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Regulatory Compliance & Standards Flashcards

7 cards from real CHSP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Regulatory Compliance & Standards flashcards as text

  1. A hospital safety officer finds that a newly installed electrical panel in a patient care area lacks the required ground-fault circuit interrupter (GFCI) protection. Which standard is most directly violated?

    Answer: NFPA 99

    NFPA 99 Health Care Facilities Code governs electrical systems in patient care areas, including requirements for GFCI protection to prevent electrical shock hazards.

  2. Under The Joint Commission's National Patient Safety Goals, Goal NPSG.07.01.01 focuses on:

    Answer: Improving hand hygiene compliance

    NPSG.07.01.01 requires healthcare organizations to comply with CDC or WHO hand hygiene guidelines to reduce healthcare-associated infections.

  3. Which regulatory framework governs the handling, storage, and disposal of radioactive materials used in nuclear medicine departments?

    Answer: NRC 10 CFR Part 35

    NRC 10 CFR Part 35 (Medical Use of Byproduct Material) establishes requirements for the medical use of radioactive materials, including training, recordkeeping, and safety procedures.

  4. A healthcare facility's fire alarm system must be tested in accordance with which NFPA standard?

    Answer: NFPA 72

    NFPA 72 National Fire Alarm and Signaling Code establishes requirements for the installation, performance, inspection, testing, and maintenance of fire alarm systems.

  5. Under OSHA's Lockout/Tagout Standard (29 CFR 1910.147), an 'affected employee' is best defined as:

    Answer: An employee whose job requires them to operate equipment being serviced

    Affected employees are those who operate the machine or equipment being serviced or maintained, or who work in an area where such service is performed.

  6. CMS requires hospitals to conduct a fire drill at least how often in patient sleeping areas?

    Answer: Quarterly on each shift

    CMS requires hospitals to conduct fire drills at least quarterly on each shift in areas where patients sleep, in accordance with NFPA 101 and Life Safety Code requirements.

  7. Which accreditation standard requires healthcare organizations to establish a Safety Committee that includes a multidisciplinary team?

    Answer: TJC Environment of Care (EC) standards

    TJC's Environment of Care standards (EC.04.01.01) require organizations to establish a safety committee responsible for the environment of care management plans.