Construction & Renovation within Your Facility ? Hajira Hafeez, - - PowerPoint PPT Presentation

Are You in the “Know” About Construction & Renovation within Your Facility?

Hajira Hafeez, BSc. Infection Control Practitioner Toronto East General Hospital Date: June 5, 2015

Conflicts

There has been no financial support for this research project

How do you know about Construction work in your facility??

• How many of you are missing or are not invited to the pre-planning stages
• f Construction work in your facility?
• Who feels they are usually involved when the Construction work has already

started?

• Who feels that they find Construction work on their way to the cafeteria?

My Journey…

• Read up on the CSA and CHICA/IPAC resources
• Made site visits and talked to other ICPs from other facilities
• Researched how other hospitals involved Infection Prevention and Control

(IPAC) in pre-renovation work

• One Common theme: Most ICPs are not involved in the crucial stages!!!

My Journey…

• What I realized was:
• Every hospital has it’s problems
• A structure in how to bridge those gaps was lacking

So What Do You Do When You Need Help??

Solution: CAA

• Customize
• Awareness
• Accountability

Customize

• Lets make the contractors life easier and hardwire a structured

system:

• Pre-determine each area of the hospitals “group level”
• Incorporated IPAC tool in the Hospitals Contractor Manual
• An IPAC one-on-one pre-renovation session with the Project Manager

was mandated

• 1. Infection Control During Construction, Renovation, and Maintenance of Health Care Facilities. Canadian Standards Association (2007). Tables

1-3

Area X Area X Area X Area X Area X A6 (Group 2) C6 (Group 2) E2 (Group 1) G7 (Group 3) J7 (Group 3) A5 (Group 3) C5 (Group 2) E1 (Group 3) G6 (Group 3) J6 (Group 4) A4 (Group 1) C4 (Group 2) EB (Group 1) G5 (Group 3) J5 (Group 3) A3 (Group 3) C3 (Group 2) G4 (Group 3) J4 (Group 1) A2 (Group 1) C2 (Group 3) F5 (Group 1) G2 Rehab (Group 2) J4 Catering (Group 3) A1 (Group 1) C1 (Group 1) F4 (Group 1) G2 Pacemaker clinic (Group 4) J2 (Group 4) AB (Group 1) CB (Group 1) F3 (Group 3) G1 Pediatrics (Group 3) J1 (Group 3) F2 Endoscopy(Group 3) G1 (Group 2) JB (Group 1) B6 (Group 4) D6 (Group 1) F2 Pre-op (Group 2) GB Pharmacy, CPD (Group 4) B5 (Group 3) D5 (Group 1) F1 minor surgery (Group 3) K 3 & 4 (Group 1) B4 (Group 2) D4 (Group 3) F1 (Group 1) H7 (Group 3) K2 (Group 4) B3 (Group 3) D3 (Group 1) FB (Group 1) H6 (Group 2) K1 (Group 3) B2 (Group 4) D2 (Group 3) H5 (Group 2) KB (Group 4) B1 (Group 1) D1 (Group 2) H4 (Group 3) BB (Group 1) DB (Group 1) H2 (Group 3) H1 (Group 3) HB clean linen area (Group 3) HB (Group 1)

Awareness

• Getting everyone else in the “know”
• Post the permit on the construction site
• IPAC contact information on permit
• Finally a weekly meeting with the Maintenance Supervisor/Manager

Accountability

• Let’s get key players involved and create accountability…
• Construction Education training day
• IPAC Construction Permit must be held by any Contractor doing work within
• ur facility
• Our tool required the Contactor/Project Manager to acknowledge and sign off
• n required class of Construction Activity
• A “check list” of what is required for that class of Construction Activity
• 2. Construction & Maintenance Infection Control in Healthcare Facilities. Pinchin Environmental (April 2013)

Construction Activity

Date

Location

Description of Project Signed PM Contact Permit Approved Hording Contractor Notes

13-May 15-May-13 J6- Resp. Storage / Office Space Replace re-heat valves x Faye Baisley

• ext. 3199

Y 3&4 May-13 A1- Tim Hortons Kiosk New Tim Hortons Kiosk x Doug Brown 289-259-2947 Y 3&4 Select Cowst 15-May-13 J6 Corridor- Doctors Lounge Receptable Installation x Faye Baisley

