CHC Exam Flashcards
1
Q
How man Air Changes per Hour for Class b and C Surgery
A
20 Air Changes Per Hour
2
Q
How many air changes per hour in Class A Surgery?
A
15 Air Changes per Hour
3
Q
How many air changes per hour in Airborne infectious Iso Room and PE Room
A
12 Air Changes per Hour
4
Q
How to calculate air change rate?
A
Volume of the Room divided by 60 (seconds)
5
Q
PACU
A
Post Anesthesia Care Unit or Recovery
6
Q
Pre-Op
A
Pre-Operative Area; Might be recovery and discharge in ambulatory surgery
7
Q
What is ambulatory Surgery?
A
Outpatient Surgery
8
Q
Surgical Procedures Classifications A,B,C?
A
A: Minor Surgery
B: Middle of the Road
C: Major Surgery
(Based on levels of Anesthesia)
9
Q
Cath Lab?
A
A catheterization laboratory, commonly referred to as a cath lab, is an examination room in a hospital or clinic with diagnostic imaging equipment used to visualize the arteries of the heart and the chambers of the heart and treat any stenosis or abnormality found.
10
Q
Endoscopy
A
Endoscopy is a nonsurgical procedure used to examine a person’s digestive tract
11
Q
Colonoscopy
A
A colonoscopy (koe-lun-OS-kuh-pee) is an exam used to look for changes — such as swollen, irritated tissues, polyps or cancer — in the large intestine (colon) and rectum.
12
Q
Bronchoscopy
A
Bronchoscopy is a procedure to look directly at the airways in the lungs using a thin, lighted tube (bronchoscope).
13
Q
OB
A
Obstetrics: childbirth and the care of women giving birth.
14
Q
LDR
A
Labor Delivery Room
15
Q
LDRP
A
Labor Deliver Recovery Post Partum
16
Q
C-Section
A
Caesarian Section: Surgery Room
17
Q
NICU
A
Neonatal Intensive Care Unit
18
Q
ICU
A
Intensive Care Unit
19
Q
CCU
A
Coronary Care Unit; an area in the hospital where serious heart problems are treated.
20
Q
TCU
A
Transitional Care Unit; short-term stay in a skilled nursing facility where people can receive further physical and occupational therapy
21
Q
Burn Unit
A
Advanced treatment for burns
22
Q
BMT
A
Bone Marrow Transplant
23
Q
AII Room
A
Airborne Infection Isolation Room
24
Q
PE Room
A
Protective Environment Room
25
Orthopedic
devoted to the prevention, diagnosis, and treatment of disorders of the bones, joints, ligaments, tendons and muscles.
26
What type of rooms are Positive Pressure Rooms?
```
BMT
PE
Burns
ORs
Etc
```
27
```
What type of rooms are these, negative or positive?
AII
Bronchoscopy
Dirty Spaces
Construction
```
Negative
28
Radiography
XRay - the art and science of using radiation to provide images of the tissues, organs, bones, and vessels that comprise the human body
29
Fluoroscopy
medical procedure that makes a real-time video of the movements inside a part of the body by passing x-rays through the body over a period of time
30
What does a CAT or CT Scan do?
scan allows doctors to see inside your body. It uses a combination of X-rays and a computer to create pictures of your organs, bones, and other tissues. It shows more detail than a regular X-ray
31
MRI
a medical examination performed using magnetic resonance imaging.
32
Nuclear Imaging
Nuclear imaging is used to study organ and tissue function. A tiny amount of a radioactive substance is used during the procedure to assist in the exam.
33
PET scan
A positron emission tomography (PET) scan is an imaging test that can help reveal the metabolic or biochemical function of your tissues and organs. Radiotracers are used in these.
34
HCAHPS
Hospital Consumer Assessment of Healthcare Providers and Systems; HCAHPS is the first national, standardized, publicly-reported survey of patients' perspectives of hospital care.
35
Operations Expenses?
Salaries and Benefits
Supplies
Some Equipment
36
Capital Expense?
Major Construction/ Renovation
| Major Equipment
37
What is used to determining Capitol vs Ops budgets being used?
Cost & life expectancy
38
POE
Post Occupancy Evaluation
39
NFPA stands for?
National Fire Protection Association
40
NFPA 101?
Life Safety Code; The Life Safety Code is the most widely used source for strategies to protect people based on building construction, protection, and occupancy features that minimize the effects of fire and related hazards
41
NFPA 99?
Health Care Facilities Code; NFPA 99 establishes criteria for levels of health care services or systems based on risk to the patients, staff, or visitors in health care facilities to minimize the hazards of fire, explosion, and electricity.
