The Infection Control Risk Assessment (ICRA) is a crucial document required for healthcare facilities operating in the Philippines, designed to comply with Department of Health regulations and standards. It becomes necessary when establishing new healthcare facilities, implementing major renovations, or conducting periodic risk reviews of existing operations. The assessment comprehensively evaluates potential infection risks, considering factors unique to the Philippine healthcare environment, including tropical diseases, local healthcare practices, and facility-specific challenges. The document incorporates requirements from Republic Act No. 11332, DOH Administrative Order No. 2020-0047, and other relevant Philippine healthcare regulations. It serves as a foundational document for developing infection prevention strategies, staff training programs, and emergency response protocols, while ensuring compliance with both local and international healthcare standards.
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1. Facility Information: Details of the healthcare facility including name, location, type of facility, and scope of services
2. Project Description: Overview of the construction/renovation project or facility assessment scope
3. Risk Assessment Methodology: Description of the methods and criteria used for risk assessment
4. Baseline Environmental Assessment: Current state of facility including existing infection control measures and environmental conditions
5. Hazard Identification: Comprehensive list of potential infection risks and hazards in the facility
6. Risk Analysis and Evaluation: Detailed analysis of identified risks including likelihood and severity ratings
7. Control Measures: Specific infection control measures and interventions to be implemented
8. Monitoring and Review Plan: Procedures for ongoing monitoring and periodic review of control measures
9. Emergency Response Procedures: Protocols for handling infection control emergencies and outbreaks
10. Training Requirements: Required training programs for staff on infection control measures
1. Construction Impact Assessment: Required for renovation or construction projects to assess impact on infection control
2. Special Population Considerations: Added for facilities serving immunocompromised or high-risk patients
3. Laboratory Safety Measures: Required for facilities with laboratory operations
4. Specialized Department Protocols: Added for facilities with specialized units like ICU, Burns Unit, etc.
5. Water Management Program: Required for facilities with complex water systems or history of waterborne infections
6. Air Handling and Ventilation Assessment: Added for facilities with specialized ventilation requirements
7. Isolation Facility Requirements: Required for facilities managing highly infectious diseases
1. Schedule A - Risk Assessment Matrix: Detailed risk assessment scoring templates and criteria
2. Schedule B - Infection Control Checklist: Daily/weekly/monthly checklist templates for monitoring compliance
3. Schedule C - Environmental Sampling Protocols: Procedures and frequencies for environmental monitoring
4. Schedule D - PPE Requirements: Detailed specifications for required personal protective equipment
5. Schedule E - Cleaning and Disinfection Protocols: Detailed procedures for routine and special cleaning
6. Appendix 1 - Incident Report Forms: Templates for reporting infection control breaches or incidents
7. Appendix 2 - Training Documentation: Training materials and completion record templates
8. Appendix 3 - Reference Standards: Relevant DOH guidelines and international standards referenced
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