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Certified Healthcare Constructor Exam > Guidelines for Design & Construction of Health Care Facilities - Part 1 > Flashcards

Guidelines for Design & Construction of Health Care Facilities - Part 1 Flashcards

1
Q

What groups/persons make up a Multidisciplinary project team in the design phase

A

At minimum, the multidisciplinary team shall include administrators, clinicians, infection preventionists, architects and other design professionals, facility managers, safety officers, security managers, users of equipment, and support staff relevant to the areas affected by the project as well as those with knowledge of the organizations functional goal for the project

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2
Q

What types 3 types of construction requires a functional program

A

A functional program shall be developed for new construction, major renovations, and projects that change the functional use of any facility space.

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3
Q

What Process is this?

Identify hazards and potential risks. The governing body shall provide an assessment of the potential harm to patients,
caregivers, and other users for the risks listed in Table 1.2-1 identifying the following:
*(1) Hazards specific to the project
(2) Historical data and /or national patient and caregiver safety trends relevant to the hazards identified
(3) Prioritization of the degree of potential harm to patients and /or caregivers from the hazards identified

A

SRA Process (Safety Risk Assessmnet)

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4
Q

These written plans shall describe the specific methods by which
transmission of airborne and waterborn ebiological contaminants will be avoided during construction as well as during commissioning, when
HVAC and plumbi ng systems and equipment (e.g., ice machines, steam sterilization systems) are started/restarted.

A

Infection control risk mitigation recommendations (ICRMRs)

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5
Q

____________ shall, at minimum, address how the following issues will be addressed during construction:
(1) Patient placement and relocation
*(2) Standards for barriers and other protective measures required to protect adjacent areas and susceptible patients from airborne
contaminants
(3) Temporary provisions or phasing for construction or modification of HVAC and water supply systems
(4) Protection from demolition
(5) Training for staff, visitors , and construction personnel
*(6) The impact of potential utility outages or emergencies, including the need to protect patients during planned and unplanned utility
outages and evacuation
(7) The impact of movement of debris, traffic flow, cleanup, elevator use for construction materials and construction workers, and
construction worker routes
(8) Provision for use of bathroom and food facilities by construction workers
*(9) Installation of clean materials (particularly ductwork, drywall, and wood/paper /fabric materials) that have not been damaged by water.

A

ICRMR (Infection control risk mitigation recommendation)

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6
Q

What is the Acronym (PHAMA) stand for

A

Patient Handling and Movement Assessment

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7
Q

What does the acronym OPR stand for

A

Owner Project requirement

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8
Q

The owner shall develop the _____, which identifies building systems and elements that will be affected by the project scope and defines performance, operations, maintenance, longevity, energy efficiency, and other parameters required to meet the owner’s expectations.

A

OPR (Owner Project Requirements)

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9
Q

In response to the OPR , the design team shall prepare a _____ narrative describing the design intent.

A

BOD (Basis of Design)

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10
Q

See SRA Table 1.2-1

A

See SRA Table 1.2-1

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11
Q

Maximum Design Criteria for Noise in Interior Spaces (See table 1.2-5)

A

Maximum Design Criteria for Noise in Interior Spaces (See table 1.2-5)

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12
Q

What are the most common 6 types of hospitals

A

General hospitals (Chapter 2.2)
• Freestanding emergency facilities (Chapter 2.3)
• Critical access hospitals (Chapter 2.4)
• Psychiatric hospitals (Chapter 2.5)
• Rehabilitation hospitals and other facilities (Chapter 2.6)
• Children’s hospitals (Chap ter 2.7)

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13
Q

A _____ _____ing station shall be provided in the patient room in addition to that in the toilet room.
(1) This ___ _____ station shall be located at or adjacent to the entrance to the patient room with unobstructed access for use by health
care personnel and others entering and leaving the room.

A

hand washing

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14
Q
  1. 1 -2.2.6.3 Room features. The patient toilet room shall be equipped with the following:
    (1) A toilet
    (2) A hand-washing station. See Section 2.1-2.6.5 (Hand-Washing Station) for require me nts.
    (3) A ____ washer.
A

Bed pan

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15
Q

At least ___ hand scrub position shall be located next to the entrance to each cesarean delivery, trauma, operating, and interventional
imaging procedure room when indicated in the facility chapters in Part 2.

A

one

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16
Q

Laboratory) If more than one workstation is provided, a hand-washing station shall be provided within ___ feet of all testing and
specimen-handling areas .

