NAB: Environment Exam with 100% Correct Answers 2023

NAB: Environment Which edition of LSC is used? - Correct answer-2000 What standards do you refer to when making renovations? - Correct answer-Standards for Healthcare Facilities LSC stands for? - Correct answer-Life Safety Code Who wrote the LSC? - Correct answer-National Fire Protection Agency Who monitors LSC? - Correct answer-fire marshal/state Medicaid office How often are LSC inspections made? - Correct answer-annually Exit doors open? - Correct answer-egrees (out) Fire alarms must be? - Correct answer-audible and visual What is ANSI? - Correct answer-American National Standards Institute; requires accessible work environment for handicap What is ADAAG? - Correct answer-Americans Disability Act Accessibility Guidelines; requires accessibility to handicap employees Wheelchair passage must be? - Correct answer-32 inches for doors; 36 inches everywhere else. 60 inches between 2 wheel chairs Grating requirements? - Correct answer-1/2 inch and run perpendicular to flow of traffic if elongated Measurements of handicap parking? - Correct answer-13 feet; 8 for vehicle and 5 for alley; two 8 ft parkins spaces can share the 5 ft alley Max rise on a ramp? - Correct answer-30 inches Slope greater than what is not allowed? - Correct answer-1:8 What slope is considered a ramp? - Correct answer-1:20 Slope on new construction must be? - Correct answer-1:12 Height of water fountains? - Correct answer-no more than 36 incehes from the floor Flow of water out of water fountain? - Correct answer-at least 4 inches How much knee space should water fountains have? - Correct answer-27 inches high and 17-19 inches deep Phone cords must be how long? - Correct answer-29 inches Requirements for doors on toilet rooms? - Correct answer-can open ingress or egress; if ingress then floor space must be 5 x 4 1/2 feet Toilet seat must be? - Correct answer-17 -19 inches from floor Handrails in stairs? - Correct answer-32 inches for stairs; extend 12 inches Thresholds? - Correct answer-1/2 inch on entrance/exit; 3/4 inch on sliding doors Call light system must be where? - Correct answer-sleeping, bathing, toileting rooms Corridors must be how wide? - Correct answer-8 feet How far can a corridor go before an exit is required? - Correct answer-30 feet Room temps? - Correct answer-71-81 degrees; measure 3 feet from floor How many sets of linen per bed? - Correct answer-3 After how many years is it justified to replace equipment? - Correct answer-10 years Who monitors Safe Medical Devices Act? - Correct answer-FDA Any injury from a medical device must be reported? - Correct answer-to designated staff in 24 hours and within 10 days to FDA and manufacturer Records regarding injury to medical devices must be retained for how long? - Correct answer-2 years Report to FDA is filed when? - Correct answer-annually in january What form is used to file the FDA report? - Correct answer-FDA3375 What is "medwatch"? - Correct answer-FDA provides regulations on reporting problems with drugs SMDA states that the facility must have P&Ps that include what 4 things? - Correct answer-guide staff, designate a person to report injuries to, identify who/how reports will be made, how/when reports filed to FDA Is a safety committee required by federal standards? - Correct answer-no Accidents are caused by what two things? - Correct answer-unsafe behavior and unsafe working conditions What is the NEP (National Emphais Program) - Correct answer-dev't by OSHA to reduce muskuloskeletal injuries, mental redardation centers and conintuing care retirement centers Facilities with a DART score of more than____ will be on OSHA's radar? - Correct answer-10` OSHA 300 - Correct answer-form that lists occupational injuries OSHA 300a - Correct answer-summarization of the OSHA 300 form w/o names, must be posted in the facility from Feb - April How long are OSHA logs to be retained? - Correct answer-5 years You must produce OSHA records within? - Correct answer-4 hours When/what do you report to OSHA? - Correct answer-deaths or hospitalization of 3 or more days, must be reported by phone within 8 hours Every container must be labeled with? - Correct answer-name of product, list of hazardous chemicals, warning label and name/address of manufacturer CMS allows hand sanitizer dispensers to be mounted on wall under what two conitions? - Correct answer-away from heat/ignition and they have to be 4 feet apart How are linens to be washed? - Correct answer-hot water of 