Regulatory Standards & Infection Control Flashcards

Which federal regulation requires hyperbaric facilities to have a written Emergency Action Plan (EAP) posted and accessible to all staff?

Answer: OSHA 29 CFR 1910.38

OSHA 29 CFR 1910.38 mandates that employers with more than 10 employees maintain a written Emergency Action Plan covering evacuation, fire, and other emergencies.

When reprocessing a multi-place chamber inner lock between patients, the MINIMUM required action per Spaulding classification for non-critical environmental surfaces is:

Answer: Low-level disinfection with an EPA-registered hospital disinfectant

Environmental surfaces that do not contact intact skin at a critical level are non-critical and require only low-level disinfection with an EPA-registered disinfectant.

A hyperbaric patient develops an oxygen toxicity seizure. Which regulatory body's sentinel event policy requires the facility to conduct a review and potentially report this occurrence?

Answer: All of the above may require reporting depending on outcome and jurisdiction

Depending on severity and patient outcome, an oxygen toxicity seizure may trigger reporting requirements under TJC sentinel event policy, FDA MDR, and state health department regulations simultaneously.

Under NFPA 99, who is responsible for approving items brought into a Class A (monoplace oxygen) hyperbaric chamber?

Answer: The hyperbaric medical director or designee

NFPA 99 places responsibility on the hyperbaric medical director (or designee) to approve all items introduced into the oxygen-enriched chamber environment.

Which infection control practice is specifically required by CDC guidelines when handling linens soiled with blood from hyperbaric patients?

Answer: Roll or fold linens inward and place in leak-proof bag without shaking

CDC guidelines require soiled linens to be rolled or folded inward and placed in leak-proof bags at the point of use—shaking or sorting is prohibited to prevent aerosol generation.

The UHMS accreditation program for hyperbaric facilities requires which of the following as a core standard?

Answer: Documented credentialing and competency verification for all clinical staff

UHMS accreditation requires facilities to document credentialing, competency verification, and ongoing education for all clinical hyperbaric personnel.

A hyperbaric technician notices that the facility's chamber disinfection log has not been completed for the past three days. The FIRST action the technician should take is:

Answer: Report the documentation gap to the supervisor and investigate whether disinfection was actually performed

Missing documentation must be reported to a supervisor immediately; the actual disinfection history must be verified before proceeding, as falsifying records is a regulatory and ethical violation.