PDC 406

Hygienists and Hospital Construction: Design to Commissioning





intermediate | Credits: 8 CM Credit Hours / 0.8 CEU / 0.5 CMP
Sunday, May 22 | 8:00 AM – 5:00 PM
Limit: 45


Construction, Healthcare, Risk Assessment and Management


Participants will understand the role of the industrial hygienist in a risk assessment team for hospital construction, be able assist in the identification and control of health risks, and validate the effectiveness of control measures. The course begins with a review of the standards and guidance documents, including the Joint Commission’s Environment of Care Standard, the FGI Guidelines for Design and Construction of Healthcare Facilities, and the newly published APIC Infection Prevention Manual for Construction and Renovation. We will then cover agents of concern including aspergillus, Legionella, and common control measures and testing methods used to validate control measures. We will discuss the role of the HVAC system in infection prevention, the potential impact of construction projects, and the benefits and potential risks associated with creating temporary negative pressure work areas. We will cover the complex topic of real-time particle counting, pressure differential monitoring, data interpretation, and PCR mold analysis methods. Risks to building water systems during construction will be covered including information available to assist in compliance with the newly published ANSI/ASHRAE/ASHE Standard 188-2015 Legionellosis: Risk Management for Building Water Systems. The session will use case studies and table-top exercises to illustrate successful implementation of team risk management approaches.


Participants should have basic understanding of environmental sampling methods, operations of plumbing and HVAC systems, managing construction health risk such as mold, the concepts of high-risk occupants in healthcare settings, and working in a specialized multi-disciplinary team.

Value Added

Participants will receive examples of commonly used pre-construction risk assessment tools, examples of spreadsheets used to compare real-time particle counting data, and a summary of the applicable Standards and Guidance documents.


Upon completion, participants will be able to:

  • Describe how the experienced IH can be an essential expert on the team and an excellent liaison between construction, clinical, and engineering.
  • List standards and guidance documents guiding construction risk assessments, detailing utility requirements and selection of control measures.
  • Identify the healthcare-associated infection risks construction projects may present.
  • Explain benefits and limitations of real-time instruments, air, surface, or water sampling in determining baseline conditions and monitoring the effectiveness of control measures.
  • Recognize how negative pressure containment in a highly engineered environment could temporarily alter critical infection-control design features.


  • Introduction to healthcare-associated infections (HAI) and the impact of construction on those HAI risks
  • Review of the standards and guidance documents available
  • Discussion of tools available to guide the risk assessment and selection of validation measures for various hazard controls
  • Discussion of common risk-mitigation measures and the potential risks these solutions may introduce
  • Discussions of various real-time and laboratory-based testing methods
  • Validating effectiveness of control measures during project scoping and design, work in progress and post-project testing
  • Real case study examples for hands on design, presentation, and discussions by groups
  • How the IH can be a facilitator in building an effective project team and leading the team to consensus on collection methods and criteria

Transfer of Knowledge

Instructors will evaluate participants understanding of the materials presented based on:

  • Practice exercises
  • Workshops
  • Group activities

Course Survey Link: https://www.surveymonkey.com/r/16PDC406

Sponsoring Committee

Construction, Healthcare Working Group