1. BSA Health System, May 2009 Next Slide Previous Slide BSA HEALTH SYSTEM Infection 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

2. Previous Slide Next Slide BSA Health System, May 2009 HealthCare Facts 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. You Can Prevent Patient Harm

3. Previous Slide Next Slide BSA Health System, May 2009 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.

4. Previous Slide Next Slide BSA Health System, May 2009 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.

5. Previous Slide Next Slide BSA Health System, May 2009 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.

6. Previous Slide Next Slide BSA Health System, May 2009 Example of Containment for Ceiling Work

7. Previous Slide Next Slide BSA Health System, May 2009 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.

8. Previous Slide Next Slide BSA Health System, May 2009 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.)

9. Previous Slide Next Slide BSA Health System, May 2009 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.

10. Previous Slide Next Slide BSA Health System, May 2009 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

11. Previous Slide Next Slide BSA Health System, May 2009 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.

12. Previous Slide Next Slide BSA Health System, May 2009 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

13. Previous Slide Next Slide BSA Health System, May 2009 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