A

25

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17
Q

Regulations. Construction, equipment, and installation of food and nutrition service facilities in a hospital shall comply with the
requirements of:
(1) U.S. Food and Drug Administra tion (FDA)
(2) U.S. Department of Agriculture (USDA)
(3) Under writers Laboratories, Inc. (UL)
(4) NSF Intern ational

A

******

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18
Q

Grab bars, including those that are part of such fixtures as soap dishes, shall be anchored to sustain a concentrated load of ____ pounds

A

250

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19
Q

The following rooms shall have floor and wall base assemblies that are monolithic and have an integral coved wall base that is carried up
the wall a minimum of 6 inches (150 mm) and is tightly sealed to the wall:

(a) Operating rooms
(b) Interventional imaging rooms, including cardiac catheterization labs
(c) Cesarean delivery rooms
(d) Cystoscopy, urology, and minor surgical procedure rooms
(e) Endoscopy procedure rooms
(f) Endoscopy instrument processing rooms
(g) IV and chemotherapy preparation rooms
(h) Airborne infection isolation (All) rooms
(i) Protective environment (PE) rooms
(j) Anterooms to All and PE rooms, where provided

A

*****

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20
Q

Food and nutrition service and laundry areas:

(a) Either a sealed monolithic and scrubbable gypsum board ceiling or a lay-in ceiling shall be provided.
“(b) If a lay-in ceiling is provided, it shall include the following:
(i) A non -corrosive grid
(ii) Ceiling tiles that weigh at least one pound per square foot and are smooth, scrubbable, non absorptive, non perforated, and capable of withstanding cleaning with chemicals

A

****

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21
Q

In a Sterilized Space) A dedicated exhaust system (i.e., an exhaust system not connected to a return air or ano ther exhaust system) shall be provided. (Refer to
29 CFR 1910.1047: Ethylene Oxide (EtO) Standard.) The exhaust outlet to the outside shall be at least ____ feet away from
any air intake.

A

25

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22
Q

Each space routinely used for administering inhalation anesthesia and inhalation analgesia shall be served by a _______system to vent waste gases.

A

scavenging

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23
Q

When anesthesia scavenging systems are required, air supply shall be at or near the _____. Return or exhaust air inlets shall be near the ____ level.

A

Ceiling, Floor

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24
Q

Laboratory fume hoods) Laboratory fume hoods shall meet the following standards:

  • (a) General standards
  • (i) An average face velocity of at least ___feet per minute (0.38 meters per second)
  • (ii) Connection to an exhaust system to the outside that is separate from the building exhaust system
  • (iii) Location of an exhaust fan at the discharge end of the system
  • (iv) Inclusion of an exhaust duct system of noncombustible corrosion-resistant material as needed to meet the planned usage of the hood
A

75

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25
Q

Electrical) Panelboards serving _____ branch circuits shall be permitted to serve the floor on which they are located and the floor above and below to where the panel is located

A

Life Safety

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26
Q

Electrical) Panelboards serving _____ branch circuits shall be permitted to only serve the floor on which it is located

A

critical

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27
Q

When stored fuel is required, storage capacity shall permit continuous operation for at least ___ hours

A

24

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28
Q

Receptacles in corridors) Duplex-grounded outlets for general use shall be installed approximately ___ feet apart in all corridors and within ____ fee of corridor ends

A

50, 25

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29
Q

Nurse Call) What are the 4 types of call stations ?

A

Patient Stations, bath stations, staff emergency stations & code call stations

30
Q

Surveillance Systems shall receive power from the ______ electrical branch

A

emergency

31
Q

An Intermediate Care Unit (IMCU) is logistically situated between the Intensive Care Unit (ICU) and the general ward. … It can act as a “step-up” or “step-down” unit between the general ward and the ICU [3–5] but can also be used to admit patients from the Emergency Department or Recovery ward

A

*****

32
Q

Bariatric) Shower stalls designated for bariatric patients shall be a minimum of ___x___ Ft

A

4x6

33
Q

Bariatric) Shower stalls shall be equipped with grab bars that are capable of supporting ____lbs

A

1,000

34
Q

Bariatric Unit) in an entire Bariatric Unit, New patient rooms shall have a built in mechanical lift system. In a renovation a minimum of ___percent of patient rooms shall have a built in mechanical lift system

A

10

35
Q

Airborne Infection isolation (AII) rooms are NOT required to have an Anterooms . True or False

A

True

36
Q

Construction, equipment, and installation of food and nutrition service facilities in a hospital shall comply with the requirements of which 4 agencies

A

(1) U.S. Food and Drug Administra tion (FDA)
(2) U.S. Department of Agriculture (USDA)
(3) Under writers Laboratories, Inc. (UL)
(4) NSF International

37
Q

An ______equipment room shall be provided for each hybrid operating room

A

imaging

38
Q

An Isolation room is NOT required in Pre & Postoperative patient care areas. True or False

A

True

39
Q

Preoperative Patient Care) The Preoperative patient care area shall be

1) an_______ area
2) Under direct observation of the nursing staff
3) Permitted to be part of the Phase 2 recovery area

A

unrestricted

40
Q

PACU) If pedeatric ______ is part of the functional program, the following requirements shall be met:

1) Pediatric recovery stations shall be separate from adult stations
2) Pediatric recovery stations shall included space for parents
3) Pediatric recovery stations shall be visible from the nurse station

A

surgery

41
Q

Where outpatient surgeries are to be part of the surgical suite and where outpatients receive sedation, a separate ______ or ___ _____ recovery room shall be provided

A

Phase 2 , step down

42
Q

In new construction, at least 1 door from the _____ __ ______ area shall access the Phase 1 PACU without crossing public corridors of the hospital

A

Phase 2 Recovery

43
Q

An imaging technique that uses radioactive substances to visualize and measure metabolic processes in the body

A

Positron Emission Tomography (PET)

44
Q

Where radiopharmaceuticals are prepared on site, a _______ room shall be provided

A

cyclotron

45
Q

What is a SPECT facility?

