFETY OF YOUR
PATIENTS, STAFF, VISITORS AND WORKERS.

8. WHO NEEDS TO BE TRAINED AND AWARE
OF THE INFECTION CONTROL POLICIES AND
PROCEDURES???
 General Contractors and subs?
 Infection Control Services providers?
 Fire alarm and Sprinkler system vendor? (Siemens, Simplex,
 Cable, IT Network and Telephone vendor?
 Project Architects and designers?
 Facilities Maintenance? (HVAC, Plumbing, Painters, Electrical)
 Facilities Project coordinators? (FD&C)
 Facility Nursing Staff?
 Emergency Services Providers? (Plumbing/Remediator/Floods/Fires)

9. WHEN DO WE NEED TO BUILD
INFECTION CONTROL BARRIERS?
• Anytime when there is going to be dust creating construction
activities.
• Any remediation type work for Mold, Asbestos, Lead and Biohazard
clean ups.
• Drywall repairs.
• Emergency repairs and water floods and mitigation.
• Drains and Plumbing work.
• Fire restoration.
• Above ceiling work that requires ceiling tile removal or access above
through access doors.
Always consult the IC Nurse and Fill out an ICRA to determine the level of infection
control requirements per the facility Infection Control policy and procedures.

11. 1. Airborne infections can result in susceptible people
2. Exposures can result when microorganisms are released into the air
3. Microorganisms are found in “environmental reservoirs” such as soil,
water and dust
4. Microorganisms may be released into the air (become airborne) when
these environmental reservoirs are disturbed
5. Oral and nasal secretions from patients or other individuals may also
become airborne and are a source of pathogens such as tuberculosis.
6. These microorganisms may become a source of airborne “nosocomial”
infections (infections acquired in the hospital)

12. Germs that grow in soil, water, or dust
can make sick people even sicker

16. How do we Achieve ICRA Compliance
Utilize the ICRA MATRIX Work sheets to Identify the ICRA Permit Class Requirements.
Understanding of risk to the patients, staff, visitors and workers.
Identify all Construction Activities around the patient care population.
Identify all ILSM’s that need to be in place and train the staff on the ILSM’s
Knowing and understanding the facility infection control policy and procedures for construction
projects.
Communication and pre-construction meetings with the Facility Project Coordinators/Owners,
Safety Officer, IC Nurse, project architects, General contractors, Sub-Contractors and workers.
Providing education and training can make the contractor a partner, resource and driver for
infection control awareness, enforcement and improvements hospital wide. New contractors
may have no healthcare experienced and are not aware of the infection control
policy and indoor air quality issues involved with healthcare construction
renovations

23. ICRA Project Permit Samples

24. PICRA

25. Infection Control Risk
Assessment
BUILDING AIR FLOW

26. NEGATIVE ISOLATION
ROOMS WITH ANTE ROOM

27. NEGATIVE ISOLATION
ROOM HVAC SYSTEM

28. • FR VISQUEEN BARRIERS WITH ZIP POLES.
• FR COREPLASTIC WITH METAL STUDS AND
TRACKS.
• DRYWALL BARRIERS.
• FIRE RATED DRYWALL BARRIERS.
• ABOVE CEILING INTERSTITIAL BARRIERS.
• INFECTION CONTROL CUBES/PODS.

29. Barrier components

31. BUILDING THE INFECTION
CONTROL BARRIER

32. FR-COREPLASTIC
IC BARRIERS

34. FR-VISQUEEN
IC BARRIERS

35. Fire Rated Drywall Barriers

36. ABOVE CEILING
INTERSTITIAL BARRIER

37. HEPA NEGATIVE AIR
Negative air flow protects the environment outside of
the construction site.
 Move air from the construction site through HEPA
filtered negative air units and discharged outside.
 Always inspect the Pre filter, Ring panel and HEPA
Filters prior to installation.
 Verify air pressures in rooms adjacent to the work site.
 Maintain above: -0.01” - 0.20”. Use digital manometer.
 HEPA filters: 99.97% (DOP Tested or Verified)
 Exhaust outdoors when you can and for all remediation
type projects. Avoid utilizing the HVAC System.

38. 1,000
CFM
1,500
CFM
2,000
CFM
ALWAYS CHECK THE CONDITIONS OF THE HEPA FILTERS
AND VERIFY THE PARTICLE COUNT AT THE DISCHARGE

39. HEPA FILTER DAMAGED
DURING TRANSPORT
HEPA AIR UNIT
EXTREMELY DIRTY
DUE TO DUSTY
DRYWALL WORK.
IC CUBE WITH HEPA
NEG AIR UNIT

40. HEPA Verification

41. Negative Air Exhaust 100% Outside
WINDOWS REMOVED FOR EXHAUST INTERIOR LOUVER CAPS REMOVED
INTERIOR LOUVRE ABOVE CEILINGWINDOWS REMOVED FOR EXHAUST

42. HOW MANY NEGATIVE
AIR UNITS DO I NEED?

43. ??? QUESTIONS ???

44. Thank you!
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