Infection Control Risk Assessment (icra) Instructor Guide



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Infection Control Risk Assessment 

(ICRA) 

 

 

 

 

Instructor Guide 

Version II September 2016 

 

 



 


 

  

 



 

TABLE OF CONTENTS 



Background .......................................................................................................................... 4

 

General Information ......................................................................................................... 4

 

Purpose of the instructor guide ............................................................................................................. 4 



Teaching Materials ...................................................................................................................................... 4 

Suggestion for time management ......................................................................................................... 4 



Preparing for Class ............................................................................................................ 5

 

Lesson Plan ........................................................................................................................... 6



 

Welcome! ........................................................................................................................................ 6 

Goal of the ICRA Awareness Course ...................................................................................... 6 

Learning Objectives .................................................................................................................... 7 

What is ICRA?................................................................................................................................. 8 

Where is ICRA Used? ................................................................................................................... 9 

Hospital Construction is different ...................................................................................... 10 

Rules regarding how construction workers behave. ................................................... 11 

There are special hospital rules to comply with. .......................................................... 12 

Your job requires a level of confidentiality. .................................................................... 13 

There are specific hospital alarms you need to be aware of. .................................... 13 

Working in a health care facility carries with it certain risks. ................................. 14 

Hospitals hazards that are not on typical construction sites. ................................... 15 

Hospitals are concerned about hospital-acquired infections. .................................. 16 

Understanding the chain of infection can help with the prevention of infectious 

diseases. ................................................................................................................................. 17 

A pathogen is a substance that causes a disease. .......................................................... 17 

Serious infection or death can occur when mold spores are inhaled or enter the 

bloodstream. ........................................................................................................................ 18 

Bacteria can cause diseases in people with weakened immune systems. ........... 18 

Viruses are a type of pathogen. ............................................................................................ 19 

A pathogen is a substance that causes a disease. .......................................................... 19 

Aspergillus is common in the environment. ................................................................... 20 

Aspergillus fungus can cause an infection called aspergillosis. ............................... 21 

Legionella is a bacterium that can cause Legionnaires’ disease. ............................. 21 

Legionella can be found throughout healthcare facilities. ........................................ 22 

The reservoir is the environment in which the pathogen is found. ....................... 23 

Portal of exit means how the pathogen is released into the ambient air. ............ 24 

Pathogens are spread by three routes that are a concern for infection control. 24 

The Portal of Entry is the opening that allows the pathogen to enter the host. . 25 

Immunocompromised patients are most at risk during construction activities.25 

Examples of patients who are immune compromised. ............................................... 26 

ICRA is a planning tool to minimize hospital-acquired infections. ......................... 30 

The ICRA process does a lot of things beyond identifying risks. ............................. 31 

The ICRA plan will include a detailed list of precautions that must be followed.31 

Hospitals follow three steps in formulating the ICRA. ................................................ 32 

ICRA employs three principles to control the spread of infections. ....................... 32 




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