HCC Quality Assurance & Compliance 2 — Questions and Answers
Question 1: Under FGI Guidelines, which agency is responsible for setting minimum design standards for healthcare facilities in most U.S. states?
- The Joint Commission (TJC)
- Facility Guidelines Institute (FGI) (Correct answer)
- Centers for Medicare & Medicaid Services (CMS)
- Occupational Safety and Health Administration (OSHA)
Correct answer: Facility Guidelines Institute (FGI)
The Facility Guidelines Institute (FGI) publishes the Guidelines for Design and Construction of Health Care Facilities, which most states adopt as minimum standards.
Question 2: During a healthcare construction project, a contractor discovers hidden asbestos-containing materials (ACM) behind a wall. What is the FIRST required action?
- Continue work and document the finding in the next progress report
- Stop work immediately, secure the area, and notify the owner and authority having jurisdiction (Correct answer)
- Remove the ACM using general laborers to avoid project delays
- Cover the ACM with new drywall to contain it
Correct answer: Stop work immediately, secure the area, and notify the owner and authority having jurisdiction
Discovery of ACM requires an immediate work stoppage, area containment, and notification of the owner and AHJ per OSHA and EPA regulations.
Question 3: What does the term 'Infection Control Risk Assessment' (ICRA) primarily evaluate in healthcare construction?
- The contractor's safety record and past infection incidents
- The potential risk of infection to patients during and after construction activities (Correct answer)
- Annual infection rates of the existing hospital staff
- The cost of infection control measures versus project budget
Correct answer: The potential risk of infection to patients during and after construction activities
An ICRA evaluates the potential impact of construction activities on patient infection risk and defines mitigation measures.
Question 4: Which ICRA Class requires the HIGHEST level of infection control precautions during construction?
- Class A
- Class B
- Class C
- Class D (Correct answer)
Correct answer: Class D
ICRA Class D involves the highest-risk activities (major demolition/construction) in or near the highest-risk patient areas and requires maximum containment measures.
Question 5: A healthcare general contractor is reviewing submittals for medical gas systems. Who must review and approve these submittals before installation?
- Only the general contractor's project manager
- The owner's facilities management department only
- A qualified medical gas inspector and the engineer of record (Correct answer)
- The local fire marshal only
Correct answer: A qualified medical gas inspector and the engineer of record
Medical gas system submittals require review by a qualified medical gas inspector and the engineer of record due to their life-safety criticality.
Question 6: Which standard governs the installation, testing, and inspection of medical gas and vacuum systems in healthcare facilities?
- NFPA 99 Health Care Facilities Code (Correct answer)
- NFPA 72 National Fire Alarm Code
- ASHRAE 170 Ventilation of Health Care Facilities
- IBC Section 407
Correct answer: NFPA 99 Health Care Facilities Code
NFPA 99 Health Care Facilities Code governs medical gas and vacuum systems, including installation, testing, and inspection requirements.
Question 7: During commissioning of a healthcare HVAC system, negative air pressure is required in which type of room?
- Operating rooms and procedure suites
- Airborne Infection Isolation (AII) rooms (Correct answer)
- Clean utility rooms and medication preparation areas
- Newborn nurseries and NICU spaces
Correct answer: Airborne Infection Isolation (AII) rooms
Airborne Infection Isolation (AII) rooms require negative air pressure to prevent infectious airborne particles from escaping into corridors.
HCC Quality Assurance & Compliance 2
Under FGI Guidelines, which agency is responsible for setting minimum design standards for healthcare facilities in most U.S. states?