160 for 25 minutes OR 71- 77 degress water with 125 ppm chlorine bleach What are engineering controls? - Correct answer-control methods that isolate or remove hazards Requirements for generator? - Correct answer-must cut on in 10 seconds, be cranked weekly and tested monthly for 30 min at full load Number one cause of fires in nrsg home? - Correct answer-grease 3 most important factors in fire prevention? - Correct answer-time, smoke, close doors 5 basic requirements of NFPA on fire? - Correct answer-bldgs designed to compartmentalize, fire alarms and extinguishers required, auto sprinkled by 2013, education on exit strategies and safety training Number of fire drills a year? - Correct answer-12; one per quarter per shift; unannounced and logged RACE - Correct answer-Rescue, alarm, control, extinguish/evacuate Class A Fires - Correct answer-linen, wood, wool, paper etc Class B Fires - Correct answer-grease fires Class C Fires - Correct answer-electrical Class K Fires - Correct answer-kitchen, these extinguishers stay in kitchen area Distance of fire extinguishers? - Correct answer-Class A every 75 feet and Class B/C every 50 feet Rooms cant be more than how many feet from an exit? - Correct answer-100 Door size - Correct answer-44 inches jam to jam; 41.5 opening Bathroom door size? - Correct answer-32 inches which is also the requirement for wheelchair passage of bathroom doors For every 8 handicap parking spaces, how many must be van accessible? - Correct answer-1 must be van accessible per 8 handicap parking spaces Handrails on stairs must extend how far past the last step? - Correct answer-12 inches What is BBP? - Correct answer-Blood born pathogens (hep B and AIDS) Guidelines for isolation room? - Correct answer-single occupancy, toilet, hand washing, vented to outside and sign when in use Falls usually occur______ after admit? - Correct answer-1-3 days after admit How often must staff be trained on commonly used medical devices? - Correct answerat least annually Square footage for single and multi resident rooms? - Correct answer-100 sqft for single; 80 sqft per person in multi room What type of certification is needed for fire alarms? - Correct answer-NFPA 71 certification ADA says handrails on toilet areas must be what height? - Correct answer-33 to 36 inches Where does CMS require handrails? - Correct answer-corridors ANSI requires handrails to be? - Correct answer-30-34 inches ADAAG requires handrails to be? - Correct answer-34 to 38 inces Who monitors ANSI? - Correct answer-Office of Civil Rights Who monitors ADAAG? - Correct answer-state agency Who states how many parking spaces per bed? - Correct answer-state monitored Primary purpose of preventive maintenance? - Correct answer-keeps everything safe and operative for resident care Two important risk mgt tools? - Correct answer-education and quality control OSHA falls under what dept? - Correct answer-US dept of labor Who oversees handwashing? - Correct answer-CDC sets procedures Sharps containers must be where? - Correct answer-nursing, laundry, Isolation rooms must have: - Correct answer-single occupancy, toilet, handwashing, vented to outside and sign when in use Who offers the HBV (hep B vaccine)? - Correct answer-facility offers to emp at no cost, sign a waiver it is declined Who do you report communicable diseases to? - Correct answer-state agency Safety is mandated by what two organizations? - Correct answer-OSHA and CMS The goal of the safety program is to? - Correct answer-reduct work related illnesses/injury/death and reduce accidents What is an accident? - Correct answer-unintentional damage to object or injury to a person Where should the material data safety sheets be located? - Correct answer-at the nursing stations Normal PH content is? - Correct answer-7.0 (less is acidic; more is alkaline) What is a safety medical device? - Correct answer-any apparatus intended for use in diagnosing, treating, curing or preventing disease which acheives purpose w/o chemical or metabolic action within the body. EX: cath, thermometers, pacemakers, contact lenses, restraints, glucose monitors, wheelchairs, beds, feeding pumps How often should staff be trained on safety medical devices? - Correct answer-annually How often should kitchen hood be inspected? - Correct answer-semiannually Enunciator panel shows? - Correct answer-zone of fire Safety training must be conducted? - Correct answer-immediately after hire The number of disaster drills is determined by? - Correct answer-facility