42
What are the FGI Guidelines?
The FGI Guidelines recommend minimum program, space, functional program, patient handling, infection prevention, architectural detail, and surface and furnishing needs for clinical and support areas of hospitals, ambulatory care facilities, rehabilitation facilities, and nursing and other residential care facilities.
43
IBC?
International Building Code
44
UBC?
Universal Building Code
45
NFPA 5000
Building Construction and Safety Code; This code provides requirements for those construction, protection, and occupancy features necessary to safeguard life, health, property, and public welfare and minimize injuries.
46
What does the Joint Commission do?
Founded in 1951, The Joint Commission seeks to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value.
47
Where to find the med gas requirements?
NFPA 99 for most, FGI guidelines for number and type of outlets.
48
Cat 1- Cat 4 Med Gas Building System Categories?
Cat 1 - Failure will cause major injury or death
Cat 2 - Failure minor injury
Cat 3 - Failure not likely to cause injury
Cat 4 - Failure would have no impact
49
Where is the emergency oxygen supply connection supposed to be located?
Exterior of the building accessible by emergency vehicles in all weather conditions.
50
WAGD
Waste Anesthetic Gas Disposal
51
FCI
Facility Condition Index
52
How often do Fire Extinguishers need to be inspected in a hospital?
Once a month
53
Per NFPA 101, when is a renovated area considered reconstruction?
50% of area renovated or 4,500 sf
54
What does Sentinel mean?
unanticipated; as in unanticipated event
55
acuity meaning?
more needs or requirements
56
Does NFPA 101 cover sleeping or non-sleeping accomodations?
Sleeping
57
Fire Barrier Requirement for Additions?
2 hr
58
When is a construction modification considered a major rehabilitation?
50% or more of the area of the smoke compartment
59
Med Gas Installers Must meet what requirements?
ANSI/ASSE Standard 6010 Professional Qualification Standard for Med Gas and Vacuum System Installers
60
Material for Med Gas & Vacuum
hard-drawn seamless copper ASTM B819, vacuum can be SS as well.
61
TEsting Requirements for Med Gas
Initial blow down, Purging to eliminate oxygen, pressure test, cross connection test, standing pressure test, alarm tests
62
Define Essential Electrical System? (ELS)
A system comprised of
alternate sources of power and all connected distribution
systems and ancillary equipment, designed to ensure
continuity of electrical power to designated areas and
functions of a health care facility during disruption of normal
power sources, and also to minimize disruption within the
internal wiring system. (ELS)
63
What does the essential electrical system life safety branch support?
Illumination of means of egress, exit signs, fire alarm, med gas and vacuum alarms, hospital communication systems, elevator cab lighting & controls, loads dedicated to the generator
64
What does the essential electrical system critical branch support?
task illumination, fixed equipment, selected receptacles, med prep, pharmacy, nurse stations, nurse call, blood banks, telephone equipment rooms.
65
Required hardware for swinging fire door assemblies?
positive latching hardware, closed and latched
66
PSG
Polysomnogram; test for sleep studies
67
SDI
Smoke Developed Index
68
Fire Walls must have what ratings?
2 hr min, 4 hr max
69
Nosocmial INfection?
Healthcare Associated Infection
70
Cryogenic meaning?
Extra cold, very low temps
71
Air Change/ Hour Calculation?
(CF/M X 60 mins)/ CF (room volume) = ACH
72
Auxillary Oxygen Connection provides how many pounds per square inch to patients in need of respiration and inhalation.
55 lbs/sq in
73
An aggregate total of compressed medical gasses may be stored up to how many cf per smoke compartment?
300 cf
74
Med Vac Test needs to go for how long?
24 hours
75
HVA
Hospital Vulnerability Analysis; used to make the emergency operations plan (EOP)
76
FCI Calc?
Sum of Deficiencies / Replacement Value
77
Simple Payback
Simple payback time is defined as the number of years when money saved after the renovation will cover the investment.
78
Plumbing - RO
Reverse Osmosis; Reverse osmosis is a water purification process that uses a semi-permeable membrane (synthetic lining) to filter out unwanted molecules and large particles such as contaminants and sediments like chlorine, salt, and dirt from drinking water.
79
Plumbing - DI
De- Ionization; Deionized water is a form of pure, clean water purified by removing atoms, ions, and molecules from tap water through an ion exchange process
80
Piping Must be in a continuous loop?
True
81
What is Defend In Place?
