ASHE Healthcare Codes and Compliance 2 — Questions and Answers
Question 1: Under NFPA 99, which risk category classification applies to a space where failure of equipment would likely cause major injury or death to patients or caregivers?
- Category 1 (Correct answer)
- Category 2
- Category 3
- Category 4
Correct answer: Category 1
NFPA 99 Category 1 applies to spaces where equipment failure is likely to cause death or major injury to patients or caregivers.
Question 2: The Joint Commission's Environment of Care (EC) standards require that a healthcare facility conduct a fire drill how often in each smoke compartment used for sleeping?
- Quarterly (Correct answer)
- Semi-annually
- Annually
- Every two years
Correct answer: Quarterly
TJC EC standards require fire drills at least quarterly in each smoke compartment used as sleeping areas.
Question 3: Which ASHRAE standard establishes minimum ventilation requirements specifically for health care facilities, including air changes per hour and pressure relationships?
- ASHRAE 62.1
- ASHRAE 90.1
- ASHRAE 170 (Correct answer)
- ASHRAE 55
Correct answer: ASHRAE 170
ASHRAE 170 (Ventilation of Health Care Facilities) sets the specific airflow, pressure relationships, and filtration requirements for healthcare spaces.
Question 4: CMS Conditions of Participation require that a hospital's physical plant be maintained in accordance with which edition of NFPA 101 as adopted by CMS in the current rulemaking?
- NFPA 101-2000
- NFPA 101-2006
- NFPA 101-2012 (Correct answer)
- NFPA 101-2018
Correct answer: NFPA 101-2012
CMS adopted NFPA 101-2012 (Life Safety Code) for hospital compliance under its 2016 final rule, which remains the applicable edition.
Question 5: A Statement of Conditions (SOC) is a document required by The Joint Commission primarily to document what?
- Utility system preventive maintenance records
- Building compliance with NFPA 101 and plan for correcting deficiencies (Correct answer)
- Patient safety incident reports related to the environment
- Staff training completion on Life Safety Code
Correct answer: Building compliance with NFPA 101 and plan for correcting deficiencies
The SOC documents a building's compliance status with NFPA 101 and outlines plans of action (PFIs or aPFIs) for correcting deficiencies.
Question 6: Under OSHA 29 CFR 1910.132, healthcare employers must conduct a hazard assessment to determine appropriate PPE. Who is responsible for certifying in writing that this assessment has been performed?
- The safety officer
- The employer (Correct answer)
- The compliance officer
- The department head
Correct answer: The employer
OSHA 29 CFR 1910.132(d)(2) requires the employer to certify in writing that the PPE hazard assessment was performed.
Question 7: Which code specifically governs the design and installation of medical gas and vacuum piping systems in healthcare facilities?
- NFPA 72
- NFPA 99 Chapter 5 (Correct answer)
- NFPA 101 Chapter 18
- ASHRAE 170 Appendix A
Correct answer: NFPA 99 Chapter 5
NFPA 99 Chapter 5 covers the design, installation, and testing of piped medical gas and vacuum systems in health care facilities.
ASHE Healthcare Codes and Compliance 2
Under NFPA 99, which risk category classification applies to a space where failure of equipment would likely cause major injury or death to patients or caregivers?