Infection Control Risk Assessment for Health Care

Master HEPA filtration, negative pressure containment, Legionella prevention, and ICRA compliance for hospitals

What you'll learn
Classify any healthcare construction project using the ICRA matrix and determine the correct infection control class, barrier type, and containment requirements
Set up and verify HEPA filtration systems, calculate ACH, measure delivered CFM with an anemometer, and establish negative pressure containment that protects pa
Perform smoke testing, particle counting, manometer verification, and produce documentation that meets Joint Commission and Cal/OSHA inspection standards.
Identify and prevent Legionella risks in construction-affected water systems including dead-end pipes, biofilm, stagnation, and temperature control protocols.

Requirements
Basic construction knowledge and familiarity with healthcare or institutional facility environments. No prior ICRA experience required.
Recommended background in construction management, safety, facilities engineering, or infection prevention. Course starts from fundamentals.
Internet access for online modules. In-person certification day requires physical attendance at a scheduled training location with equipment provided.

Description
Healthcare construction kills patients when it's done wrong. Aspergillus spores from a single containment failure have caused documented deaths in bone marrow transplant units. This course teaches you how to prevent that.

The ICRA Certification Program is designed for construction professionals, safety managers, infection preventionists, and facilities engineers who work in or around occupied healthcare facilities. Whether you're a general contractor bidding hospital renovation work, a superintendent managing a Class IV containment, or a safety professional overseeing ICRA compliance, this program gives you the technical knowledge and practical skills to protect patients and protect your career.

What You'll Learn
How to classify any healthcare construction project using the ICRA matrix — matching construction activity types to patient risk groups to determine the correct infection control class.

The engineering science behind containment — why barriers must extend to the true structural deck, how negative pressure works at the molecular level, and why 0.01 inches water gauge is both incredibly fragile and absolutely critical.

HEPA filtration systems — exhaust vs. recirculation configurations, the critical difference between scrubbing ACH and pressure ACH, how to measure actual delivered CFM with an anemometer, and why the nameplate number is always wrong.

Flex duct physics — why every 90-degree bend costs you 15-20 feet of equivalent straight run, and how to calculate real duct losses before you set up your containment.

Barrier construction and sealing — tape selection for 8 different substrates, why humidity destroys adhesion over time, the caulk-plus-tape standard for floor joints, and the 40+ ways your barrier can fail while you're not looking.

Legionella and water system protection — biofilm biology, dead-end pipe standards, the four conditions for colonization, why 118 degrees is in the danger zone, and the protocols that prevent waterborne patient exposure during construction.

Smoke testing, particle counting, manometer operation, and anemometer CFM measurement — the four instruments every ICRA professional must master.

Field emergency procedures — what to do when your HEPA filter dies on a Friday night, how to handle a worker injury with a simultaneous barrier breach, medical gas line puncture response, and the stop-work decisions that define your professional credibility.

Documentation that stands up to Joint Commission scrutiny — monitoring logs with real data, the 6-field IP communication report, and the HEPA documentation chain every project file needs.

California-specific requirements — the full regulatory stack from Cal/OSHA through HCAI/OSHPD to Title 24, and why your standard CGL policy probably doesn't cover Aspergillus claims.

Who this course is for
Construction superintendents and project managers working on hospital renovation and healthcare facility construction projects.
Safety professionals and risk managers responsible for ICRA compliance on healthcare job sites.
Infection preventionists who need to understand barrier construction, HEPA systems, and containment verification from the contractor's perspective.
Facilities engineers and maintenance supervisors at hospitals who coordinate with contractors during renovation and construction projects.
General contractors seeking ICRA certification to qualify for healthcare construction bidding where certification is increasingly required.