Infection Control During Construction - PowerPoint PPT Presentation

View by Category
About This Presentation
Title:

Infection Control During Construction

Description:

Infection Control best practices and control measures to take during Construction in medical centers and hospitals. – PowerPoint PPT presentation

Number of Views:362
Slides: 42
Provided by: ARAM0617
Category: Other

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: Infection Control During Construction


1
Infection Control During Construction
2
The Goal
3
Construction Team
  • The construction teams goal is to get the job
    done!
  • Contracts have to be followed.
  • Deadlines have to be met.
  • Coordinate sub contractors.
  • Supply management.
  • Follow Safety standards.

4
Objectives
  1. Role of Infection Control
  2. What infections have occurred related to
    infection?
  3. Infection Control Risk Assessment.
  4. The 5 priorities of Infection Prevention in
    Construction

5
Infection Controls role
  • The main goal of infection control is to protect
    patients, staff and visitors from healthcare
    associated infections. (HAIs)

6
Why do we need Infection Control?
  • There are many documented cases of healthcare
    associated infections traced back to
    construction.
  • When those construction projects were going on it
    was never the plan to cause someone to get an
    infection.
  • All construction projects bring risk.

7
Documented Aspergillus Infections
8
Documented Aspergillus Infections
9
Documented Aspergillus Infections
10
Documented Aspergillus Infections
11
It Takes us all to Do the Job Well
  • Construction Team
  • Construction Lead
  • COR
  • Construction Safety
  • Team
  • Infection Control is part of the Safety Team.
  • Dont wait for IC to fix the deficiency.
  • Safety requires all of us to be attentive to
    areas of risk.

12
Its mostly about the Dust
13
Aspergillus
  • Asperillus is a fungi.
  • The spores can live for extended periods.
  • Some of the places it is found in during
    construction
  • Improperly functioning HVAC
  • False Ceilings
  • Acoustic Ceiling tiles
  • Damp wood building materials
  • Elevator shafts

14
Who is at Risk?
  • For healthy individuals you will see allergic
    reactions, sinusitis and mild bronchitis.
  • For high risk patients that are immune
    compromised, It can be pneumonia or abscesses of
    lung, brain, liver, and skin and wound infections
  • Patients have died from these infections.
  • We have high risk patients in our hospital every
    day!

15
Aspergillus infections
16
It can be about the water too
  • Legionella bacteria have been isolated from soil
    and dust but are typically associated with
    aquatic environments.
  • Typical water sources in hospitals supporting
    colonization with Legionella bacteria are cooling
    towers, evaporative condensers, heated potable
    water systems, and heating and air conditioning
    systems.
  • During construction and renovation processes,
    water systems are often disrupted.

17
What needs to be Done?
  • ICRA Infection Control Risk Assessment
  • The ICRA should be completed by Infection
    Control, the COR and Construction lead before any
    work starts!
  • It is signed and posted at each worksite.

18
Start with the Project
19
ICRA Step Two
20
ICRA Step Three
21
Guidelines are listed by class
22
Guidelines listed by Class
23
Guidelines Listed BY class
24
Other Considerations
  • Are there other risks like patient/visitor
    traffic nearby?
  • Waste removal route?
  • Potential for water damage concerns?
  • Utility outages
  • Types of barriers and containment measures need
    to be clearly discussed.

25
Five areas of Concern
26
Containment of the Job Site
27
Containment of the Job Site
28
Containment of THE JOB site
  • Type of Barrier decided by
    It must be sealed to the deck.
  • Length of time of project.
    Dust travels!

29
Construction Breaches in our Facility
  • Patient consult room only protected by a drop
    ceiling while major demo was going on.
  • Opened to ceiling of our new Cardiology area

30
Construction Breaches in our facility
  • Construction Dust was found in a dental supply
    storage room adjacent to the construction site.
  • Barriers were applied after the breach was
    discovered but it was not completely sealed.

31
Exterior Construction Containment
32
Containment of the Job Site
33
Entry and Egress
34
Class IV projects require an anteroom
  • Aa


35
Containment and Transport
  • The cover must be taped if it is not solid.
  • It is important to clean the outside of the cart
    to prevent contamination outside of the job site.

36
Containment and Transport
37
Decontamination for the Crew
  • It is for the safety of the patients that you do
    not carry construction dust on your clothing or
    equipment out into the hospital.

38
Decontamination for the Crew
39
Clean Up the Work Site
  • Garbage must be taken out at the end of the work
    day.

40
Our Patients and Families Thank You!
41
References
  • http//www.ashe.org/advocacy/organizations/CDC/pdf
    s/assessment_icra.pdf
  • http//www.hpsc.ie/A-Z/Respiratory/Aspergillosis/G
    uidance/File,896,en.pdf
  • http//r.search.yahoo.com/_yltA2KIo9RpADtVEzwAVPO
    RnIlQ_yluX3oDMTByM2Jic2xkBHNlYwNjZC10aHVtYgRzbGs
    Dc25vYgR2dGlkAw--/RV2/RE1429958889/RO10/RUhttp
    3a2f2fwww.veoh.com2fwatch2fyapi-R2xd5JW1thE/R
    K0/RSBSANcTHG524oXFGVnJcgKdRmWyc-
  • https//www.emlab.com/s/sampling/env-report-02-201
    2.html
About PowerShow.com