Evacuation is the last option accordina to the Life Safety Code
82
3 components of the Life Safety Code?
Design & Construction of Compartments
Detection, Alarm and Extinguishment
Planning, Training and Drilling
83
Every story used by inpatients for sleeping or treatment should be in how many compartments?
2 or more
84
Max travel distance to a new smoke compartments for sleeping or treatment?
200 ft
85
Protection of vertical openings, exit passageways, horizontal exits and occupancies needs to have what barrier?
Fire Barrier
86
Allowed utilities and penetrations in an exit enclosure?
```
Electrical conduit serving stairway
Required exit doors
ductwork for independent pressurization
Water/Steam piping for cooling/heating the enclosure
Sprinklers
Standpipes
```
87
A horizontal exit passageway must have the rating required for the stairway it serves?
true
88
Ratings of exit stairways according to their stories? 3 or less? 4 or more?
3 or less is 1 hr
| 4 or more is 2 hr
89
Rating of horizontal exits?
2 hr fire barrier
90
When do you notify the fire department for a sprinkler/ fire alarm system out of service?
Fire Alarm, more than 4 hrs in 24 hrs
| Sprinkler more than 10 hrs in 24 hrs
91
Capitol Cost?
Equipment, renovation, new construction
92
Operating Cost?
Utilities, Salaries, Supplies, Service contracts and repairs
93
ADC
Average Daily Census; Total admissions in a month divided by days
94
LOS
Length of Stay
95
Occupied Bed (OB) Calc?
total patient days divided by number of days in period
96
AOB
Adjusted Occupied Bed - adjusted for outpatient volume
97
Readmission Rate?
Unplanned readmissions within 30 days
98
Facility Condition Index Less than .05
Good, no need to make changes
99
Facility Condition Index More than .15
Poor
100
Life Cycle Cost Calculation?
Capitol Cost of a project + Maintenance + Energy Cost + Replacement Cost + Salvage value of a system
101
Simple Payback Period Calc?
Investment Cost/ Periodic Cash Flow ; Period of time required to recoup the funds expended in an investment
102
NPV
Net Present Value; Difference between the present value of the future cash flows from a series of payments and the amount of the investment
103
Nitrogen Color?
Black
104
Stark Law?
Physician referrals only
105
AKS?
Anti Kickback Statute - All Healthcare Providors Referral
106
Hill Burton
Grants to hospitals to provide health services for those who can't pay
107
NFPA 10?
Standard for Portable Fire Extinghushers
108
NFPA 13?
Standard for Installation of Fire Sprinklers
109
NFPA 25?
Standard for Inspection, Testing and Maintenance of Water Based Fire Sprinkler Systems.
110
ANSI/AHSRAE/ASHE 170-2021 Standard?
Ventilation system design requirements
111
ANSI/ASHRAE Standard 188
Legionella Testing, Risk Assessment & Control
112
Stage 1,2,3 Water filtration?
1. Sediment
2. Carbon Filtration
3. reverse Osmosis
113
Hepa Filters found in hospitals and cleanrooms?
MERV 16-20
114
NFPA 70?
The National Electric Code (NEC)
115
NFPA 70E?
Electrical Safety in the Workplace
116
NFPA 80?
Standard for Fire Doors and Other Opening Protectives
117
NFPA 90A?
Standard for the Installation of Air-Conditioning and Ventilation Systems
118
NFPA 105?
Standard for the Installation of Smoke Door Assemblies and Other Opening Protectives
119
NFPA 111?
Standard on Stored Energy Emergency and Standby Power Systems
120
NFPA 241?
Standard for Safeguaring Construction, Alteration and Demolition Operations
121
NFPA 1600?
Standard for Disaster/Emergency Management and Business Continuity
122
USP 797 & USP 800
Hazardous Drugs—Handling in Healthcare Settings aka Pharmacies
123
How far can you travel into the MRI Suite with a steel tape measure?
Zone 1
124
Max number of E-Cylinders (23.5 cf per cylinder) that can be stored on a unit?
12
125
MICU?
Medical Intensive Care Unit
126
SICU?
Surgical Intensive Care Unit
127
ABHR Dispensors?
Alcohol Based Hand Rub Dispensers
128
Functional Program?
A functional program is a detailed, multi-purpose document that serves as an interface between a physical space and the activities, programs and services the space will support. It reduces risks such as scope creep by working through and capturing all of the metrics to be provided in the final state.
129
Chapter 18 of NFPA 101 Is for?
| Chapter 19 of NFPA 101 is for?
Chap 18 - New Builds
| Chap 19 - Existing
