CHC Exam Flashcards

1
Q

How man Air Changes per Hour for Class b and C Surgery

A

20 Air Changes Per Hour

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2
Q

How many air changes per hour in Class A Surgery?

A

15 Air Changes per Hour

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3
Q

How many air changes per hour in Airborne infectious Iso Room and PE Room

A

12 Air Changes per Hour

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4
Q

How to calculate air change rate?

A

Volume of the Room divided by 60 (seconds)

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5
Q

PACU

A

Post Anesthesia Care Unit or Recovery

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6
Q

Pre-Op

A

Pre-Operative Area; Might be recovery and discharge in ambulatory surgery

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7
Q

What is ambulatory Surgery?

A

Outpatient Surgery

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8
Q

Surgical Procedures Classifications A,B,C?

A

A: Minor Surgery
B: Middle of the Road
C: Major Surgery
(Based on levels of Anesthesia)

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9
Q

Cath Lab?

A

A catheterization laboratory, commonly referred to as a cath lab, is an examination room in a hospital or clinic with diagnostic imaging equipment used to visualize the arteries of the heart and the chambers of the heart and treat any stenosis or abnormality found.

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10
Q

Endoscopy

A

Endoscopy is a nonsurgical procedure used to examine a person’s digestive tract

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11
Q

Colonoscopy

A

A colonoscopy (koe-lun-OS-kuh-pee) is an exam used to look for changes — such as swollen, irritated tissues, polyps or cancer — in the large intestine (colon) and rectum.

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12
Q

Bronchoscopy

A

Bronchoscopy is a procedure to look directly at the airways in the lungs using a thin, lighted tube (bronchoscope).

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13
Q

OB

A

Obstetrics: childbirth and the care of women giving birth.

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14
Q

LDR

A

Labor Delivery Room

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15
Q

LDRP

A

Labor Deliver Recovery Post Partum

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16
Q

C-Section

A

Caesarian Section: Surgery Room

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17
Q

NICU

A

Neonatal Intensive Care Unit

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18
Q

ICU

A

Intensive Care Unit

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19
Q

CCU

A

Coronary Care Unit; an area in the hospital where serious heart problems are treated.

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20
Q

TCU

A

Transitional Care Unit; short-term stay in a skilled nursing facility where people can receive further physical and occupational therapy

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21
Q

Burn Unit

A

Advanced treatment for burns

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22
Q

BMT

A

Bone Marrow Transplant

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23
Q

AII Room

A

Airborne Infection Isolation Room

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24
Q

PE Room

A

Protective Environment Room

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25
Q

Orthopedic

A

devoted to the prevention, diagnosis, and treatment of disorders of the bones, joints, ligaments, tendons and muscles.

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26
Q

What type of rooms are Positive Pressure Rooms?

A
BMT
PE
Burns
ORs
Etc
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27
Q
What type of rooms are these, negative or positive?
AII
Bronchoscopy
Dirty Spaces
Construction
A

Negative

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28
Q

Radiography

A

XRay - the art and science of using radiation to provide images of the tissues, organs, bones, and vessels that comprise the human body

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29
Q

Fluoroscopy

A

medical procedure that makes a real-time video of the movements inside a part of the body by passing x-rays through the body over a period of time

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30
Q

What does a CAT or CT Scan do?

A

scan allows doctors to see inside your body. It uses a combination of X-rays and a computer to create pictures of your organs, bones, and other tissues. It shows more detail than a regular X-ray

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31
Q

MRI

A

a medical examination performed using magnetic resonance imaging.

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32
Q

Nuclear Imaging

A

Nuclear imaging is used to study organ and tissue function. A tiny amount of a radioactive substance is used during the procedure to assist in the exam.

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33
Q

PET scan

A

A positron emission tomography (PET) scan is an imaging test that can help reveal the metabolic or biochemical function of your tissues and organs. Radiotracers are used in these.

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34
Q

HCAHPS

A

Hospital Consumer Assessment of Healthcare Providers and Systems; HCAHPS is the first national, standardized, publicly-reported survey of patients’ perspectives of hospital care.

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35
Q

Operations Expenses?

A

Salaries and Benefits
Supplies
Some Equipment

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36
Q

Capital Expense?

A

Major Construction/ Renovation

Major Equipment

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37
Q

What is used to determining Capitol vs Ops budgets being used?

A

Cost & life expectancy

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38
Q

POE

A

Post Occupancy Evaluation

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39
Q

NFPA stands for?

A

National Fire Protection Association

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40
Q

NFPA 101?

A

Life Safety Code; The Life Safety Code is the most widely used source for strategies to protect people based on building construction, protection, and occupancy features that minimize the effects of fire and related hazards

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41
Q

NFPA 99?

A

Health Care Facilities Code; NFPA 99 establishes criteria for levels of health care services or systems based on risk to the patients, staff, or visitors in health care facilities to minimize the hazards of fire, explosion, and electricity.

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42
Q

What are the FGI Guidelines?

