ICRA 2.0 pressure monitoring built to clear the new bar.
PressurePro delivers the continuous, traceable negative pressure documentation that ASHE ICRA 2.0 Class IV and Class V healthcare construction containment now requires.
Why ICRA 2.0 pressure monitoring is now a baseline expectation in healthcare construction.
Approximately 5,000 secondary infections occur annually in U.S. healthcare facilities as a result of construction, renovation, and maintenance activities. The American Society for Health Care Engineering (ASHE) updated its Infection Control Risk Assessment to ICRA 2.0 in 2022, introducing a new Class V containment level and clearer mandates around air pressure monitoring, HEPA filter testing, and documentation.
For contractors working in hospitals, surgery centers, and long-term care facilities, the implication is clear: pressure documentation is no longer optional or sample-based. It must be continuous, traceable, and defensible — and increasingly, it's audited.
For the healthcare facility itself, the stakes are bigger. A documented infection traced to a construction project becomes a patient safety event, a regulatory issue, and potentially a litigation exposure. The pressure log is the first record reviewed.
What changed, and what it means for your pressure monitoring
ICRA 2.0 wasn't a minor revision. It changed how containment is classified, monitored, and documented in healthcare construction.
The highest containment tier
ICRA 2.0 introduced a Class V containment level for the most invasive work in the most sensitive patient environments. Class V requires the strictest monitoring and documentation.
Not sample-based
Class IV and V containment require continuous negative pressure verification — not periodic walk-throughs with a handheld gauge. The standard expects monitoring that doesn't stop when the crew goes home.
Audit-ready records
ICRA 2.0 emphasizes records that can withstand audit by infection prevention teams, regulatory inspectors, and joint commission surveyors. "We monitored it" is not the same as "here's the log."
Engineered for the documentation rigor ICRA 2.0 demands.
Healthcare containment is unforgiving. Equipment has to work when the crew isn't there, produce records that satisfy auditors, and not depend on cellular signal that may not exist in the basement of a hospital.
- Continuous logging — runs unattended through nights, weekends, and shift changes
- 16MB onboard storage — entire project history retained on-device, no cloud dependency
- NIST-traceable certification — meets the audit threshold infection prevention teams expect
- No cellular dependency — works in shielded basements, deep interior corridors, and dead zones
- Onboard printing — hard-copy logs available on demand for the project file and audit trail
- No subscription fees — clean line-item for capital budgets, no recurring OpEx surprises
Why hospitals are wary of cloud-connected monitoring
Cellular and cloud-based pressure monitoring has obvious appeal — until you're operating inside a healthcare facility's IT, security, and signal environment.
Signal dead zones
Cellular reliability in hospital basements, MRI-shielded areas, and deep interior corridors is unpredictable. A monitoring system that drops out has documentation gaps.
HIPAA and IT review
Cloud-connected equipment with data leaving the facility raises legitimate IT security and HIPAA questions. Local-only monitoring sidesteps the entire review.
Recurring contract costs
Cellular subscriptions are an ongoing OpEx line. PressurePro is a capital purchase with no recurring software or service fees.
Vendor dependency
If a cellular monitoring vendor changes pricing, service terms, or goes out of business, your equipment loses functionality. Local monitoring is independent of vendor health.
Documentation and standards reference
ICRA Class IV & V Pressure Monitoring
Detailed guidance on monitoring and documenting negative pressure for healthcare construction.
ComplianceNIST Traceability Explained
Why NIST traceability is the baseline for healthcare audit-ready documentation.
ProductPressurePro Specifications
Complete technical specifications, NIST certification details, and feature documentation.
Healthcare containment, documented to the standard.
See the PressurePro recorder, find a distributor, or talk to our team about fleet purchasing for healthcare construction programs.