Regulatory Compliance & Safety Standards Flashcards
7 cards from real ASHE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Regulatory Compliance & Safety Standards flashcards as text
Under TJC Environment of Care (EC) standards, how often must hospitals conduct a proactive risk assessment of high-risk processes?
Answer: At least once every 3 years
The Joint Commission's Leadership standard requires a proactive risk assessment of high-risk processes at least every three years or when significant changes occur.
NFPA 72 governs which system type in healthcare facilities?
Answer: Fire alarm and signaling systems
NFPA 72 is the National Fire Alarm and Signaling Code, covering design, installation, testing, and maintenance of fire alarm systems.
The RACE acronym used in healthcare fire response training stands for:
Answer: Rescue, Alarm, Contain, Extinguish
RACE stands for Rescue (patients in immediate danger), Alarm (activate pull station), Contain (close doors), Extinguish or Evacuate — the standard hospital fire response sequence.
Which ASHRAE standard specifically addresses ventilation in health care facilities including pressure relationships and air change rates?
Answer: ASHRAE 170
ASHRAE Standard 170, Ventilation of Health Care Facilities, specifies minimum ventilation rates, pressure relationships, filtration, and humidity requirements for healthcare spaces.
A hospital's Category 1 electrical system (per NFPA 99) must have an alternate power source capable of restoring power within how many seconds?
Answer: 10 seconds
NFPA 99 requires the Essential Electrical System for Category 1 spaces to restore power within 10 seconds of normal power failure.
Under CMS Conditions of Participation, a hospital experiencing a utility system outage that affects patient care must notify CMS within:
Answer: 72 hours
CMS requires hospitals to report certain adverse events — including serious utility failures — within 72 hours through their State Survey Agency.
What is the primary purpose of a Healthcare Failure Mode and Effect Analysis (HFMEA)?
Answer: To proactively identify and mitigate risks before harm occurs
HFMEA is a prospective, proactive risk assessment tool used to identify potential failure points in healthcare processes before they cause patient harm.