CPWR ICRA – Training

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The CPWR – The Center for Construction Research and Training 8-hour ICRA awareness course provides the necessary training to understand the Infection Control Risk Assessment (ICRA) procedures for properly performing healthcare or other occupied facility construction and renovation tasks. In addition, participants will examine the practical use of ICRA tools including containment, negative air, HEPA filtration, and work practice techniques. The course uses a variety of adult education classroom activities to build upon the experiences participants have working in construction, maintenance, renovation, demolition, or healthcare facility environments.



  • Define ICRA and explain why it is used.
  • Describe how healthcare construction worksites differ from regular construction worksites.
  • Explain the importance of following work place rules and using designated areas for breaks, as defined by the ICRA.
  • Define Hospital Acquired Infections (HAI) and describe the Chain of Infection.
  • Identify common pathogens found in a healthcare setting and describe how they are transmitted.
  • Identify unique hazards specific to healthcare construction, including hospital utility systems and medical gas lines, and methods to avoid them.
  • Describe the steps used in the creation of an Infection Control Risk Assessment Plan.
  • Specify the specific infection control precautions used for the four classes of ICRA construction.
  • Identify different types of barriers used and guidelines for choosing them.
  • Describe the procedure for entering/exiting through an anteroom.
  • List the two main functions of a negative air machine in an ICRA work environment.
  • Describe appropriate methods for transporting trash, tools and materials from the workspace.
  • Identify potential hazards to workers in a healthcare setting.
  • Define life safety system and explain the use of Interim Life Safety Measures in a healthcare worksite.

Course Outline

  • Introduction
  • What is ICRA o Definition
  • o Regulations and guidelines governing ICRA o Facilities where ICRA applies
  • Differences between hospital construction and regular construction o Work practices o Work environment o Hospital Rules/policies
  • Hazards Unique to Healthcare Construction o Medical Gas lines o Glass Pipes o Helipads
  • 1
  • Hospital Acquired Infections o Definition o Chain of Infection
  • Developing the ICRA plan o Principles of infection control
    • Isolation/separation with barriers
    • Negative air pressure
    • Housekeeping o Three steps to development of ICRA plan
    • Identify the type of construction activity
    • Identify the patient risk group
    • Match the type of construction activity with patient risk group to determine the ICRA protection level (Class I, II, III, or IV)
  • ICRA Construction Practices o Dust/Pathogen Control
  • § Barriers
  • Mobile Containment Cubes
  • Soft wall systems
  • Hard wall barriers
  • Anterooms
    • Negative Air Pressure
    • Housekeeping
  • Sticky mats/Walk-off mats
  • Trash Carts
  • Equipment Carts
  • Potential Hazards to Workers o Biohazards o Asbestos o Lead o Mold o Medical equipment
  • Interim Life Safety Measures o Established when life safety systems are interrupted because of construction activities o Use daily inspection/checklist of Life Safety measures o Areas of focus
  • Posting Signs
  • Summary2
  • For more information please contact Gary Gustafson at CPWR, (301) 495-8535 or ggustafson@cpwr.com.

About the Author:

Jeremy Cromer FR/Organizer 6501 Massachusetts Avenue Indianapolis, IN 46226 (219) 246-4213 Office Phone (317) 522-4907 Fax Direct Extension 1013 jcromer@iupatdc91.org
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