Compliance Flashcards
Flashcards for Compliance for CHFM Exam
What does ASHRAE stand for?
American Society of Heating, Refrigerating and Air-Conditioning Engineers
What are the first components of fire defense in a building design for patients?
The first components of fire defense in a building design for patients are room and corridors
What are the four elements of The Life safety Code?
Compartmentalization
Detection
Supression
Egress
What UL Listing is required for a RPT in a patient care area?
UL 1363A RPT - relocatable Power Tap (multiplug)
What is the CMS-adopted NFPA National Electric Code?
NFPA 70 - 2011 Edition
What is the CMS-adopted NFPA standard for a health care facilities code?
NFPA 99 - 2012 Edition
What is the title of CMS-adopted NFPA 241?
Standard for safeguarding Construction, Alteration and Demolition Operations - 2009 edition
Where can you find design standards adopted by the majority of states?
Facilities Guidelines Institute (FGI) - 2014 Edition
What is the CMS-adopted NFPA standard for portable fire extinguishers?
NFPA 10 - 2010 Edition
A_________ Seperation is typically required between health care and other occupancies.
2-hour
Typical types of occupancies in a health care facility are______.
_______ and _______.
health care, business, assembly
Per CMS, what type of door hardware is NOT permitted in health care?
Roller latches are NOT permitted in health care.
A hospital floor must resisst the passage of
_____________ and ____________.
fire, smoke
What is he maximum travel distance for a non-sprinklered building?
The maximum travel distance for a non-sprinklered building is 150 feet.
The maximum travel distance for a sprinklered building is 200 feet.
Every story used by ______ for sleeping for more than 30 patients shall be divided into two smoke compartments.
inpatients
What date was the NFPA 101 Life Safety Code adopted?
July 5th, 2016
What is the maximum smoke compartment size?
22,500 sq. ft.
Per 2012 Editio of the Life Safety Code
A space within a building enclosed by smoke barriers on all sides, including top and bottom, is a ____.
smoke compartment
What is an AHJ
Authority Having Jurisdiction
What are DNV, The Joint Commission and HFAP
Accrediting Organizations (AOs) that have deemed authority for CMS.
What position is responsible for the Environment of Care in a health care facility?
The safety officer is responsible for the Environment of Care a the health care facility.
How many times are fire drills required during times of ILSM?
An additional fire drill per shift per quarter.
Reference: The Joint Commisison: LS 01.02.01 EP 11
What is a PCRA?
Pre-Construction Risk Assessment
What does HIPAA stand for?
Health Insurance Portablitiy and Accountability Act
What organization is responsible for maintaining ILSM/ALSM documentation?
The health care facility/hospital
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.
4
When a sprinkler system is out of service for more than ____ hours in a 24 hour period, safety measures must be put in place.
10
What is CMS?
Centers for Medcare and Medicaid Services
What organization utilizes Interim Life Safety Measures (ILSM)?
The Joint Commission
Manual release devices for controlled access doors must be within _____ of the door.
60 inches
A continous and unobstructed way of travel to a public way consit of three separate and distinct parts. They are _______,______ and ________
Exit access, exit, discharge
A __________ is an unexpecged occurence involving death or serious physical injury.
Sentinel event
What does EMTALA stand for?
Emergency Medical Treatment and Labor Act
What is the maximum height to mount a 1 pound fire extinguisher?
60 inches.
(No part should be over 60 inches)
What is an HVA?
Hazard Vulnerability Analysis
What is OSHA?
Occupational Safety and Health Administration
What standard covers HVAC requirements for healthcare?
ASHRAE 170
What standard covers Legionella
ASHRAE 188
What organizations utilize Alternative Life Safety Measures (ALSM)?
CMS
NFPA
DNV
What signage is required for a door that may appeaer to be an exit, but is not?
Signage that says: “Not An Exit”
What is the maximum delay that is allowed in a delayed egress pathway?
Two 15 second delays
- Can be 30 second delays if approved by authority having jurisdiction.
Emergency lights for egress shall last ___ minutes under an alternate power source when normal power is not availble.
90
What percentage of exit stairs must exit directly to outdoors?
Greater than 50%
What are the allowed utilities and penetrations in an exit stair?
Electrical conduit serving the stair
Required exit doors
Ductwork for the stair
Water/steam piping for the stair HVAC
Sprinkler piping
Standpipes
What is the maximum travel distance for a sprinklered facility?
The maximum travel distance for a sprinklered building is 200 feet.
The maximum travel distance for a non-sprinklered building is 150 feet
What are the three principles of fire protection?
Detection
Suppression
Containment
What are the requirements for an existing hazardous area with a sprinkler system?
Self-closing door Smoke resisting partitions
What are the requirements for new hazardous area > 100 sq. ft. ?
1-hour rated walls Self-closing 45 minute-rated-door
What are the requirement for an existing hazardous area without a sprinkler system?
Self-closing door 1-hour rating
How often are fire door inspections required?
Annually
What is the maximum undercut for a fire door?
3/4 inch
Under what circumstances can an egress door be locked?
When the clinical needs of the patients require it.
an egrees door can be locked n psychiaric units.
The maximum gap between a set of double doors is ______.
1/8 inch
+/- 1/16 inch for metal doors
Exit access doors should be located_____.
Remotely from each other.
Maximum suite size for sleeping is 10,000 sq. ft. for both new and existing spaces when what three components are in place?
Direct visual supervision
Total coverage of smoke detectors
quick-response sprinklers
___________ sprinklers are required in sleeping suites.
Quick-response
___________ are providede to subdivide building spaces to restrict the movement of smoke
Smoke barriers
What fire rating is required for a smoke partition?
None
Corridor walls in non-sprinklered buildings must extend ______________.
Above the ceiling to the deck above.
Also known as ‘floor-to-deck’
The maximum smoke compartment size in new construction is_____________.
The maximum smoke compartment size in existing construction is _______________.
The maximum smoke compartment size is 22,500 sq. ft. for new and existing construction.