Chapter 19 - Health Care

Question 1

Examples of _____ areas in a hospital include visitor waiting areas and public elevators.

a. On-stage
b. Off-stage

Answer 1

a. On-stage

p 19-21

On-stage areas consist of visitor waiting areas, certain patient rooms and floors, retail pharmacy, cafeteria, public elevators, emergency department, public restrooms, and corridors that connect public areas.

Off-stage areas consist of procedure rooms, clean rooms, morgue, materials management, pathology, medication rooms, pharmacy, utility spaces (mechanical, electrical, and IT), physician locker rooms, and other spaces deemed off-limits to the public.

Question 2

___ archiving and communication system is an application used in health care facilities for storing and viewing captured digital radiology image files.

a. Scanner
b. Image
c. Digital
d. Picture

Answer 2

d. Picture

p 19-28

PACS is an application used for storing and viewing captured digital radiology image files from various modalities (e.g., MRI, CT scans).

Question 3

Newer ultra wideband active radio frequency identification (RFID) systems operate in the ___ frequency range.

a. 6.2 to 11 GHz
b. 4.8 to 8 GHz
c. 3.1 to 10 GHz
d. 2.4 to 5.8 GHz

Answer 3

c. 3.1 to 10 GHz

p 19-30

Active-based RFID systems typically operate in the 2.4 to 5.8 GHz frequency range with a range of ≈1 to ≈2 m (3.28 to 6.6 ft) and operate over a WLAN or via Bluetooth standards.

Newer ultra wideband active RFID systems can have a range up to ≈200 m (656 ft) and operate in the 3.1 to 10 GHz range.

Question 4

The EF shall have minimum dimensions of ___ ft, which may be dictated by the AHJ.

a. 10 x 10
b. 10 x 16
c. 12 x 14
d. 12 x 16

Answer 4

c. 12 x 14

p 19-2

Each hospital shall have at least one EF that is dedicated to the telecommunications function and related support facilities. Some AHJs may require two EFs.

Question 5

TEC is the terminology commonly used in the health care design industry and is similar to the __ in a telecommunication space.

a. TR
b. ER
c. EF

Answer 5

b. ER

p 19-2

TEC is the terminology commonly used in the health care design industry and is similar to the ER and maintenance center in other environments.

Question 6

The TEC shall be located a minimum of ___ ft from any transformer, motors, X-ray, induction heaters, radio systems, MRI, or other sources of EMI.

a. 10
b. 12
c. 14
d. 16

Answer 6

b. 12

p 19-3

Question 7

UL ___, Standard for Hospital Signaling and Nurse Call Equipment, sets the minimum requirements for nurse call system functionality.

a. 949
b. 1069
c. 1159
d. 1669

Answer 7

b. 1069

p 19-10

Question 8

A bedside station is a wall- or table-mounted device at the head of a patient’s bed that provides connections for ___ pillow speaker(s).

a. 1
b. 2
c. 1 or 2
c. 2 or 3

Answer 8

a. 1 or 2

p 19-13

Question 9

Which of the following type of nurse call station can be used only on AV nurse call systems.

a. Bedside station
b. Code call station
c. Bed interface
d. Pillow Speaker

Answer 9

c. Bed interface

p 19-15

Other station that can be used only on AV nurse call systems are:

• Staff stations
• Staff register station
• Tamper-resistant ceiling microphone
• Tamper-resistant hall station

Question 10

It is not best practice to keep the nurse call system headend equipment isolated from the network and telephone system.

a. True
b. False

Answer 10

a. True

p 19-16

Active control hardware for a nurse call system typically is housed in a centrally located room such as a TDR. It is NOT best practice to keep the nurse call system headend equipment isolated from the network and telephone system.

However, Nurse call systems typically are required to be electrically ISOLATED from all other systems. Nurse call systems have interfaces that allow the system to remain electrically isolated and communicate with other systems.

Question 11

___ lights display and sound an alarm if any room or combined rooms have an alarm condition.

a. Corridor
b. Zone

Answer 11

b. Zone

p 19-17

Zone light is to provide staff with a summary of multiple corridor light rooms or areas. Zone lights display and sound an alarm if any room or combined rooms have an alarm condition. In multiple corridor-nursing units, zone lights shall be installed at the intersections of corridors

Question 12

The active wireless spectrum found in a hospital is broad and diverse. Frequency ranges from ___ MHz to ___ GHz are commonplace in most health care settings for a variety of systems.

a. 150, 6
b. 900, 5
c. 2400, 6
d. 900, 6

Answer 12

a. 150, 6

p 19-24

Question 13

Wireless medical telemetry RF spaces in the United States are issued by the FCC; therefore, all individual licenses are required to operate a WMTS device.

a. True
b. False

Answer 13

b. False

p 19-25

Because the WMTS is licensed by rule, an individual license is not required to operate a WMTS device.

