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166 Cards in this Set
- Front
- Back
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What does CHC stand for?
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Certified Health Care Constructor
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What are the 4 types of Exam Questions?
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Health Care Industry Fundamentals, PDC Process, Health Care Facility Safety, Financial Stewardship |
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Fundamentals Name 5 Trends in Health Care |
Changing Regulations; Services offered; Construction; Length of stay; Finance; Patient flow and efficiency; Departmental/ Service adjacencies |
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Name the 5 types of Health Care Facilities
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Outpatient facilities; Medical office building; Elder care; Skilled nursing facilities |
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Explain the Departmental Relationships Emergency Department Surgery (3) |
ED = Gateway to the hospital Surgery (surgery suite, operating rooms) = Pre-op, PACU (post anesthesia care unit / some call it recovery), Post-op (might combine recovery and discharge in ambulatory surgery) |
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Explain the Departmental Relationships OR Classification Cath Lab |
OR = Class A, B & C Cath Lab = Cardiac Catheterization Lab - Often treated as surgery |
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Definition: MOB
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Medical Office Building
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Definition: PACU
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Post Anesthesia Care Unit
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Definition: CATH LAB
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Cardiac Catheterization Lab
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Definition: OB
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Obstetrics |
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Definition: LDR
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Labor Delivery Recovery |
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Definition: LDRP
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Labor Delivery Recovery Post Partum |
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Definition: C-SECTION
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Caesarian Section |
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Definition: ICU
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Intensive Care Unit |
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Definition: NICU
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Neonatal Intensive Care Unit |
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Definition: PICU
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Pediatric Intensive Care Unit |
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Definition: SICU
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Surgical Intensive Care Unit |
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Definition: CICU
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Cardiac Intensive Care Unit |
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Definition: CCU
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Coronary Care Unit |
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Definition: BMT
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Bone Marrow Transplant |
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Definition: SDs
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Schematic Design |
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Definition: DDs
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Design Development |
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Definition: CDs
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Construction Drawings |
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Definition: POE
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Post Occupancy Evaluiation |
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Definition: IBC
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International Building Code |
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Definition: UBC
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Unified Building Code |
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Definition: NFPA
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National Fire Protection Association |
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Definition: AHJ
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Authority Having Jurisdiction |
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Definition: TJC
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The Joint Commission
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Definition: HFAP
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Healthcare Facilities Accreditation Program |
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Definition: DNV
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Det Norske Veritas |
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Definition: OSHA
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Occupational Safety and Health Administration |
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Definition: EPA
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Environmental Protection Agency |
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Definition: HIPAA
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Health Insurance Portability and Accountability Act |
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Definition: ADA
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Americans with Disabilities Act |
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Definition: CDC
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Centers for Disease Control and Prevention |
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Definition: USP
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United States Pharmacopeia |
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Definition: NRC
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Nuclear Regulatory Commission
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Definition: LEED
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Leadership in Energy and Environmental Design |
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Definition: UL
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Underwriter Laboratories |
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What does it Govern: NFPA 99
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Medical Gas |
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What does it Govern: ANSI/ASSE Standard 6010 |
Med Gas Installer Qualifications
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What does it Govern: ANSI/ASSE 6030
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Med Gas System Verifier Qualifications |
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What does it Govern: NFPA99-1999
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Essential Electrical Systems |
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What does it Govern: NFPA 101
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Life Safety Code |
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Definition: FGI
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Facilities Guidelines Institute |
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List 3 Items shutting down the Medical Air System affects
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NICU, Ability to calibrate respiratory therapy equipment, critical care and coronary care |
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Max amount of compressed gas allowed in a storage rm
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300 cuft |
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How frequently do you have to test Fire Alarm Systems
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Monthly |
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Definition: EOP
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Emergency Operations Plan |
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Definition: HVA
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Hazard Vulnerability Analysis |
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What type of space needs lead lining |
Spaces that use ionizing radiation (X-Ray, CT) |
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How to calculate ACH |
result is in cuft/hr |
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Definition: AII |
Airborne Infection Isolation |
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Difference Between PE and AII |
AII (Airborne Infection Isolation) is - pressure (isolation) |
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Definition: MERV
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Minimum Efficiency Reporting Value, and is used to measure the overall efficiency of media air filters |
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Explain OR Classes
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Class A - local anesthesia / procedures, 15 ACH. 2 outdoor ACH. Class B - general anesthesia, CYSTO, 20 ACH. 4 outdoor ACH. Class C - Highest, Neuro/heart/other open body surgery, 20 ACH. 4 outdoor ACH. |
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When is 2 stage filtering required?
