Achieving Contractor Compliance with ICRA Requirements · Achieving Contractor Compliance with ICRA...
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![Page 1: Achieving Contractor Compliance with ICRA Requirements · Achieving Contractor Compliance with ICRA Requirements AIHCE 2006, Chicago, IL May 2006 Laurence Lee, CIH Pacific Industrial](https://reader031.fdocuments.us/reader031/viewer/2022022604/5b60bc0d7f8b9a45488b9662/html5/thumbnails/1.jpg)
Achieving Contractor Compliance with ICRA Requirements
AIHCE 2006, Chicago, ILMay 2006
Laurence Lee, CIHPacific Industrial Hygiene LLC
![Page 2: Achieving Contractor Compliance with ICRA Requirements · Achieving Contractor Compliance with ICRA Requirements AIHCE 2006, Chicago, IL May 2006 Laurence Lee, CIH Pacific Industrial](https://reader031.fdocuments.us/reader031/viewer/2022022604/5b60bc0d7f8b9a45488b9662/html5/thumbnails/2.jpg)
Achieving ICRA ComplianceConstruction compliance tools
• Specifications• Contract• Payment• Construction meetings• Life Safety meetings• Yelling, screaming, and threats
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Achieving ICRA ComplianceUnderstanding of risk
• Contractor not aware of the infection control and indoor air quality issues involved with healthcare construction
• Providing education and training can make the contractor a partner, resource, and driver for infection control improvements hospital wide.
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ICRA Training Basics#1. Construction can kill
• Fatal outbreaks of aspergillosis have been associated with construction worldwide
• Construction disrupts air flow patterns and generates dust that can be fatal to some of our patients
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ICRA Training Basics#2. Dust can kill
All construction generates dust
Assume all dust contains Aspergillus mold spores
Aspergillus spores in dust can kill immune compromised patients
These patients are in hospital
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ICRA Training Basics#3. Dust moves
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ICRA Training Basics#4. Negative air flow
saves lives
• Move air from clean to dirty• Stay within excess HVAC
system capacity (not too negative)
• Maintain 0.1” to 0.001”• HEPA filter• Exhaust outdoors
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ICRA Training Basics#5. Open ducts can kill• Isolate and seal all open construction area ducts
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ICRA Training Basics
#6. Barriers save lives
• Construct physical barriers to keep dust in and people out
• Gypsum wallboard, melamine panels, and plastic sheeting
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ICRA Training Basics#6. Barriers save lives• Seal above ceiling spaces
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ICRA Training Basics#7. Vibration impacts beyond the work area
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ICRA Training Basics#7. Vibration impacts beyond the work area
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ICRA Training Basics#8. Mold can killContractors will find mold wherever there is water
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ICRA Training Basics#8 Mold can kill
• Mold discovered during renovation of wet lab
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ICRA Training Basics#8 Mold can kill• Mold in building envelope during stucco reclad
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ICRA Training Basics#9. Protect building products from the elements
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ICRA Training Basics#10. Have a water
response plan
• Know how to shut off the water
• Secure a qualified drying contractor
• Track down all leaks
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ICRA Training Basics• #11. Anticipate water problems
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ICRA Training Basics• #11. Anticipate water problems
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ICRA Training Basics• #11. Anticipate water problems
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ICRA Training Basics• #12. Wipe your feet
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ICRA Training Basics#13. Eat someplace else• Clean up after yourself
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ICRA Training Basics#14. Be readily identifiable• In terms of ICRA performance the contractor can
be thought of as guilty until proven guilty
• Other vendors and facilities services are not as “visible” but may be the guilty party
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ICRA Training Basics• #14. Be readily
identifiable
• Contractor?• Cable vendor?• Telephone vendor?• Network vendor• Facilities?• Maintenance?
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ICRA Training Basics#15. Be a resource
• Contractor performance can motivate other hospital departments to improve their ICRA performance
• Aspergillosis rates reduced during 3 year gut and renovation of 4 floors of the Pacific Tower at the UWMC
Larson, EB. Academic Medicine. 2002 Oct;77(10):993-1000
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Thank you
Larry Lee, CIHPacific Industrial Hygiene LLC
5520 106th Avenue NEKirkland, WA 98033