CHSP Regulatory Compliance and Standards Questions and Answers

Question 1

A hospital must meet the health and safety standards set by the Centers for Medicare & Medicaid Services (CMS) to participate in Medicare and Medicaid programs. These standards are known as:

Accepted Answer

Conditions of Participation (CoPs)

Answer

Conditions of Performance (CoPs)

Answer

Accreditation Commission for Health Care (ACHC) Standards

Answer

National Integrated Accreditation for Healthcare Organizations (NIAHO) Requirements

Question 2

During a routine safety inspection, a Healthcare Safety Professional observes that a newly installed alcohol-based hand rub dispenser in a corridor is located directly above a standard electrical outlet. According to the NFPA 101, Life Safety Code, why is this a compliance issue?

Accepted Answer

Dispensers are not permitted to be installed over or adjacent to an ignition source.

Answer

The dispenser exceeds the maximum allowable individual capacity.

Answer

The corridor width is less than the required minimum of six feet.

Answer

The total amount of hand rub in the smoke compartment exceeds ten gallons.

Question 3

Which of the following federal agencies requires healthcare employers to create a comprehensive Hazard Communication Program, including safety data sheets (SDSs) for hazardous chemicals, employee training, and proper container labeling?

Accepted Answer

Occupational Safety and Health Administration (OSHA)

Answer

The Joint Commission (TJC)

Answer

Environmental Protection Agency (EPA)

Answer

Centers for Disease Control and Prevention (CDC)

Question 4

A hospital is preparing for an accreditation survey from The Joint Commission (TJC). A surveyor asks an environmental services technician about their role during a fire. To demonstrate compliance with TJC's Environment of Care (EOC) standards, the technician should be knowledgeable about:

Accepted Answer

The facility's written fire response plan, including RACE/PASS.

Answer

The chemical composition of the fire suppression agent.

Answer

The hospital's annual fire safety budget.

Answer

The location of the nearest fire department station.

Question 5

Under the EPA's Resource Conservation and Recovery Act (RCRA), certain pharmaceutical wastes are considered hazardous. A healthcare facility is managing non-creditable, P-listed pharmaceutical waste. Which of the following is a key requirement for managing this specific type of waste?

Accepted Answer

It must be segregated and sent to a licensed hazardous waste treatment, storage, and disposal facility (TSDF).

Answer

It can be disposed of in a landfill after being rendered non-infectious.

Answer

Empty containers that once held the P-listed waste are treated as regular solid waste.

Answer

The waste can be sent to any reverse distributor for disposal.

Question 6

A healthcare facility's safety committee is reviewing OSHA reporting requirements. An employee was hospitalized for two days due to a work-related back injury from lifting a patient. According to OSHA's recordkeeping and reporting standards for partially exempt industries like physician offices, what action must the employer take?

Accepted Answer

Report the in-patient hospitalization to OSHA within 24 hours.

Answer

Record the injury on the OSHA 300 Log within seven calendar days.

Answer

Report the in-patient hospitalization to OSHA within 8 hours.

Answer

No report is needed as it was not a fatality or amputation.

A hospital must meet the health and safety standards set by the Centers for Medicare & Medicaid Services (CMS) to participate in Medicare and Medicaid programs.These standards are known as:

A hospital must meet the health and safety standards set by the Centers for Medicare & Medicaid Services (CMS) to participate in Medicare and Medicaid programs.
These standards are known as: