Physical Environment Flashcards

1
Q

Must have a ____ fire resistant contruction

A

1 hour

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2
Q

An automatic fire extinguishing system is or is not a substitute for fire resistant construction

A

is not

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3
Q

1 story building must have ___ fire resistant contstruction

A

1 hour

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4
Q

2 stories or more must be constructed of ____

A

non combustible materials

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5
Q

the basement may be considered a story if it is ___ feet above grade level

A

6 feet

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6
Q

interior non load bearing partitions may be made of _____ without a fire rating

A

non combustible materials

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7
Q

stairways elevators laundry rooms and walls in multi story buildings need ____ fire resistance rating

A

2 hour fire resistance

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8
Q

exhaust air from a facility must be vented _____ from fresh air intake vents

A

away

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9
Q

all exits must be constructed per the _____

A

building exit code

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10
Q

each fire section or floor must have _____ exits remotely located from each other

A

2 exits

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11
Q

in new construction what are the 4 types of exits permitted

A
  1. doors 2. stairs and smoke proof towers 3. ramps 4. class A or B fire escape stairs
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12
Q

at least ____ exit must be type 1 or 2

A

1 exit

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13
Q

basement exits must discharge ____ without stairs connecting above

A

directly outdoors

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14
Q

patient elevators must have a platform size of _____ and a door opening of at least _____ wide

A

5’4” by 8’

3’ 10” (46 inches)

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15
Q

patient rooms must have a doorway opening directly to _______

A

patient corridor

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16
Q

stairs must have a class A exit of at least ____ inches wide

A

44 inches

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17
Q

basements and boiler rooms must have ____ exits

A

2 means or egress

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18
Q

must obtain a _____ from the state before a facility will be issued a license

A

certificate of need

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19
Q

the entrance door to patient rooms, day rooms, dining rooms and other areas must be no more than _____ feet from the nearest exit without a fire sprinkler system and ______ feet with a fire sprinkler system

A

100 feet

150 feet

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20
Q

in unsprinkled buildings no more than ____ feet of corridor without horizontal exit or smoke stop doors is permitted

A

150 feet

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21
Q

exit corridors must be ____ feet wide

A

8 feet

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22
Q

in existing buildings exit corridors in areas housing bed ridden patients must be at least ______ feet wide

A

5 feet

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23
Q

horizontal exits and smoke stop doors at least ____ inches wide are permitted in corridors

A

44 inches

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24
Q

buildings must be designed so all _____ can be rolled to the exits

A

patient beds

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25
Q

exits must be so arranged that there are no pockets or dead ends exceeding ____ feet

A

30 feet

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26
Q

no door must swing ______ except closet doors

A

into a corridor

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27
Q

handrails may not project more than ____ inches

A

3.5 inches

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28
Q

doors in stairways need _____ fire rating

A

1.5 hours

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29
Q

door widths must be _____ inches

A

44 inches

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30
Q

exit doors so located as not to be subject to use by patients may not be less than ____ Inches wide

A

28 inches

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31
Q

in existing buildings walls of ____ fire resistive construction may be used in connection with horizontal exits

A

1 hour

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32
Q

each floor used for sleeping rooms for more than ____ patients must be divided into at least _____ fire sections by a smoke stop partition having at least _____ fire resistance rating

A

30 patients
2 fire sections
1 hour fire resistance rating

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33
Q

a ______ fire resistance rating is permitted for existing buildings must be continuous between the ceiling and the floor or roof above

A

half an hour

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34
Q

openings in smoke stop partitions must have ______ hour fire doors

A

3/4 of an hour (45 min)

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35
Q

______ must be installed that they may be left in open position but will close automatically in case of fire

A

smoke stop doors

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36
Q

any openings in ______ must be protected by fixed wire glass panels or by rated louvers

A

smoke stop partitions

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37
Q

glass on corridors except directly to the outside must be _______

A

1/4 inch wire glass set

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38
Q

doors opening on corridors must be ______

A

solid wood core

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39
Q

doors in stairway enclosures must be ______ B level, fire rated doors and must be self closing and must be kept in closed position

A

1.5 hours

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40
Q

laundry shoots where used, must have a minimum diameter of ______

A

2 feet

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41
Q

all linen and trash shoots other than incinerator shoots must be provided with a ______

A

automatic sprinkler protection

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42
Q

need a ______ emergency electrical system

A

type 1

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43
Q

interior finish of all exit ways, storage rooms and all areas of unusual fire hazard must have a flame spread rating of less than _____ and patient rooms a rating of less than ____

