HOSPITAL RENOVATION IN OCCUPIED SPACE

Every project starts with an Infection Control Risk Assessment run with the facility's infection prevention team before a wall opens. That sets the containment class, and containment is not a suggestion: sealed barriers, negative pressure with HEPA filtration, monitored and logged daily, anterooms where the ICRA calls for them, and debris routed so it never crosses a patient corridor. When a rated barrier is breached or an exit path is affected, Interim Life Safety Measures apply: documented alternate egress, temporary fire watch where detection or sprinklers are impaired, and a plan that holds up when the inspector asks about it. Shutdowns get scheduled with the department, not around it, and most of the invasive work happens off-hours.