CHFM Environment of Care Management 2 — Questions and Answers
Question 1: A healthcare facility manager receives a complaint that staff are storing oxygen cylinders horizontally in a supply room. What is the correct action?
- Allow it if cylinders are secured with straps
- Require cylinders to be stored upright and secured (Correct answer)
- Permit horizontal storage only for empty cylinders
- Report the issue but take no immediate corrective action
Correct answer: Require cylinders to be stored upright and secured
Compressed gas cylinders must be stored upright and secured to prevent tipping, rolling, or valve damage.
Question 2: Under the Joint Commission Environment of Care standards, which document describes the facility's plan for managing medical equipment?
- Infection Control Risk Assessment
- Medical Equipment Management Plan (Correct answer)
- Utility Systems Management Plan
- Emergency Operations Plan
Correct answer: Medical Equipment Management Plan
The Medical Equipment Management Plan outlines how the facility selects, inspects, tests, and maintains medical equipment.
Question 3: A hospital's fire alarm system triggers in a non-patient area with no evidence of fire. What is the FIRST action the facility manager should take?
- Silence the alarm immediately to avoid patient disruption
- Investigate the source of the alarm before resetting (Correct answer)
- Evacuate the entire building
- Contact the alarm vendor to reset the panel remotely
Correct answer: Investigate the source of the alarm before resetting
The source of every alarm activation must be investigated and confirmed safe before the system is reset, per NFPA 101.
Question 4: Which Life Safety Code edition do CMS Conditions of Participation currently reference for healthcare occupancies?
- NFPA 101-2000
- NFPA 101-2012 (Correct answer)
- NFPA 101-2018
- NFPA 101-2021
Correct answer: NFPA 101-2012
CMS adopted NFPA 101-2012 for healthcare occupancies in its 2016 final rule, with certain provisions from the 2015 edition of NFPA 99.
Question 5: What is the primary purpose of an Interim Life Safety Measure (ILSM) in a healthcare facility?
- To replace permanent fire suppression systems during construction
- To compensate for increased fire risk when Life Safety Code features are impaired (Correct answer)
- To allow construction without a building permit
- To train staff on evacuation procedures
Correct answer: To compensate for increased fire risk when Life Safety Code features are impaired
ILSMs are temporary measures implemented to offset deficiencies or increased hazards when Life Safety Code features are impaired during construction or renovation.
Question 6: A facility undergoes major renovation in an occupied hospital wing. Which risk assessment tool is required before construction begins?
- Root Cause Analysis (RCA)
- Failure Mode and Effects Analysis (FMEA)
- Infection Control Risk Assessment (ICRA) (Correct answer)
- Hazard Vulnerability Analysis (HVA)
Correct answer: Infection Control Risk Assessment (ICRA)
An Infection Control Risk Assessment (ICRA) must be performed before construction or renovation to identify and mitigate airborne infection risks to patients.
Question 7: Which NFPA standard governs the health care facilities' electrical systems, including essential electrical system requirements?
- NFPA 13
- NFPA 70
- NFPA 99 (Correct answer)
- NFPA 110
Correct answer: NFPA 99
NFPA 99, Health Care Facilities Code, establishes requirements for essential electrical systems, medical gas, and other critical systems in healthcare facilities.
CHFM Environment of Care Management 2
A healthcare facility manager receives a complaint that staff are storing oxygen cylinders horizontally in a supply room.
What is the correct action?