A

20

75

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44
Q

interior finish of other areas must have a flame spread rating of less than ______

A

75

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45
Q

must have a written _____, ________ and ______

A

fire prevention
fire exit drill
evacuation program

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46
Q

must submit all plans for new construction or remodeling to the ______

A

department of public health and environment

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47
Q

must submit preliminary drawings showing the ______, _______, ________, __________, ________, _______, and other utilities to the site

A
  1. general location
  2. boundaries
  3. approaches to, and physical features
  4. other buildings on the site
  5. means of water supply
  6. sewage disposal
48
Q

boiler rooms ceilings must be at least _____ feet higher than the top of any boiler unit

A

5 feet

49
Q

kitchen ceiling heights may be no less than ____ feet

A

9 feet

50
Q

_____ parking spaces per bed are recommended

A

2

51
Q

a _____ consists of a bedroom, or a grouping of bedrooms with supporting facilities and services that are planned organized operated and maintained to provide adequate nursing and supportive care of not more than ______ residents

A

resident care unit

60 residents

52
Q

privacy must be provided for each resident in a multiple bedroom by the installation of _____ or ______

A

opaque flame retardant curtain

movable screen

53
Q

each bedroom must have a window to the outside with an area not less than _____ with a window sill not more than ____ inches above the floor

A

1/8 of the floor area

32 inches

54
Q

_____ of the required window area must open without the use of _____

A

1/2

tools

55
Q

each bedroom must have a door that opens onto a _____

A

fire exit corridor

56
Q

the door to the corridor must be ____ inches thick ____ and _____ inches wide

A

1 3/4 thick
solid core
44 inches wide

57
Q

patient bedroom doors must not swing _____

A

out into the corridor

58
Q

a lavatory must have _____, _____,______ and _____

A

faucet
blade controls
soap
sanitary hand drying accommodations

59
Q

the lavatory may be installed within the toilet room in _____

A

private rooms

60
Q

____ toilet may serve ____ resident rooms but not more than _____ beds

A

1 toilet
2 resident rooms
4 beds

61
Q

the minimum dimensions for any room containing only 1 water closet must be _____

A

3 feet by 6 feet

62
Q

the door to the toilet room must be at least ____ and must not swing ____ the toilet room

A

44 inches

63
Q

must provide ____ square feet per person in a semi private room

A

80

64
Q

must provide ____ square feet for 1 bed rooms

A

100

65
Q

cannot have more than ___ beds per resident room

A

4

66
Q

minimum room area in a resident room does not include _____, ______ , ________, ______ and _____

A
  1. closets
  2. lockers
  3. wardrobes
  4. vestibules
  5. toilet rooms
67
Q

comfortable bedrooms must be equipped with _____ (8 things)

A
adjustable bed 
water proof mattress
cabinet or bedside table 
overbed table
waste receptacle 
personal care equipment 
comfortable chair 
storage for personal grooming articles
68
Q

each bedroom must be provided with a _____ for each resident

A

separate closet

69
Q

the minimum size of a closet must be

A

1’ 8” wide by 1’10” deep

70
Q

rollaway beds, cots and folding beds must _____

A

not be used

71
Q

which residents must have a nurse call signal

A

every resident

72
Q

a _____ and _____ signal must register at the nurses station when activated by a resident

A

visual and audible signal

73
Q

the medication preparation area must be equipped with

A

locking cabinets to protect drugs, refrigerator exclusively for pharmaceuticals, counter workspace a sink for hand washing

74
Q

only _____, _____, and _____ for their preparation and administration must be stored in the medication preparation area

A

medications, equipment and supplies

75
Q

_____, _____, ______ and other similar products must not be stored in the medication area

A

test reagents, general disinfectants, cleaning agents

76
Q

must have a ____ area or cart for clean linen in cleaning supply holding room

A

closed

77
Q

clean linen must be _______ to prevent _______ during storage and transport

A

covered

contamination

78
Q

the soiled holding room must be equipped with ______, _______,_____ and _______

A

a countertop, double sink with mixing faucet, blade controls soap and sanitary
hand drying facility
waste container with cover
soiled linen cart or hamper with impervious liner and covers

79
Q

the janitors closet must be equipped with ______,______,_______,_______,_____,_____,______and ______