• ext. 3199

Y 3&4 15-May-13 H2 Lab Investigation Work x Faye Baisley

• ext. 3199

Y 1 16-May-13 H7- All Patient Washrooms Vent/ Grill Cleaning x Faye Baisley

• ext. 3199

Y 3&4 13-Jul 12-Jul J2 - CCU Floor Removal x Rene Ellinas

• ext. 3454

Y 3&4 Maystar Hording needs improvements 18-Jul-13 West Foyer West Foyer Gut + Reno x

• C. Heesters

905-746-5847 Y 2 Hady Issues with compliance with hording - Concrete cutting incident 13-Sep 17-Sep-13 Dialysis ISO Rooms Mould Abatement x Faye Baisley

• ext. 3199

Y 4 Coast to Coast 27-Sep-13 K1 Corridor,Mamo, Lounge Electrical- new installation x Faye Baisley ext.3199 Y 3&4 TEGH 27-Sep-13 A3 Soiled Utility Mould Abatement x Faye Baisley ext.3199 Y 3&4 Capital Constructors 27-Sep-13 H526 Ducto work investigation x Faye Baisley ext.3199 Y 3 TEGH 27-Sept-13 A3 Clean Utility Mould Abatement x Tony Martine ext.6497 Y 3&4 Capital Constructors 13-Oct 03-Oct-13 A3 Clean Utility Finishing Work x Faye Baisley ext.3199 Y 3&4 Maystar 13-Nov 12-Nov-13 D619-D618-D617 Demoing walls(opening walls for a door) x Carmen Mariano 416-805-0493 Y 2 Embassy Works well with IC 12-Nov-13 D600 Painting x Carmen Mariano 416-805-0493 Y 1 Embassy No Sanding 12-Nov-13 Basement F004 Remove tiles x Carmen Mariano 416-805-0493 Y 2 Embassy RemovetToilets.sinks,putting up 12-Nov-13 C4 Building Walls x Carmen Mariano 416-805-0493 Y 3 Embassy 13-Dec 04-Dec-13 F1 Demo,Closing up Doors x Carmen Mariano 416-805-0493 Y 3&4 Embassy 14-Jan 13-Jan-14 G1 Corridor Electrical work x Tony Martino 4-986-2600 Y Duplex 14-Jan-13 H4 Electrical work x Tony Martino 4-986-2600 Y Duplex 16-Jan-13 J2 Corridor Electrical work x Tony Martino 4-986-2600 Y 3 Duplex 29-Jan-13 G5 Floor Removal x Mike Hayne 4-986-2600 Y 3&4 Duplex Remove and Install carpet

Quality Improvement SURVEY

• In January 2014, a survey of all hired Contractors revealed…
• From May 2013-January 2014 our hospital hired 5 different Construction

Companies

Question 1:

• Have you ever done Construction or Renovation work in a hospital

before?

Results

• 4 out of 5 Contractors were NEW to Construction & Renovation

in Hospitals…

Quality Improvement SURVEY

Question 2: On a scale from 1 to 5 (1 being the lowest and 5 being the highest)

• How would you rate the overall method of using a Permit?

Results:

• Out of a total possible score of 25, our hospital scored 23…

Quality Improvement SURVEY

Question 3: On a scale from 1 to 5 (1 being the lowest and 5 being the highest)

• How would you rate the function and personalization of the IPAC

Surveillance tool?

Results

• Out of a total possible score of 25, our hospital scored 25…

Lessons Learned

• Misconception that contractors are experienced in IPAC guidelines
• Lack of structure and consistency between hospitals
• A team approach is best

In Conclusion…

When you use CAA:

The ICP is able to achieve a sense of transparency which was found valuable in

creating a system in where the ICPs no longer needed to “look” for Construction Projects… it came to them!

Special Thanks!!!

Hospital’s Referred to:

• Catherine Harlton-Strezov –

Mackenzie Health

• Paula Raggiunti & Jayshree Somani -

Rouge Valley Hospital

• Kasey Gambeta - St. Michael’s

Hospital Toronto East General Hospital:

• Faye Baisley, Maintenance Supervisor
• Tony Martino, Facility Services

Manager

• Janice Ward, RN, Manager,

Organizational Quality & Safety

• James Downey, PhD, MD, FRCPC

Infection Control Officer Consultant in Infectious Disease

Questions???

References

• 1. Infection Control During Construction, Renovation, and Maintenance of

Health Care Facilities. Canadian Standards Association (2007). Tables 1-3

• 2. Construction & Maintenance Infection Control in Healthcare Facilities.

Pinchin Environmental (April 2013)