Click on the PowerPoint one more time so the following questions appear:
What does “Code Blue” mean?
What does “Code Red” mean?
What does “Code Green” mean?
Ask the class
Would anyone like to answer the first question?
Explain that hospitals may have different codes. These will be explained in a
facility briefing when you start working on the job. You need to know what these
codes mean, and what to do when an alarm is announced. Some codes won’t
affect you, but some might require you to evacuate the building.
Working in a health care facility carries with it certain
NOTES FOR SLIDE 15
Before working in a health care
setting, all of your immunizations
should be current. To avoid getting
the hospital patients sick, it is very
important not to come to work sick.
Additionally, your supervisor should
be notified if anyone on your crew
becomes sick while working at a
health care facility.
The following are examples of immunizations workers should consider when
working within an ICRA environment:
Influenza vaccination (flu shot)
Tetanus, diphtheria, and acellular pertussis (Td/Tdap) vaccination
Varicella vaccination (Chickenpox)
Measles, mumps, rubella (MMR) vaccination
Hepatitis B vaccination
precautions are not working. Any illness or infection contracted at the facility
should be reported to the infection control department so they can take whatever
Examples of immune compromising conditions are:
Think about the various utilities and
medical devices in a hospital room, are there any unique hazards in these rooms
that are not found on typical construction hazards?
Mechanical, Electrical and Plumbing
systems are critical, and can’t be
Medical Gas Lines - Medical gas lines are an extra utility to be concerned with in
hospitals. You may encounter color-coded outlets, and lines inside the walls.
pressure “instrument air”
Glass Pipes - The glass is very resistant to chemicals
typically used for waste lines in hospitals and laboratories. You should assume
that these lines contain hazardous chemicals or biohazards.
Once the class has reviewed the hazards found in a hospital room ask
them if there are any unique hazards outside of the hospital that we need to
be aware of.
Helipads - Many hospitals have helipads, landing areas for ambulance
helicopters. If your construction project involves a crane or excavator, it must
lower its boom when a helicopter is operating nearby, as well as at the end of the
shift. Workers using aerial lifts near helipads must also watch for approaching
helicopters, the downwash could cause the lift to overturn.
Hospital-acquired infections or HAI,
is when a patient acquires, or gets,
an infection inside the hospital.
Does anyone have an example of a
hospital acquired infection that
happened to them or someone they
Limit the number of stories to one or two in the interest of time.
Hospital-acquired infections are a huge problem. HAIs occur in all settings of
care, including hospitals, surgical centers, ambulatory clinics, and long-term care
facilities such as nursing homes and rehabilitation facilities.
According to a study published online September 2, 2013 in JAMA Internal
According to the Centers for Disease Control (CDC), about 1.7 million hospital-
acquired infections occur each year and more importantly, about 99,000 hospital
patients die from HAIs each year.