Aircuity White Paper Lab Ventilation ACH Rates Standards Guidelines ACHWP 20120103 2

Infection Control Risk Assessment
Matrix of Precautions for Construction and Renovation

Step One:
Using the following table, identify the Type of Construction Project Activity (Type A-D)
Inspection and non-invasive activities.

Includes, but is not limited to:
TYPE A - removal of ceiling tiles for visual inspection limited to 1 tile per 50 square feet
- painting (but not sanding)
- wallcovering, 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.
Small scale, short duration activities which create minimal dust

TYPE B - 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
TYPE C - sanding of walls for painting or wall covering
- removal of floorcoverings, ceiling tiles and casework
- new wall construction
- minor duct work or electrical work above ceilings
- major cabling activities
Major demolition and construction projects

TYPE D - activities which require consecutive work shifts
- requires heavy demolition or removal of a complete cabling system
- new construction
PATIENT RISK GROUP MATRIX
Step Two:
Using the following table, Identify the Patient Risk Groups that will be affected.
If more than one risk group will be affected, select the higher group:
Low Risk
- Non-Patient Care Offices
- General Traffic Areas
Medium Risk
- Patient Care Offices (Including patient waiting areas)
- Supply, Medication or Equipment Storage Areas (Related to Patient Care)
- Non-invasive Outpatient Diagnostic Study Areas ( examples outpatient breast imaging, outpatient CT areas,
outpatient MRI areas, outpatient echocardiography)
- Outpatient Treatment Areas Not Caring for Immunocompromised Patients (example outpatient physical
therapy areas)
High Risk
- All Inpatient Care Units (adult and pediatric)
- Clinical Laboratories (to protect specimen integrity)
- Pharmacy (all compounding areas)
- Sterile Processing, Sterile Storage
- Linen Storage
- Emergency Department
Highest Risk
- Intensive Care Units (all)
- Operating Rooms (all, including outpatient, labor and delivery)
- Invasive Diagnostic Procedure Areas (CVIR, Cath Lab, Endoscopy, Bodine Center)
- Bone Marrow Transplant Unit
- Inpatient and Outpatient Oncology Areas
Step Three: Match the
Patient Risk Group (Low, Medium, High, Highest) with the planned…
Construction Project Type (A,B,C,D) on the following matrix to find the…
Class of Precautions (I,II,IIIor IV) or level of infection control activities required.
Class I-IV Precautions are delineated on the following page.
IC Matrix - Class of Precautions: Construction Project by Patient Risk
Construction Project Type

Patient Risk Group TYPE A TYPE B TYPE C TYPE D
LOW Risk Group I II II III/IV
MEDIUM Risk Group I II III IV
HIGH Risk Group I II III/IV IV
HIGHEST Risk Group II III/IV III/IV IV
Description of Required Infection Control Precautions by Class
During Construction Project Upon Completion of Project

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

2. Immediately replace a ceiling tile displaced for
visual inspection.
1. Provide active means to prevent airborne dust 1. Wipe work surfaces with disinfectant.
from dispersing into atmosphere. 2. Contain construction waste before transport in
2. Water mist work surfaces to control dust while tightly covered containers.
Class II
cutting. 3. Wet mop and/or vacuum with HEPA filtered

3. Seal unused doors with duct tape. vacuum before leaving work area.
4. Block off and seal air vents. 4. Remove isolation of HVAC system in areas
5. Place dust mat at entrance and exit of work area. where work is being performed.
6. Remove or isolate HVAC system in areas where
work is being
1. Remove orperformed.
isolate HVAC system in area where
work is being done to prevent contamination of 1. Do not remove barriers from work area until
duct system. completed project is inspected by the owner's
2. Complete all critical barriers, i.e., sheetrock, Facilities Design and Construction Department and
plywood, plastic, to seal area from non work area thoroughly cleaned by the owner's Environmental
or implement control cube method (cart with Services Department.
plastic covering and sealed connection to work site
2. Remove barrier materials carefully to minimize
Class III
with HEPA vacuum for vacuuming prior to exit)

spreading of dirt and debris associated with
before construction begins.
construction.
3. Maintain negative air pressure within work site 3. Vacuum work area with HEPA filtered vacuums.
utilizing HEPA equipped air filtration units. 4. Wet mop area with disinfectant.
4. Contain construction waste before transport in 5. Remove isolation of HVAC system in areas
tightly covered containers. where work is being performed.
5. Cover transport receptacles or carts. Tape
covering
1. Isolateunless
HVACsolid lid. in area where work is
system
being done to prevent contamination of duct 1. Do not remove barriers from work area until
system. completed project is inspected by the owner's
2. Complete all critical barriers, i.e., sheetrock, Facilities Design and Construction Department and
plywood, plastic, to seal area from non work area thoroughly cleaned by the owner's Environmental
or implement control cube method (cart with Services Department.
plastic covering and sealed connection to work site 2. Remove barrier material carefully to minimize
with HEPA vacuum for vacuuming prior to exit) spreading of dirt and debris associated with
before construction begins. construction.
3. Maintain negative air pressure within work site 3. Contain construction waste before transport in
utilizing HEPA equipped air filtration units. tightly covered containers.
Class IV
4. Seal holes, pipes, conduits, and punctures 4. Cover transport receptacles or carts. Tape
appropriately. covering unless solid lid.
The following may be required. This will be 5. Vacuum work area with HEPA filtered vacuums.
determined by the patient risk group. 6. Wet mop area with disinfectant.
5. Construct anteroom and require all personnel to 7. Remove isolation of HVAC system in areas
pass through this room so they can be vacuumed where work is being performed.
using a HEPA vacuum cleaner before leaving work
site or they can wear cloth or paper coveralls that
are removed each time they leave the work site.
6. All personnel entering work site are required to
wear shoe covers. Shoe covers must be changed
each time the worker exits the work area.
Determining Work Area Ventilation Requirements
Use this chart to determine number of negative air units required.
Square footage of work area 253
Height of work area (In feet)
Number of air changes per hour 4

( 4 is default)
Capacity of negative air unit 2000

( 2000 cfm is default)
Number of units needed 0

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Infection Control Risk Assessment

Matrix of Precautions for Construction and Renovation

Inspection and non-invasive activities.

Small scale, short duration activities which create minimal dust

Major demolition and construction projects

Class I-IV Precautions are delineated on the following page.

IC Matrix - Class of Precautions: Construction Project by Patient Risk

Construction Project Type

During Construction Project Upon Completion of Project

dust from construction operations.

cutting. 3. Wet mop and/or vacuum with HEPA filtered

with HEPA vacuum for vacuuming prior to exit)

Square footage of work area 253

Height of work area (In feet)

Number of air changes per hour 4

Capacity of negative air unit 2000

Number of units needed 0

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