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CHFM Compliance of Health Care
Terms in this set (59)
What is the CMS-adopted NFPA standard for portable fire extinguishers?
What is the CMS-adopted NFPA National Electric Code?
What is the CMS-adopted NFPA standard for a health care facilities code?
What is the title of CMS-adopted NFPA 241?
Standard for Safeguarding Construction, Alteration and Demolition Operations
Where can you find design standards adopted by the majority of states?
Facilities Guidelines Institute (FGI)
What is CMS?
Centers for Medicare and Medicaid Services
What does ASHRAE stand for?
American Society of Heating, Refrigerating and Air-Conditioning Engineers
What are DNV, The Joint Commission and HFAP?
Accrediting Organizations (AOs) that have deemed authority for CMS.
What is an AHJ?
Authority Having Jurisdiction
What are the four elements of the Life Safety Code?
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.
A space within a building enclosed by smoke barriers on all sides, including top and bottom, is a
What is the maximum smoke compartment size?
22,500 sq. ft.
Per 2012 Edition of the Life Safety Code
What date was the NFPA 101", Life Safety Code adopted?
July 5, 2016
Every story used by for sleeping for more than 30 patients shall be divided into two smoke compartments.
What is the 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
A hospital floor must resist the passage of and .
Per CMS, what type of door hardware is NOT permitted in health care?
Roller latches are NOT permitted in health care.
Typical types of occupancies in a health care facility are , and. .
health care, business, assembly
A separation is typically required between health care and other occupancies.
are provided to subdivide building spaces to restrict the movement of smoke.
What fire rating required for a smoke partition?
Corridor walls in non-sprinklered buildings must extend .
Above the ceiling to the deck above.
Also known an floor-to-deck
The maximum smoke compartment size in new construction is
The maximum smoke compartment size in existing construction
The maximum smoke compartment size is 22,500 sq. ft. for new and existing construction.
sprinklers are required in sleeping suites.
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
Exit access doors should be located .
remotely from each other.
The maximum between a set of double doors is .
+/- 1/16 of an inch for metal doors
Under what circumstances can an egress door be locked?
When the clinical needs of the patients require it.
An egress door can be locked in psychiatric units
What is the maximum undercut for a fire door?
How often are fire door inspections required?
What are the requirements for an existing hazardous area without a sprinkler system?
Self-closing door 1 hour rating
What are the requirements for an existing hazardous area with a sprinkler system?
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 three principles of fire protection?
What is the maximum travel distance for a sprinklered facility?
The maximum travel distance for a sprinklered building is 200 feet.
The maxmum travel distance for a non-sprinklered building is 150 feet
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
What percentage of exit stairs must exit directly outdoors?
Greater than 50%
Emergency lights for egress shall last minutes under an alternate power source when normal power is not available.
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.
What signage is required for a door that may appear to be an exit, but is not?
Signage that says: "Not An Exit"
Manual release devices for controlled access doors must be within of the door.
When a sprinkler system is out of service for more than hours in a 24 hour period, safety measures must be put in place.
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.
What organization utilizes Interim Life Safety Measures (ILSM)?
The Joint Commission
What organizations utilize Alternative Life Safety Measures (ALSM)?
What standard covers Legionella?
What standard covers HVAC requirements for health care?
What does HIPPA stand for?
Health Insurance Portability and Accountability Act
What organization is responsible for maintaining ILSM/ALSM documentation?
The health care facility/hospital
What is a PCRA?
Pre-Construction Risk Assessment
What is OSHA?
Occupational Safety and Health Administration
How many times are fire drills required during times of ILSM/ALSM?
An additional fire drill per shift per quarter.
Reference The Joint Commission LS 01 02.01 EP11
What is HVA?
Hazard Vulnerability Analysis
What position is responsible for the Environment of Care in a health care facility?
The safety officer is responsible for the Environment of Care at the health care facility.
What is the maximum height to mount a 10 pound fire extinguisher?
(No part should be over 60 inches)
What does EMTALA stand for?
Emergency Medical Treatment and Labor Act
A. is an unexpected occurrence involving death or serious physical injury.
What UL listing is required for a RPT in a patient care area?
RPT - Relocatable power tap multiplug
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