The Necessity of ICRA Protocols in Healthcare Facilities

Craig Schreiner • November 10, 2021

When it comes to working in the healthcare sector, most of us have heard of HBI, or Hospital-borne Infection. This is a serious issue for both those infected, as well as the healthcare professional tasked with treating these secondary infections acquired. These HBIs can be either bacterial or viral. Most often, these additional infections extend an individual’s hospital stay and can be potentially life-threatening. 


Therefore, there is an effort within our healthcare systems to reduce the risk of such secondary infections acquired while recovering in a hospital. This special process is referred to as Infection Control Risk Assessment, which is better known as ICRA for short. 


Defining ICRA 

ICRA is a multidisciplinary, organizational, and documented process, which used to determine the ICRA permit guidelines. With these guidelines in mind, our team determines where the work is going to be done and what type of work that will be done in the area or space, such as the OR, NICU, etc.


Then, you need to evaluate the work needing to be done, whether it is a mold, sewage or abatement project. Once both the area of the facility and the scope of work have been discussed, a permit is graded and given two different grades:

  • A letter grade, A-D: The letter is the type of work being done, the duration and the amount of dust, debris, noise involved. For instance, “A” would be an office removing a ceiling tile for an inspection, which is very non-invasive. On the other hand, “D” would be a large restoration or mold job requiring multiple crews. This project would take days or weeks and generate large amounts of debris and noise.


  • A number grade, 1-4: The number indicates the area of the hospital and what type of procedure or surgeries are performed there. For example, 1 would be an office area and 4 would be a NICU or post-operation recovery.


The reason I laid this out, is so that we can understand the vital roll pre-ICRA protocols play prior to actually starting the project. There are many departments involved in this process. These include, but are not limited to the safety department, facilities management, department managers, contractors and of course, the hospital or facility’s infection control team. 


Oftentimes, we do not consider the need for this process, because it doesn’t pertain to us. However, we do take this under consideration if there is an outbreak at a healthcare facility we are currently being treated in or will be soon be going to for a procedure, appointment or admittance. Most of the time, infection outbreaks are kept quiet and handled internally with little, if any, public awareness. 


Little Light Bulb Moment

Personally, I have had my own experience with how important ICRA implantation and compliance really is. One time, my father was gravely ill and I had to take him to the ER. Upon our arrival, the healthcare professionals found that he had some very serious conditions and needed further tests and treatments. Unfortunately, I had to leave him there for this to be done. 


Around 3:00 AM, I got a call from him and I immediately expected the worst. He asked me, “Son, are you working in the nuclear medicine department?” I said to him in reply, “Yes, why are you calling me, what’s wrong?” He then said, “your team built an awesome containment here!” This particular phone call was a huge light bulb moment for me!


My Dad knew what I did for a living and knew how containments were supposed to work and function. Honestly, it was at that moment when it confirmed to me how important my work was to the health and safety of patients and staff. Proper ICRA compliance was not only beneficial to my father, but to everyone else who had a loved one in the hospital. 


Our Team Works Hard for You

Here at Guarantee Restoration Services, our healthcare team works in a way that ensures the safety of hospital patients and personnel. Our team is always providing the very best ICRA-implementation throughout the entirety of each restoration project. In the end, this yields successful results and positive feedback from all our healthcare partners. 


Since 1974, GRS has been the leading property damage restoration company along the Gulf Coast. We are there for you 24/7, which is not just a number, it's a GUARANTEE. For emergencies, contact us at 800-349-HELP (4357).



Craig Schreiner serves as our Healthcare Division Manager. He has been with Guarantee Restoration Services since 2019. To connect with him, send him an email.