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In all clinical areas. Admin Office areas don't require this. |
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What does it Govern: ASHRAE 188
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Legionella in Hot Water Standard |
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What determines Capital Expense Vs. Operational Expense
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Cost and life expectancy |
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Explain MRI Zones
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2- patient screening area and prep 3- already screened patients and personnel 4- screened MRI patients under direct supervision of trained MRI personnel only (inside room with magnet) |
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What is Emergency Planning and Mitigation based on?
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HVA (Hazard Vulnerability Analysis) |
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List 5 places for heightened safety and security needs / issues in the hospital |
Pharmacy Behavioral / psychiatric care areas Emergency department Infant / pediatric security Patient dementia related security needs |
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When to implement ILSM?
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When construction alters any required life safety code elements |
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4 things required when FA / Sprinkler out of service more than 4 hrs in 24 hr period
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Notify the fire department Document Possible other measures |
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Explain: Vertical exits - Exit stairways
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FRR (fire resistance rating) 1hr where exit connects 3stories or less, 2hr for 4 and up (new healthcare) cannot be supported by structure <2hr rating |
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Explain: Horizontal Exit Passageways
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Doors must be rated same as exit enclosure, be self closing and latching |
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Explain: Horizontal Exit
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All spaces must have at least one exit that isn't a horizontal exit |
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What does it Govern: NFPA 241 |
Fire Protection During Construction |
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Exit enclosures cannot be used for (4 things)
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storage an office construction staging area |
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What utilities can run through an exit enclosure (both vertical and horizontal) |
exit doors, lighting, ductwork / equipment for independent pressurization, sprinklers, heating and cooling the enclosure |
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What rating is required for separation of occupancies?
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2hr FRR (Fire Resistance Rating) |
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Typical Rating to protect from Hazards
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1hr FRR. Does not include severe hazard. |
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Maximum compartment size of smoke compartments |
every story with occupant load >50 regardless of use |
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Basic premise used to develop the Life Safety Code Health Care Chapters |
Unit Concept (series of compartments) Total Concept (from NFPA 101; minimize possibility of evacuation due to fire) design and construction of compartments; detection, alarm and extinguishment; planning, training and drilling |
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Maximum travel distance of smoke compartments
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200' |
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How many types of construction are on the Risk Classification Matrix?
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4; A, B, C, D (A is just inspection through D being full demo / build) |
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How many Risk Groups are in the Risk Classification Matrix? |
4; Low, Medium, High, Highest (low = office, Highest = open body surgery) |
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Definition: ICRMR
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Infection Control Risk Mitigation Requirements |
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Where does it come from: PCRA requirement
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TJC (The Joint Commission) |
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Where does it come from: ICRA during early planning phase |
FGI Guidelines 2010 edition |
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Definition: Code Red |
Fire Response |
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Definition: Code Green |
Evacuation Response |
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Definition: Code Orange |
Disaster Plan Activation |
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Definition: Code Brown |
Hazardous Substance Release |
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Definition: Code Black |
Bomb Threat / Search |
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Definition: Code Grey |
External Air Exclusion |
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Definition: Code White |
Aggressive / Assaultive Behavior |
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Definition: Code Blue |
Cardiac Arrest / Medical Emergency |
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Definition: Code Yellow |
Missing Patient |
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Definition: Code Pink |
Pediatric / Neonatal Emergency |
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Definition: HCF |
Health Care Facility |
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Definition: EMR |
Electronic medical record |
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Definition: EHR |
electronic health record |
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Definition: PACS |
picture archive and control system |
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To recharge Plumbing Systems (4 options) |
retest water quality potential hyper-chlorination potential super heating to 180 deg F |
