ASHE Healthcare Facility Safety Questions and Answers

Question 1

A hospital is establishing a new water management program to comply with The Joint Commission standards. Which of the following is a mandatory initial step in developing this program?

Accepted Answer

Create a comprehensive diagram of the water system and conduct a risk assessment.

Answer

Immediately begin chemical treatment of the entire water system.

Answer

Purchase and install point-of-use filters on all patient-use faucets and showers.

Answer

Test all water outlets for Legionella and other waterborne pathogens.

Question 2

Per NFPA 99 and CGA C-9 standards for medical gas piping, what are the primary identifiers required on a pipe label?

Accepted Answer

The name of the gas or vacuum system and its corresponding standard color code.

Answer

The installation date and the name of the certified installer.

Answer

The pipe material specification and maximum pressure rating.

Answer

The room numbers served and the location of the nearest shut-off valve.

Question 3

A facility manager is reviewing the safety protocols for fire-rated door assemblies. According to NFPA 80, Standard for Fire Doors and Other Opening Protectives, how often must these assemblies be inspected and tested?

Accepted Answer

On an annual basis.

Answer

Every three years.

Answer

Only after a fire event has occurred.

Answer

Every six months.

Question 4

A hospital's safety committee is developing a workplace violence prevention program based on OSHA guidelines. Which of the following is considered a core component of such a program?

Accepted Answer

Conducting a worksite analysis to identify existing or potential hazards.

Answer

Hiring a dedicated, armed security force for every hospital unit.

Answer

Implementing a zero-tolerance policy for verbal abuse from patients.

Answer

Ensuring all clinical staff complete advanced self-defense training.

Question 5

A hospital is performing required testing on its Essential Electrical System (EES). According to CMS and The Joint Commission, compliance for testing emergency power supply systems (EPSS) is primarily referenced from which standard?

Accepted Answer

NFPA 110, Standard for Emergency and Standby Power Systems

Answer

NFPA 70, National Electrical Code

Answer

ANSI/ASHRAE/ASHE Standard 170

Answer

NFPA 101, Life Safety Code

Question 6

As part of The Joint Commission's Environment of Care (EOC) standards, a hospital must have a Security Management Plan. Which of the following elements must this plan specifically address?

Accepted Answer

A process for responding to and managing infant and pediatric abductions.

Answer

A procedure for vetting all third-party vendors and contractors.

Answer

A protocol for managing media inquiries during a security incident.

Answer

A policy for the use of social media by staff members.