Which set of items should be included in an ICRA plan?

Which set of items should be included in an ICRA plan?

• A. The comprehensive list: project scope, space classifications, containment strategy, ACPH and pressure targets, PPE requirements, traffic flow, cleaning and waste plans, monitoring and auditing procedures, roles, training, and change control.
• B. Engineering controls and environmental cleaning only.
• C. Donning/doffing procedures only.
• D. Water safety only.

Answer: (A)

A comprehensive ICRA plan should integrate all aspects needed to prevent infection risk during construction, renovation, or other disruptive activities. Including the project scope and space classifications helps define what areas are affected and how they are risk-ranked. A clear containment strategy, with specific ACPH and pressure targets, sets the ventilation and physical barriers required to keep contaminants out of patient and clean zones. Detailing PPE requirements ensures staff know what protection is needed in different situations. Considering traffic flow helps minimize cross-contamination by guiding how people move through spaces. Cleaning and waste plans establish protocols for decontamination and disposal of potentially contaminated materials. Monitoring and auditing procedures provide ongoing verification that controls are working and catch deviations early. Defining roles and responsibilities, plus training, ensures everyone knows what to do, and change control lets the plan adapt safely if conditions change. The other options are too narrow. Focusing only on engineering controls and environmental cleaning misses administrative controls, training, monitoring, and change management. Donning and doffing procedures alone address PPE handling, not the broader containment, ventilation, or operational planning. Water safety concentrates on a specific domain that does not cover the full spectrum of infection control risks during construction.

A comprehensive ICRA plan should integrate all aspects needed to prevent infection risk during construction, renovation, or other disruptive activities. Including the project scope and space classifications helps define what areas are affected and how they are risk-ranked. A clear containment strategy, with specific ACPH and pressure targets, sets the ventilation and physical barriers required to keep contaminants out of patient and clean zones. Detailing PPE requirements ensures staff know what protection is needed in different situations. Considering traffic flow helps minimize cross-contamination by guiding how people move through spaces. Cleaning and waste plans establish protocols for decontamination and disposal of potentially contaminated materials. Monitoring and auditing procedures provide ongoing verification that controls are working and catch deviations early. Defining roles and responsibilities, plus training, ensures everyone knows what to do, and change control lets the plan adapt safely if conditions change.

The other options are too narrow. Focusing only on engineering controls and environmental cleaning misses administrative controls, training, monitoring, and change management. Donning and doffing procedures alone address PPE handling, not the broader containment, ventilation, or operational planning. Water safety concentrates on a specific domain that does not cover the full spectrum of infection control risks during construction.