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Definition: RO |
Reverse osmosis
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Definition: DI |
De-Ionization |
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List 3 types of water treatment system used in a Dialysis system |
RO (Reverse Osmosis) DI (De-Ionization) |
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What does it Govern: FGI 2010/ASHRAE 170
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HVAC Systems Ventilation, Filtration, and pressure relationships |
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Pressure Relationship: AII |
-.01"w.c. for airborne infection isolation rooms |
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Pressure Relationship: construction sites at Risk Class 3 or 4
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-.03"w.c.; should flow clean to less clean |
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What are risk factors for Legionella
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dead legs in system piping aerosolization of water stagnant water thrives in 77-108 deg f |
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Door requirements of egress corridors
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Solid core, self latching, self closing, doors must be double egress in egress path |
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What is a hyperbaric facility |
Place used to force oxygen into wounds such as significant burns, etc.. High pressure and high oxygen. |
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FCI calculation
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Facility Condition Index = Deferred Maintenance/replacement cost |
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2 main parts we use in FGI
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Facilities Guidelines Institute - Part 2 Hospitals; Part 6 ASHRAE 170 |
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Pressure Relationship: Surgery Class B and C / Cysto
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+ pressure; 4 outdoor ach; 20ach |
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Pressure Relationship: Critical and intensive care
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+ pressure; 2 outdoor ach; 6 ach |
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Pressure Relationship: AII
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- pressure; 2 outdoor ach; 12 ach |
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Pressure Relationship: PE |
+ pressure; 2 outdoor ach; 12 ach |
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Pressure Relationship: Patient Room
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N/A pressure; 2 outdoor ach; 6 ach |
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Filtration Required: Surgery Class B & C/Cysto Room, Radiology, Inpatient Delivery and recovery
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Filter Bank 1 MERV7; Filter Bank 2 MERV14 |
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Filtration Required: Inpatient care, treatment and diagnosis, Clean supply and clean processing, AII
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Filter Bank 1 MERV7; Filter Bank 2 MERV14 |
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Filtration Required: PE Room |
Filter Bank 1 MERV7; Filter Bank 2 MERV17 (HEPA) |
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Filtration Required: Skilled nursing facilities
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Filter Bank 1 MERV7; Filter Bank 2 N/A |
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Filtration Required: Admin, bulk storage, soiled holding, laundry, food prep, other outpatient spaces |
Filter Bank 1 MERV7; Filter Bank 2 N/A |
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Filtration Required: Laboratories and Class A surgery |
Filter Bank 1 MERV13; Filter Bank 2 N/A |
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What electrical branch should serve: auto doors used for building egress, elevator cab lighting / control / communication / signaling, generator lighting, battery charger for emergency power battery lighting?
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Life safety branch - required by NFPA 101 |
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What electrical branch should serve: task illumination / fixes equipment / for patient care of critical care areas, psych bed areas, medication prep areas, pharmacy dispensing areas
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Critical Branch per NFPA 99-1999
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What electrical branch should serve: egress lighting, exit signs, fire alarms, med gas and med vac alarms, hospital communications systems
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Life safety branch - required by NFPA 101
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What electrical branch should serve: isolated power systems in special environments, nurses' stations, nurse call systems, blood / bone / and tissue banks, telephone equipment rooms and closets
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Critical Branch per NFPA 99-1999
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What electrical branch should serve: Non-delayed automatic connection - generator accessories essential for generator operation (must auto transfer) |
Equipment Branch |
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What electrical branch should serve: Delayed - auto connection - vacuum, compressed air, medical and controls air, smoke control stair pressurization, heating, select elevators
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Equipment Branch |
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What electrical branch should serve: HVAC surgery, (OB, ICU, CCU, Nursery, Emergency Procedure areas) and critical areas (AII, PE,...), controls for emergency system equipment |
Equipment Branch |
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Explain Med Gas System Levels
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Level 2 - manageable risk of morbidity or mortality Level 3 - Not place patients at risk of morbidity or mortality |
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Where must the emergency oxygen supply connection be located? |
on the exterior of the building being served in a location accessible by emergency supply vehicles at all times in all weather conditions |
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What are the 5 types of valves in a Med Gas System?