A

Single-Photon Emission Computed Tomography - a nuclear medicine tomographic imaging technique using gamma rays

46
Q

Nuclear Medicine) A securable area called a ___ ___ for scintigraphy (gamma camera), PET & SPECT facilities in which radiopharmaceuticals can be safely stored and does can be calculated and prepared shall be provided

A

Hot lab

47
Q

A ___________ suite shall be located near the imaging services suite to facilitate image acquisition prior to _________ treatment

A

radiosurgery, radiosurgery

48
Q

Radiosurgery Suite) Location of _____ ____ or ______ ______ treatment rooms in radiation therapy suite shall be permitted.

A

gamma knife ; cyber knife

49
Q

Proton Therapy) When entry into the radiation vault is via direct-shielded door, both a motor-driven opening system and a manual emergency opening shall be provided. True or False

A

True

50
Q

Renal Disease is also known as ____ Disease

A

Kidney

51
Q

End Stage Renal Disease (ESRD) = _____ failure

A

Kidney

52
Q

What is hemodialysis treatment

A

This type of treatment uses a machine to clean your blood. Hemodialysis does some of the work that your kidneys did when they were healthy

53
Q

Endoscopy Services treat __________ issues

A

gastrointestinal

54
Q

The Endoscopy suite shall be divided into 3 major functional areas

1) Procedure Room
2) instrument processing rooms
3) Patient holding/preparation and recovery room

A

***

55
Q

Freestanding ED Specific Requirements)

At a minimum _________ and _________ facilites shall be provided

A

radiography & fluoroscopy

Radiography is an imaging technique using X-rays, gamma rays, or similar ionizing radiation and non-ionizing radiation to view the internal form of an object

Fluoroscopy is a type of medical imaging that shows a continuous X-ray image on a monitor, much like an X-ray movie

56
Q

Freestanding ED Specific Requirements)

A well-marked illuminated and covered entrace shall be provided at grade level. Ambulance entrances shall provide a minimum of ___ feet in clear width to accommodate bariatric stretchers, mobile patient lifts, etc.

A

6

57
Q

Critical Access Hospital Specific Requirements)

Critical Access Hospital is a designation given to eligible rural hospitals by the ______ __ _____ and _____ _____ (CMS)

A

Centers for Medicare and Medicaid Services (CMS)

58
Q

Critical Access Hospital Specific Requirements)

The ____shall determine the number of beds applicable to the facility

A

AHJ

59
Q

Critical Access Hospital Specific Requirements)

What is a swing bed?

A

A hospital bed that can be used either for acute care needs or for skilled nursing as conditions dictate.

60
Q

Critical Access Hospital Specific Requirements)

The number of patient rooms contained in the nuring unit shall not exceed ___ beds

A

25

61
Q

Critical Access Hospital Specific Requirements)

In accordance with the ______ ______, a specific number of patient rooms shall be able to serve as LDR rooms.

A minumum of 1 cesarean delivery rooms shall be provided

A

functional program

62
Q

Critical Access Hospital Specific Requirements)

Provisions shall be made in the design for adapting for various type of medical and psychiatric therapies

A

*****

63
Q

Psychiatric Hospital Specific Requirements)

Hidden alcoves or blind corners or areas shall be avoided. True or False

A

True

64
Q

Psychiatric Hospital Specific Requirements)

The design shall provide the level of security described in the _____ _____ for the specific type of service or program provided as well as the age level and risk of the patients served

A

functional program

65
Q

Psychiatric Hospital Specific Requirements)

The need for and number of required number of Isolation rooms in the hospital shall be determined by who?

A

ICRA - Infection Control Risk Assessment

66
Q

Psychiatric Hospital Specific Requirements)

What is Electroconvulsive therapy (ECT)?

A

Electroconvulsive therapy (ECT) is a medical treatment most commonly used in patients with severe major depression or bipolar disorder that has not responded to other treatments. ECT involves a brief electrical stimulation of the brain while the patient is under anesthesia

67
Q

Psychiatric Hospital Specific Requirements)

The ventilation requirements for the ____ procedure area shall be the same as those required for a procedure room

A

ECT

68
Q

Children’s Hospital Specific Requirements)

At least ___ Isolation Room (AII) shall be provided for each pediatric unit

A

1

69
Q

Children’s Hospital Specific Requirements)

Each nursing unit shall have access to a lounge for family and visitors

A

***

70
Q

Outpatient Facilities)

I minimum of __ EVS room per floor shall be provided

A

1

Certified Healthcare Constructor Exam (3 decks)

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