A

The FGI Guidelines recommend minimum program, space, functional program, patient handling, infection prevention, architectural detail, and surface and furnishing needs for clinical and support areas of hospitals, ambulatory care facilities, rehabilitation facilities, and nursing and other residential care facilities.

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43
Q

IBC?

A

International Building Code

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44
Q

UBC?

A

Universal Building Code

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45
Q

NFPA 5000

A

Building Construction and Safety Code; This code provides requirements for those construction, protection, and occupancy features necessary to safeguard life, health, property, and public welfare and minimize injuries.

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46
Q

What does the Joint Commission do?

A

Founded in 1951, The Joint Commission seeks to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value.

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47
Q

Where to find the med gas requirements?

A

NFPA 99 for most, FGI guidelines for number and type of outlets.

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48
Q

Cat 1- Cat 4 Med Gas Building System Categories?

A

Cat 1 - Failure will cause major injury or death
Cat 2 - Failure minor injury
Cat 3 - Failure not likely to cause injury
Cat 4 - Failure would have no impact

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49
Q

Where is the emergency oxygen supply connection supposed to be located?

A

Exterior of the building accessible by emergency vehicles in all weather conditions.

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50
Q

WAGD

A

Waste Anesthetic Gas Disposal

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51
Q

FCI

A

Facility Condition Index

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52
Q

How often do Fire Extinguishers need to be inspected in a hospital?

A

Once a month

53
Q

Per NFPA 101, when is a renovated area considered reconstruction?

A

50% of area renovated or 4,500 sf

54
Q

What does Sentinel mean?

A

unanticipated; as in unanticipated event

55
Q

acuity meaning?

A

more needs or requirements

56
Q

Does NFPA 101 cover sleeping or non-sleeping accomodations?

A

Sleeping

57
Q

Fire Barrier Requirement for Additions?

A

2 hr

58
Q

When is a construction modification considered a major rehabilitation?

A

50% or more of the area of the smoke compartment

59
Q

Med Gas Installers Must meet what requirements?

A

ANSI/ASSE Standard 6010 Professional Qualification Standard for Med Gas and Vacuum System Installers

60
Q

Material for Med Gas & Vacuum

A

hard-drawn seamless copper ASTM B819, vacuum can be SS as well.

61
Q

TEsting Requirements for Med Gas

A

Initial blow down, Purging to eliminate oxygen, pressure test, cross connection test, standing pressure test, alarm tests

62
Q

Define Essential Electrical System? (ELS)

A

A system comprised of
alternate sources of power and all connected distribution
systems and ancillary equipment, designed to ensure
continuity of electrical power to designated areas and
functions of a health care facility during disruption of normal
power sources, and also to minimize disruption within the
internal wiring system. (ELS)

63
Q

What does the essential electrical system life safety branch support?

A

Illumination of means of egress, exit signs, fire alarm, med gas and vacuum alarms, hospital communication systems, elevator cab lighting & controls, loads dedicated to the generator

64
Q

What does the essential electrical system critical branch support?

A

task illumination, fixed equipment, selected receptacles, med prep, pharmacy, nurse stations, nurse call, blood banks, telephone equipment rooms.

65
Q

Required hardware for swinging fire door assemblies?

A

positive latching hardware, closed and latched

66
Q

PSG

A

Polysomnogram; test for sleep studies

67
Q

SDI

A

Smoke Developed Index

68
Q

Fire Walls must have what ratings?

A

2 hr min, 4 hr max

69
Q

Nosocmial INfection?

A

Healthcare Associated Infection

70
Q

Cryogenic meaning?

A

Extra cold, very low temps

71
Q

Air Change/ Hour Calculation?

A

(CF/M X 60 mins)/ CF (room volume) = ACH

72
Q

Auxillary Oxygen Connection provides how many pounds per square inch to patients in need of respiration and inhalation.

A

55 lbs/sq in

73
Q

An aggregate total of compressed medical gasses may be stored up to how many cf per smoke compartment?

A

300 cf

74
Q

Med Vac Test needs to go for how long?

A

24 hours

75
Q

HVA

A

Hospital Vulnerability Analysis; used to make the emergency operations plan (EOP)

76
Q

FCI Calc?

A

Sum of Deficiencies / Replacement Value

77
Q

Simple Payback

A

Simple payback time is defined as the number of years when money saved after the renovation will cover the investment.

78
Q

Plumbing - RO

A

Reverse Osmosis; Reverse osmosis is a water purification process that uses a semi-permeable membrane (synthetic lining) to filter out unwanted molecules and large particles such as contaminants and sediments like chlorine, salt, and dirt from drinking water.

79
Q

Plumbing - DI

A

De- Ionization; Deionized water is a form of pure, clean water purified by removing atoms, ions, and molecules from tap water through an ion exchange process

80
Q

Piping Must be in a continuous loop?

A

True

81
Q

What is Defend In Place?

A

Evacuation is the last option accordina to the Life Safety Code

82
Q

3 components of the Life Safety Code?