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Source, main, service, riser, zone (and future) |
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What material is to be used on med gas Levels 1&2 and how to join? |
Hard-drawn seamless copper to ASTM B819; brazed |
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What material is to be used on med gas Level 3 and how to join?
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Hard-drawn seamless copper to ASTM B819; soldering may be used, brazing acceptable
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How do you purge a med gas system?
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continuous, oil-free, dry nitrogen purge is required during all work on med gas systems |
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What tests are required for med gas systems? |
initial pressure test (150% working pressure) cross connection test piping purge test standing pressure test (24hrs @ 120% working pressure) |
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What tests are required for med gas system certification?
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Piping particulate test Medical air purity test Alarm tests... |
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What general type of scope does the FGI cover? |
Generally covers design of healthcare type facilities |
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What are the 6 parts of the FGI?
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We focus on Part 2 & 6 |
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What general type of scope does the NFPA 101-2000 cover?
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Fire protection code, focused on the preservation of life. (CMS, TJD, HFAP & DNV all reference the 2000 edition) |
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List 6 chapters of NFPA 101-2000 and what they cover.
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We focus on CH 18 & 19 |
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What general type of scope does NFPA 99-1999 cover?
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Focused on special systems in healthcare (we mainly reference essential electrical systems) |
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List 5 chapters NFPA 99-1999 covers
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We mainly focus on CH 3&4 |
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What general type of scope does the CDC cover? |
Guidelines for Environmental Infection Control in Health Care Facilities (Part1 = background research, Part2 = Recommendations) |
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What general type of scope does USP cover?
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ISO Clean Room Standards to compounding areas (pharmacy type environments for mixing drugs, etc.) |
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Explain the ISO number
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ISO 5 - laminar flow workbench or isolator ISO 7 - buffer area ISO 8 - ante room |
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What general type of scope does the NRC cover? |
Nuclear Regulatory Commission handles all things nuclear - diagnostic, therapeutic, research |
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What general type of scope does LEED cover?
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Sustainability and energy efficiency is the main focus |
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What are the LEED Categories
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Silver (50-59 points) Gold (60-69 points) Platinum (70 and up points) |
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What general type of scope does UL cover?
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They evaluate components, products and systems to meet standards. They do not approve products. |
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Explain the impact of design on life-costs in the PDC Process
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Cost of design=.1 Cost of building=1 Cost of maintenance=5 Cost in use to client=50-200 Lesson Learned (POE)=.05 |
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List the 5 items of the Project Process (planning based)
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role of the facility mater program master plan functional program |
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List the 6 items of the Project Process (construction based) |
SDs (schematic design) DDs (design development) CDs (construction drawings) Construction Occupancy POE (post occupancy evaluation) |
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What does it Govern: NFPA 10
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Portable fire extinguishers
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What does it Govern: NFPA 13
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Installation of sprinkler systems
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What does it Govern: NFPA 25 |
Inspection, testing and maintenance of water-based fire protection systems |
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What does it Govern: NFPA 70 |
National Electric Code (NEC) |
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What does it Govern: NFPA 70E |
Electrical safety in the workplace |
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What does it Govern: NFPA 72 |
National Fire Alarm Code |
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What does it Govern: NFPA 80 |
Fire doors and other opening protectives |
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What does it Govern: NFPA 90A |
installation of air conditioning and ventilation systems |
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What does it Govern: NFPA 96
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Ventilation and fire protection of commercial cooking operations
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What does it Govern: NFPA 99 |
Healthcare facilities |
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What does it Govern: NFPA 99B |
Hypobaric facilities |
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What does it Govern: NFPA 101
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Life safety code |
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What does it Govern: NFPA 105 |
installation of smoke door assemblies and other opening protectives |
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What does it Govern: NFPA 110 |
Emergency and standby power systems
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What does it Govern: NFPA 111 |
Stored energy emergency and standy power systems |
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What does it Govern: NFPA 241
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Safeguarding construction, alteration and demolition operations
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What does it Govern: NFPA 1600
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Disaster / emergency management and business continuity |