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FOR IMMEDIATE RELEASE Contact Information: Zack Klein Director of Marketing and Business Development 225-753-8682 Zack@247GRS.com Guarantee Restoration Services Launches National Sales Team to Expand Strategic Partnerships Across the Country BATON ROUGE, La. – June 16, 2026 – Guarantee Restoration Services (GRS), a leading full-service restoration contractor serving the Gulf Coast since 1974, is proud to announce the implementation of its new National Sales Team. This strategic initiative marks an exciting step forward in the company’s continued growth and commitment to serving clients and partners on a broader scale. The newly established team will be led by Barrett Dick, Director of National Sales, alongside Zack Klein, Director of Business Development and Marketing. Together, they have played a pivotal role in growing GRS relationships across multiple industries throughout the Gulf Coast and beyond for over a decade. The team also includes newly hired account executives, David Stern and Chad Catalano. “Over the years, we have seen our partnerships and opportunities continue to grow beyond our traditional footprint,” said Zack Klein, Director of Business Development and Marketing at Guarantee Restoration Services. “Creating a dedicated National Sales Team allows us to strengthen those relationships, support our partners on a larger scale, and continue expanding the reach of the GRS brand, while staying true to the service and responsiveness we are known for.” Dick, who will celebrate 10 years with GRS next month, brings extensive industry knowledge and leadership experience to the role. He holds multiple Institute of Inspection Cleaning and Restoration Certification (IICRC) credentials, including Water Damage Restoration Technician (WRT), Applied Structural Drying (ASD), Applied Microbial Remediation Technician (AMRT), and Fire & Smoke Damage Restoration Technician (FSRT). After graduating from Louisiana State University, Barrett began his professional career with Marucci Sports before joining Guarantee Restoration Services in July 2016. Just weeks into his time with the company, the historic Great Flood of 2016 impacted Southeastern Louisiana, providing him with firsthand experience managing large-scale losses and coordinating restoration efforts for major school districts and commercial clients. Since then, he has helped cultivate business development efforts throughout Louisiana and nationally, working closely with partners in hospitality, education, government, healthcare, and other commercial sectors. “Our focus has always been relationship-driven,” said Dick. “We want our clients and partners to know they have a team they can rely on before, during, and after a disaster. This National Sales Team is another way we are investing in those relationships and positioning Guarantee to better serve organizations wherever they need us.” As part of the expansion, GRS hired David Stern as a National Sales Account Executive. Stern brings more than a decade of high-level sales and relationship management experience from the professional sports industry. Prior to joining our team, he served with the New Orleans Saints and Pelicans organization, where he consistently ranked among the organization’s top sales representatives and generated more than $38 million in multiyear contracts throughout his career. “David’s experience of building relationships, managing high-profile partnerships, and delivering exceptional client service makes him a tremendous addition to our team,” added Klein. “His background and skillset align perfectly with the direction we are heading as a company.” The National Sales Team also includes Chad Catalano, who joined Guarantee Restoration Services in January 2026. Catalano brings nearly two decades of restoration industry experience, with a strong background in sales leadership, project coordination, and relationship development throughout the Southeast and Gulf South regions. Prior to joining GRS, Catalano served as National Sales Manager for ServiceMaster DSI and spent more than 16 years with US Restoration as a Sales and Project Coordinator. Throughout his career, he has built long-standing partnerships while helping clients navigate complex restoration and recovery projects. In addition to his restoration industry experience, Catalano also spent several years as a successful high school baseball coach in the New Orleans area, earning multiple district championships and Coach of the Year honors. His leadership, communication skills, and client-focused approach make him a valuable addition to the growing national team. Guarantee Restoration Services continues to serve clients across Louisiana, Mississippi, and Alabama with six locations in Baton Rouge, Lafayette, and New Orleans, Louisiana; Gulfport and Jackson, Mississippi; and Mobile, Alabama. With the implementation of its National Sales Team, GRS is further expanding its ability to support partners across the country through large-loss response, catastrophe recovery, and national account relationships. The company specializes in water, fire, mold, storm, and biohazard restoration, as well as reconstruction and pre-loss planning services. For more information about Guarantee Restoration Services, visit www.GuaranteeRestoration.com or call 1-800-349-HELP (4357).
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