Question 14

Nurse call system zone lights used in multiple-corridor nursing units shall be installed at _____ of corridors.

a. Both ends and the midspans
b. The midspans
c. Both ends
d. The intersections

Answer 14

d. The intersections

p 19-17

In multiple corridor-nursing units, zone lights shall be installed at the intersections of corridors.

Question 15

Most passive-based radio frequency identification (RFID) systems typically operate in the _____ frequency range.

a. 4.8 to 8 GHz
b. 2.4 to 5.8 GHz
c. 902 to 928 MHz
d. 750 to 762 MHz

Answer 15

c. 902 to 928 MHz

p 19-30

Most passive-based RFID systems operate in the 902 to 928 MHz range, with an ≈0.91 to ≈1.83 m (3 to 6 ft) range and are considered UHF.

Question 16

In the United States, the “Guidelines for Design and Construction of Hospital and Health Care Facilities” is published by the:

a. Healthcare Information and Management System Society (HIMSS)
b. American Society for Healthcare Engineering (ASHE)
c. American Hospital Association (AHA)
d. American Institute of Architects (AIA)

Answer 16

d. American Institute of Architects (AIA)

p 19-38

AIA—The publisher of Guidelines for Design and Construction of Hospital and Health Care Facilities, commonly referred to as the AIA Guidelines. Conceived as minimum construction requirements for hospitals

Question 17

In a healthcare facility, code call systems are always integrated into a nurse call system.

a. True
b. False

Answer 17

b. False

p 19-20

Code call systems are used in health care facilities to enable staff members to request assistance in emergency situations. The systems can be integrated into a nurse call system or installed as a stand-alone system. This stand-alone application is common to outpatient facilities.

Question 18

___ are one of the most technology-dependent areas within a healthcare facility.

a. ORs
b. ERs
c. ICUs
d. CCUs

Answer 18

a. ORs

p 19-26

ORs are one of the most technology-dependent areas within a health care facility. The need for instantaneous information from multiple sources is critical in the dynamic, minute-tominute environment of the surgical suite.

Question 19

Medium sized conference rooms that seat between ___ and ___ people should have a minimum of one and preferably two video displays within the room

a. 5, 10
b. 10, 40
c. 15, 30
d. 5, 20

Answer 19

b. 10, 40

p 19-26

Medium sized conference rooms that seat between 10 and 40 people should have a minimum of one and preferably two video displays within the room, depending on the dimensions of the room.

Question 20

The chip and the antenna together are called an RFID ___ or an RFID ___

a. Transponder or tag
b. Tag or transmitter
c. Transmitter or transponder

Answer 20

a. Transponder or tag

p 19-30

The chip and the antenna together are called an RFID transponder or an RFID tag (see Figure 19.12).

Question 21

It is not best practice to keep the nurse call system headend equipment isolated from the network and telephone system.

a. True
b. False

Answer 21

a. True

p 19-16

Question 22

The technology distribution room (TDR) in a health care facility can serve work areas on the floors above and below the floor on which it is located.

a. True
b. False

Answer 22

b. False

p 19-4

The TDR shall be located on the same floor as the work area served.

Question 23

The technology equipment center (TEC) in a hospital shall be located a minimum of _____ from X-ray equipment and other sources of electromagnetic interface (EMI).

a. 4.6 m (15 ft)
b. 4.3 m (14 ft)
c. 3.7 m (12 ft)
d. 3 m (10 ft)

Answer 23

c. 3.7 m (12 ft)

p 19-3

The TEC shall be located a minimum of ≈3.7 m (12 ft) from any transformer, motors, X-ray, induction heaters, radio systems, MRI, or other sources of EMI.

Question 24

In health care facilities, the frequency range of _____ is dedicated to wireless medical telemetry service (WMTS) devices used to transmit patient vital information.

a. 1427 – 1433 MHz
b. 1395 – 1400 MHz
c. 840 – 845 MHz
d. 608 – 614 MHz

Answer 24

d. 608 – 614 MHz

p 19-29

There are dedicated WMTS frequencies that allow for the transmittal of patient vital information. The dedicated frequency range for these telemetry systems is 608–614 MHz.

Question 25

In a nurse call system, a master station is an example of a(n) _____ device.

a. Monitoring
b. Initiation
c. Headend
d. Notification

Answer 25

d. Notification

p 19-16

A master station functions as the main interface between the nurse call system and the supervising staff. These stations can be touch screen, push button, or computer based.

Question 26

In the health care industry a _____ provides a secure, flexible, and easily managed location for the structured cabling systems, network electronics, clinical systems, nurse call systems, and other technology and communication equipment throughout the building.

a. Equipment distribution center (EDC)
b. Technology distribution room (TDR)
c. Entrance facility (EF)
d. Technology equipment center (TEC)

Answer 26

b. Technology distribution room (TDR)

p 19-3

TDRs provide a secure, flexible, and easily managed location for the structured cabling systems, network electronics, clinical systems, nurse call systems, and other technology and communication equipment throughout the building.