with state approval Primary purpose of fire protection is? - Correct answer-warning time In disaster planning the first thing to determine is? - Correct answer-evacuation site In forced ventilation, air should be changed how often? - Correct answer-every 6 minutes Max people in a resident room? - Correct answer-4 What kills the most organisms? - Correct answer-sterilization Good practice for housekeeping when entering an isolation room? - Correct answerwear gloves and gown Pesticides and disinfectants should contain what? - Correct answer-registration label from EPA Fire extinguishers are required? - Correct answer-every floor and hazardous area Fire extinguishers are to be checked how often? - Correct answer-annually Definition of egress? - Correct answer-any point in a bldg to a public way Each sleeping floor must have? - Correct answer-fire extinguishers, two exits and 2 smoke compartments OBRA specifies what of the physical plant? - Correct answer-NF be designed, constructed, equipped and maintained to protect the health and safety of residents, personnel and the public _____ / ______ establishes standards for making public buildings accessible and usable by the handicapped. (not mentally handicapped) - Correct answer-ANSI / ADAAG ANSI=American National Standards Institute ADAAG= American's with Disabilities Act Accessibility Guidelines *ANSI sets standards, ADAAG enforces Established by the NFPA to ensure that the structures are accessible, safe for public use, and fire protected - Correct answer-Life Safety Code Spouts from a water fountain for the handicapped can not be more than _____ from the floor? - Correct answer-36 inches *spray much be at least 4 inches high Facilities initially certified after what date, must maintain temps between 71 and 81 - Correct answer-Oct, 1 1990 At what level do you measure room temps? - Correct answer-3 ft from floor Facilities must maintain temps between ___ and ____ - Correct answer-71 and 81 LSC requires that fire doors are in _____ - Correct answer-corridors LSC allows locks on resident doors if ________ and _______ - Correct answer-Can be opened from corridor and staff working have a key ANSI requires that ramps and stairs have handrails measuring ___ to ___ inches from the ramp or stair tread - Correct answer-30 to 34" Major purpose for preventive maintenance - Correct answer-ensure all equipment is safe and operable for resident care The ______ is designed to bring dietary staff up to speed with the 2001 FDS code - Correct answer-Serve Safe Program Hot water is regulated by the ____ - Correct answer-state To ensure hot water temps are maintained, the _________ on the water heaters must be checked regularly - Correct answer-Automatic control valve If heat is used---water temp in the dishwasher wash cycle must be____ - Correct answer-150 If heat is used---water temp in the dishwasher for the rinse cycle must be___ - Correct answer-180 When chemicals are used for dishwasher, the water temp should be? - Correct answeraccording to the manufacture guidelines Hot water at the point of use needs to be between - Correct answer-110-120 To wash, rinse and sanitize in a 3 compartment sink--the water temp must be at ____ with a _____ level of ____ or an ____ level of 12.5ppm - Correct answer-75 bleach (hypochorite) 50ppm iodine Pots and Pans should be washed, rinsed and sanitized in the... - Correct answer-3 compartment sink Pots and Pans in the 3 compartment sink must be immersed in water with a temp of____ for at least ___ seconds - Correct answer-170 30 seconds Tavel distance between class A fire extinguisher? - Correct answer-< 75 ft apart Travel distance between class B or C fire extinguishers? - Correct answer-<50 ft apart To prevent interference of privacy curtains with the smoke detectors and sprinkler heads--a _____ _____ that will not interfere may be used OR they can be hung below the sprinkler and detector at least ___ " - Correct answer-thin mesh 18" LSC requires the distance from the door is a resident room to the nearest exit door must be _____ ft or less - Correct answer-100 ______ means a fire is out of control - Correct answer-Flashover *** know ____, ______ and ______ are the primary fire-defence tools that asset the staff - Correct answer-smoke barriers, corridor walls and resident doors **** know Class ___ fire extinguishers were added by the NFPA as acceptable for use in _____ - Correct answer-K 1998 Class of fire extinguisher that can be used for electrical fires - Correct answer-C