A
  1. sink, with mixing faucets
  2. hook strip for mop handles from which soiled mop heads have been removed
  3. shelving for cleaning materials
  4. approved hand washing facilities
  5. waste receptacles
  6. the floor area should be adequate to store mop buckets on a roller carriage, wet and dry vacuum machine and floor scrubbing machines
  7. a storage room should be provided on resident care unit
  8. storage space for stretchers and wheelchairs should be recessed off the corridor
80
Q

resident bathing facilities must be provided in the ratio of 1 tub or 1 shower for each _____ residents

A

15

81
Q

approved _____ must be installed at each tub or shower and tubs must be of _____

A

grab bars

non slip surface

82
Q

bathing facilities entry door must be at least ____ in width

A

36

83
Q

there must be a _____ and _____ in the bathing room

A

toilet and lavatory facilities

84
Q

toilet facilities must be provided for ____ On each resident care unit

A

staff

85
Q

examination rooms must be equipped with a _____, ____ and ____

A

treatment table
storage cabinet
lavatory

86
Q

what emergency equipment must be readily available at all times

A

oxygen
suction
portable emergency equipment
compatible supplies and equipment for immediate intravenous therapy

87
Q

thermometers must be _____ each time a residents temperature is taken

A

disinfected

88
Q

door width for bedroom doors with direct entry into the corridor may be ____ inches wide

A

42

89
Q

if centralized toilet facilities are provided _____ toilet must be provided for each ____ residents of each gender

A

1 toilet

8 residents

90
Q

if toilet facilities are provided between adjacent bedrooms the ratio must be 1 facility for not more than ____ beds

A

4 beds

91
Q

each facility must establish a _____ that keeps the facility clean and orderly and free from odor

A

housekeeping

92
Q

the facility must provide a ____ and adequate equipment

A

sufficient housekeepers

93
Q

combustibles such as cleaning rags and compounds must be kept in _____

A

closed metal containers

94
Q

cleaning compounds must be clearly ____ to indicate contents

A

labeled

95
Q

rooms used for storing disinfectants and detergent concentrate and insecticides ________

A

must be locked

96
Q

scattered rugs must _____ except for non slip entrance mats

A

not be used

97
Q

all personnel must ____ thoroughly after handling waste products

A

wash their hands

98
Q

the facility must maintain at each nurses station a current list of hazardous substances in regular use. must contain the following

A
  1. name of manufacturer
  2. EPA registration number
  3. notation of where used
  4. location of where stored
  5. information regarding safe use
  6. antidote if any
  7. phone number of poison control center
99
Q

laundry facilities and or contract with commercial laundry must be provided with the necessary washing, drying, and ironing equipment having sufficient capacity to process a continuous ____ supply based on _____ pounds of dry laundry per bed per day

A

7 day

10 pounds

100
Q

water temperature during the laundry washing and rinse process must be minimum of _____ and for a combined period of time for ______

A

130 degrees F

25 min

101
Q

linens and blankets from residents with infectious disease must be placed in special bags identified _____ and transported in these closed bags

A

Contaminated

102
Q

soiled linen including blankets must be placed in ____ before removal from bedroom

A

bags tightly closed

103
Q

the soiled linen bags must remain closed and must be removed from resident care unit at least _____

A

every 8 hours

104
Q

carts and hampers used to transport soiled linen must be constructed of or lined with ____

A

impervious materials

105
Q

the facility must provide a separate soiled linen _____ and _____

A

storage and sorting area

106
Q

____ facilities must be provided in the laundry facility

A

hand washing

107
Q

what area must be located adjacent to the drying equipment

A

clean linen storage room

108
Q

clean linen must be transported in a ____ so that it is clean at the site of its use

A

manner that preserves its clean condition

109
Q

pesticides must not be stored in ___ areas and must be kept under ____

A

patient food areas

kept under lock

110
Q

all garbage must be removed to an outside approved storage area at least _____

A

once a day

111
Q

must comply with the life safety code of _____

A

2000

112
Q

when differing fire safety standards are imposed by federal, state or local jurisdictions the most ____ standard must apply

A

stringent

113
Q

if a facility remodels more than _____ of the smoke compartment or more than ___ square feet the entire smoke compartment must be renovated

A

50%

4,500 square feet

114
Q

up until ____ nursing homes were able to use freon in the fire sprinkler system

A

september 15, 2010

115
Q

existing construction can or cannot use freon in their sprinkler system unless nursing home has a ____

A

can

on site water supply

116
Q

acute care facilities were prohibited from using freon after ____ in dwelling units but can use it in other parts of the building

A

January 1, 2011

117
Q

an intact ___ rated separation wall, floor or ceiling assembly between the facility and all adjoining occupancy areas shall be

A

2 hour fire