A

Design & Construction of Compartments
Detection, Alarm and Extinguishment
Planning, Training and Drilling

83
Q

Every story used by inpatients for sleeping or treatment should be in how many compartments?

A

2 or more

84
Q

Max travel distance to a new smoke compartments for sleeping or treatment?

A

200 ft

85
Q

Protection of vertical openings, exit passageways, horizontal exits and occupancies needs to have what barrier?

A

Fire Barrier

86
Q

Allowed utilities and penetrations in an exit enclosure?

A
Electrical conduit serving stairway
Required exit doors
ductwork for independent pressurization
Water/Steam piping for cooling/heating the enclosure
Sprinklers
Standpipes
87
Q

A horizontal exit passageway must have the rating required for the stairway it serves?

A

true

88
Q

Ratings of exit stairways according to their stories? 3 or less? 4 or more?

A

3 or less is 1 hr

4 or more is 2 hr

89
Q

Rating of horizontal exits?

A

2 hr fire barrier

90
Q

When do you notify the fire department for a sprinkler/ fire alarm system out of service?

A

Fire Alarm, more than 4 hrs in 24 hrs

Sprinkler more than 10 hrs in 24 hrs

91
Q

Capitol Cost?

A

Equipment, renovation, new construction

92
Q

Operating Cost?

A

Utilities, Salaries, Supplies, Service contracts and repairs

93
Q

ADC

A

Average Daily Census; Total admissions in a month divided by days

94
Q

LOS

A

Length of Stay

95
Q

Occupied Bed (OB) Calc?

A

total patient days divided by number of days in period

96
Q

AOB

A

Adjusted Occupied Bed - adjusted for outpatient volume

97
Q

Readmission Rate?

A

Unplanned readmissions within 30 days

98
Q

Facility Condition Index Less than .05

A

Good, no need to make changes

99
Q

Facility Condition Index More than .15

A

Poor

100
Q

Life Cycle Cost Calculation?

A

Capitol Cost of a project + Maintenance + Energy Cost + Replacement Cost + Salvage value of a system

101
Q

Simple Payback Period Calc?

A

Investment Cost/ Periodic Cash Flow ; Period of time required to recoup the funds expended in an investment

102
Q

NPV

A

Net Present Value; Difference between the present value of the future cash flows from a series of payments and the amount of the investment

103
Q

Nitrogen Color?

A

Black

104
Q

Stark Law?

A

Physician referrals only

105
Q

AKS?

A

Anti Kickback Statute - All Healthcare Providors Referral

106
Q

Hill Burton

A

Grants to hospitals to provide health services for those who can’t pay

107
Q

NFPA 10?

A

Standard for Portable Fire Extinghushers

108
Q

NFPA 13?

A

Standard for Installation of Fire Sprinklers

109
Q

NFPA 25?

A

Standard for Inspection, Testing and Maintenance of Water Based Fire Sprinkler Systems.

110
Q

ANSI/AHSRAE/ASHE 170-2021 Standard?

A

Ventilation system design requirements

111
Q

ANSI/ASHRAE Standard 188

A

Legionella Testing, Risk Assessment & Control

112
Q

Stage 1,2,3 Water filtration?

A
  1. Sediment
  2. Carbon Filtration
  3. reverse Osmosis
113
Q

Hepa Filters found in hospitals and cleanrooms?

A

MERV 16-20

114
Q

NFPA 70?

A

The National Electric Code (NEC)

115
Q

NFPA 70E?

A

Electrical Safety in the Workplace

116
Q

NFPA 80?

A

Standard for Fire Doors and Other Opening Protectives

117
Q

NFPA 90A?

A

Standard for the Installation of Air-Conditioning and Ventilation Systems

118
Q

NFPA 105?

A

Standard for the Installation of Smoke Door Assemblies and Other Opening Protectives

119
Q

NFPA 111?

A

Standard on Stored Energy Emergency and Standby Power Systems

120
Q

NFPA 241?

A

Standard for Safeguaring Construction, Alteration and Demolition Operations

121
Q

NFPA 1600?

A

Standard for Disaster/Emergency Management and Business Continuity

122
Q

USP 797 & USP 800

A

Hazardous Drugs—Handling in Healthcare Settings aka Pharmacies

123
Q

How far can you travel into the MRI Suite with a steel tape measure?

A

Zone 1

124
Q

Max number of E-Cylinders (23.5 cf per cylinder) that can be stored on a unit?

A

12

125
Q

MICU?

A

Medical Intensive Care Unit

126
Q

SICU?

A

Surgical Intensive Care Unit

127
Q

ABHR Dispensors?

A

Alcohol Based Hand Rub Dispensers

128
Q

Functional Program?

A

A functional program is a detailed, multi-purpose document that serves as an interface between a physical space and the activities, programs and services the space will support. It reduces risks such as scope creep by working through and capturing all of the metrics to be provided in the final state.

129
Q

Chapter 18 of NFPA 101 Is for?

Chapter 19 of NFPA 101 is for?

A

Chap 18 - New Builds

Chap 19 - Existing