Compliance Flashcards

Flashcards for Compliance for CHFM Exam

1
Q

What does ASHRAE stand for?

A

American Society of Heating, Refrigerating and Air-Conditioning Engineers

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2
Q

What are the first components of fire defense in a building design for patients?

A

The first components of fire defense in a building design for patients are room and corridors

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3
Q

What are the four elements of The Life safety Code?

A

Compartmentalization
Detection
Supression
Egress

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4
Q

What UL Listing is required for a RPT in a patient care area?

A

UL 1363A RPT - relocatable Power Tap (multiplug)

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5
Q

What is the CMS-adopted NFPA National Electric Code?

A

NFPA 70 - 2011 Edition

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6
Q

What is the CMS-adopted NFPA standard for a health care facilities code?

A

NFPA 99 - 2012 Edition

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7
Q

What is the title of CMS-adopted NFPA 241?

A

Standard for safeguarding Construction, Alteration and Demolition Operations - 2009 edition

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8
Q

Where can you find design standards adopted by the majority of states?

A

Facilities Guidelines Institute (FGI) - 2014 Edition

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9
Q

What is the CMS-adopted NFPA standard for portable fire extinguishers?

A

NFPA 10 - 2010 Edition

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10
Q

A_________ Seperation is typically required between health care and other occupancies.

A

2-hour

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11
Q

Typical types of occupancies in a health care facility are______.
_______ and _______.

A

health care, business, assembly

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12
Q

Per CMS, what type of door hardware is NOT permitted in health care?

A

Roller latches are NOT permitted in health care.

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13
Q

A hospital floor must resisst the passage of
_____________ and ____________.

A

fire, smoke

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14
Q

What is he maximum travel distance for a non-sprinklered building?

A

The maximum travel distance for a non-sprinklered building is 150 feet.
The maximum travel distance for a sprinklered building is 200 feet.

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15
Q

Every story used by ______ for sleeping for more than 30 patients shall be divided into two smoke compartments.

A

inpatients

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16
Q

What date was the NFPA 101 Life Safety Code adopted?

A

July 5th, 2016

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17
Q

What is the maximum smoke compartment size?

A

22,500 sq. ft.
Per 2012 Editio of the Life Safety Code

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18
Q

A space within a building enclosed by smoke barriers on all sides, including top and bottom, is a ____.

A

smoke compartment

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19
Q

What is an AHJ

A

Authority Having Jurisdiction

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20
Q

What are DNV, The Joint Commission and HFAP

A

Accrediting Organizations (AOs) that have deemed authority for CMS.

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21
Q

What position is responsible for the Environment of Care in a health care facility?

A

The safety officer is responsible for the Environment of Care a the health care facility.

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22
Q

How many times are fire drills required during times of ILSM?

A

An additional fire drill per shift per quarter.
Reference: The Joint Commisison: LS 01.02.01 EP 11

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23
Q

What is a PCRA?

A

Pre-Construction Risk Assessment

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24
Q

What does HIPAA stand for?

A

Health Insurance Portablitiy and Accountability Act

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25
Q

What organization is responsible for maintaining ILSM/ALSM documentation?

A

The health care facility/hospital

26
Q

When a fire alarm system is out of service for more than _____hours in a 24 hour period, safety measures must be put in place.

27
Q

When a sprinkler system is out of service for more than ____ hours in a 24 hour period, safety measures must be put in place.

28
Q

What is CMS?

A

Centers for Medcare and Medicaid Services

29
Q

What organization utilizes Interim Life Safety Measures (ILSM)?

A

The Joint Commission

30
Q

Manual release devices for controlled access doors must be within _____ of the door.

31
Q

A continous and unobstructed way of travel to a public way consit of three separate and distinct parts. They are _______,______ and ________

A

Exit access, exit, discharge

32
Q

A __________ is an unexpecged occurence involving death or serious physical injury.

A

Sentinel event

33
Q

What does EMTALA stand for?

A

Emergency Medical Treatment and Labor Act

34
Q

What is the maximum height to mount a 1 pound fire extinguisher?

A

60 inches.
(No part should be over 60 inches)

35
Q

What is an HVA?

A

Hazard Vulnerability Analysis

36
Q

What is OSHA?

A

Occupational Safety and Health Administration

37
Q

What standard covers HVAC requirements for healthcare?

A

ASHRAE 170

38
Q

What standard covers Legionella

A

ASHRAE 188

39
Q

What organizations utilize Alternative Life Safety Measures (ALSM)?

A

CMS
NFPA
DNV

40
Q

What signage is required for a door that may appeaer to be an exit, but is not?

A

Signage that says: “Not An Exit”

41
Q

What is the maximum delay that is allowed in a delayed egress pathway?

A

Two 15 second delays
- Can be 30 second delays if approved by authority having jurisdiction.

42
Q

Emergency lights for egress shall last ___ minutes under an alternate power source when normal power is not availble.

43
Q

What percentage of exit stairs must exit directly to outdoors?

A

Greater than 50%

44
Q

What are the allowed utilities and penetrations in an exit stair?

A

Electrical conduit serving the stair
Required exit doors
Ductwork for the stair
Water/steam piping for the stair HVAC
Sprinkler piping
Standpipes

45
Q

What is the maximum travel distance for a sprinklered facility?

A

The maximum travel distance for a sprinklered building is 200 feet.
The maximum travel distance for a non-sprinklered building is 150 feet

46
Q

What are the three principles of fire protection?

A

Detection
Suppression
Containment

47
Q

What are the requirements for an existing hazardous area with a sprinkler system?

A

Self-closing door Smoke resisting partitions

48
Q

What are the requirements for new hazardous area > 100 sq. ft. ?

A

1-hour rated walls Self-closing 45 minute-rated-door

49
Q

What are the requirement for an existing hazardous area without a sprinkler system?

A

Self-closing door 1-hour rating

50
Q

How often are fire door inspections required?

51
Q

What is the maximum undercut for a fire door?

52
Q

Under what circumstances can an egress door be locked?

A

When the clinical needs of the patients require it.
an egrees door can be locked n psychiaric units.

53
Q

The maximum gap between a set of double doors is ______.

A

1/8 inch
+/- 1/16 inch for metal doors

54
Q

Exit access doors should be located_____.

A

Remotely from each other.

55
Q

Maximum suite size for sleeping is 10,000 sq. ft. for both new and existing spaces when what three components are in place?

A

Direct visual supervision
Total coverage of smoke detectors
quick-response sprinklers

56
Q

___________ sprinklers are required in sleeping suites.

A

Quick-response

57
Q

___________ are providede to subdivide building spaces to restrict the movement of smoke

A

Smoke barriers

58
Q

What fire rating is required for a smoke partition?

59
Q

Corridor walls in non-sprinklered buildings must extend ______________.

A

Above the ceiling to the deck above.
Also known as ‘floor-to-deck’

60
Q

The maximum smoke compartment size in new construction is_____________.
The maximum smoke compartment size in existing construction is _______________.

A

The maximum smoke compartment size is 22,500 sq. ft. for new and existing construction.