CHSP - Certified Healthcare Safety Professional Regulatory Compliance and Standards 2

Question 1

The OSHA Bloodborne Pathogens Standard (29 CFR 1910.1030) requires healthcare employers to develop a written Exposure Control Plan.
Which of the following elements is REQUIRED to be included in this plan?

Accepted Answer

The schedule and method for implementing engineering controls, work practice controls, and other compliance measures

Answer

A roster of all facility employees, regardless of their potential for occupational exposure

Answer

A complete chemical inventory of all substances used in the facility

Answer

Annual documentation of fire evacuation drills for each department

Question 2

Under NFPA 99, Health Care Facilities Code, spaces in healthcare facilities are classified into categories based on the risk to occupants if a utility system fails. Which of the following areas would most appropriately be classified as a Category 1 space?

Accepted Answer

An operating room where surgical procedures are performed

Answer

Hospital administrative offices

Answer

A hospital employee break room

Answer

The facility gift shop on the ground floor

Question 3

The CMS Emergency Preparedness Rule, effective November 2017, establishes four core elements that all Medicare- and Medicaid-certified providers must meet. Which of the following is NOT one of those four required core elements?

Accepted Answer

A mandatory facility-wide evacuation protocol covering all patient acuity levels

Answer

A risk-based emergency plan updated every two years

Answer

Policies and procedures based on the emergency plan

Answer

A communication plan that addresses patient information sharing during emergencies

Question 4

A Healthcare Safety Professional at a psychiatric hospital finds that nurses are experiencing frequent assaults by patients, but no specific OSHA standard directly regulates workplace violence in inpatient behavioral health settings. Under which provision of the Occupational Safety and Health Act can OSHA issue a citation to the hospital for this hazard?

Accepted Answer

Section 5(a)(1), the General Duty Clause

Answer

The Multi-Employer Worksite Rule

Answer

29 CFR 1910.38, Emergency Action Plans

Answer

The Recordkeeping and Reporting Standard (29 CFR 1904)

Question 5

A hospital pharmacy is disposing of unused bulk warfarin stock. Under the EPA's Resource Conservation and Recovery Act (RCRA), warfarin at concentrations greater than 0.3% is classified as which type of listed hazardous waste?

Accepted Answer

P-listed waste (acutely hazardous discarded commercial chemical products)

Answer

F-listed waste (from non-specific industrial sources)

Answer

K-listed waste (from specific industrial processes)

Answer

U-listed waste (toxic discarded commercial chemical products)

Question 6

According to The Joint Commission (TJC) Sentinel Event Policy, when an accredited healthcare organization experiences a sentinel event, what is the organization's primary required response?

Accepted Answer

Conduct a thorough root cause analysis (RCA) and develop an action plan designed to reduce the risk of recurrence

Answer

Report the event to the state health department within 24 hours and await regulatory guidance before conducting any internal review

Answer

Immediately suspend all operations in the affected department until TJC dispatches an on-site investigation team

Answer

Submit a complete incident report to OSHA within 48 hours of the event occurrence