Construction ABHR: Additions, Blueprints, Hoarding and Renovations. Jim Gauthier, MLT, CIC Senior Clinical Advisor, Infection Prevention
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- Kerrie Hall
- 5 years ago
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Transcription
1 Construction ABHR: Additions, Blueprints, Hoarding and Renovations Jim Gauthier, MLT, CIC Senior Clinical Advisor, Infection Prevention
2 Objectives Review dust barriers and Z remediation issues Discuss issues with larger construction projects Review Blueprint reading and interpretation
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4 Renovation/Construction Issues CSA Z ICRA Infection Control Risk Assessment Barriers Dusty Footprints People on site we don t know about! Tools!
5 Assistance Public Health Ontario Construction, Renovation, Maintenance and Facility Design Interest group has a toolkit: ousdiseases/ipac/pages/crmd.aspx Hint: Go to main website, type in construction and use first folder!
6 Z Under Review (again! 03, 07, 12) 108 Pages
7 Risk Assessments Preventative Measures Analysis Population Risk Groups
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9 Group 2 Medium Risk
10 Group 3 Medium to High Risk
11 Group 4 High Risk
12 Group 4 High Risk
13 Construction Activity Type A
14 Construction Activity Type B
15 Construction Activity Type C
16 Construction Activity Type D
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18 Preventative Measures Before Construction During Construction After Construction I II III IV
19 Barriers
20 Barriers To true ceiling (slab) Sealed For longer projects Drywall Magnehelic gauge 7 Pascals pressure differential
21 Unattended Tools
22 New Construction Multidisciplinary team Regular meetings Our training of their staff Their training of our staff Site inspections Demolition issues
23 Z Sec New Projects Category 1 New location: land that is i) geographically isolated from existing health care facilities; and ii) at a sufficient distance from existing health care facilities that the activities associated with construction will not in any way impair the air quality or water quality (with respect to pathogenic organisms, mould, bacteria, or dust) of another health care facility
24 Category 2 Existing Detached Construction of a new building on land that is geographically associated with an existing HCF building, but is not connected for the purpose of normal foot traffic
25 Category 3 Existing Connected Construction of a new building or addition that is directly connected to an existing HCF building (i.e., such that normal foot traffic is possible between buildings without going outside
26 Demolition
27 Geriatrics Offices Dialysis
28 Demolition
29 Demolition
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31 Geriatrics Separation Line
32 Windows
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34 Air Filters
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37 Separation Line Dialysis
38 Demolition Summary Understand the staging of the demolition Check barriers on your side of the construction Know your prevailing winds (use an indicator) Air intakes Secure, if necessary, areas where dust can come in
39 Dust
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42 Duct Work CSA Z Sec CSA Z317.2 HVAC and Healthcare Shipped sealed Sealed after assembly Cleaned before commissioning (NADCA General Specification for the Cleaning of Commercial, Heating, Ventilation and Air Conditioning Systems) National Air Duct Cleaners Association
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50 National Air Duct Cleaners Association
51 NADCA Visible clean All components Use of antimicrobial agent ONLY if active fungal growth is reasonably suspected All done within ducts under negative pressure HEPA filtered if air from negative pressure is dumped within building
52 Sealing the Building
53 Building Envelope
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64 Issues
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70 Issues Ask questions! We can t be expected to be contractors Watch for eye-rolling Take pictures Phones, camera Document E mail
71 Fire Proofing
72 Inspections As required Weekly once sealing in starts Frequency depending on stages and activities Drywall installation
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82 Sealing of Walls One side done first Outside walls insulated during brickwork on our project HEPA vacuumed Ducts, pipes above drywall ceiling dry wiped Don t be the only signatory
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90 Blue Prints Aren t blue! Aren t that confusing Need to take your time and ask questions Use references for orientation of plan
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101 Meetings, Bloody Meetings PSOS (Project Specific Output Specifications) Standards to which the new hospital will be built Operational standards after completion Includes Design construction standards Height of hand wash sinks Paint, surfaces Steel for framing Type of drywall
102 Equipment Plumbing Sinks, toilets, shower heads Furniture Pharmacy, Dentist, Kitchen Outdoor furniture Appliances Etc.
103 Operational Readiness More temporary positions Working to guide transition into new building Policies
104 Last Suggestion Track time! Excel sheet
105 Summary Intimidating Neat! Time Consuming Share our experiences!
106 Questions?