CHFM, COMPLIANCE EXAM
QUESTIONS AND ANSWERS
Smoking is prohibited in a hospital by The Joint Commission standards except under
what condition? - Correct Answers -The hospital has a smoking policy that identifies any
specific circumstances where smoking by patients is permitted (EC 20.01.03 EP1)
Which of the Joint Commission standards requires testing of fire alarm and sprinkler
systems? - Correct Answers -Environment Of Care (EOC)
Is the Jockey Pump Run Status required to be monitored by the Fire Alarm Master
Control Station? - Correct Answers -No, the Jockey Pump runs as needed to ensure
system design pressure is kept within normal conditions
What Fire Pump parameters MUST the Fire Alarm Master Controller Station monitor? -
Correct Answers -1) Power Supplies to Fire Pumps
2) Fire Pump run conditions
3) Tank water temperatures
The Joint Commission Standards require that the effectiveness of Environment Of Care
Management plans be evaluated at least how often? - Correct Answers -Annually,
including a review of the plans, objectives, scope, performance, and effectiveness. (EC
04.01.01)
For a health care organization that uses accrediting agencies, who designates the
person responsible for managing survey related deficiencies? - Correct Answers -The
health care organization
What is the basic premise of the defend in place concept - Correct Answers -
Containment of the fire through compartmentation allows horizontal movement to a
space that provides protection from fire or smoke, with vertical movement & building
evacuation being the last resort.
A hospital is adding two additions onto a building:
1) an outpatient imaging center classified as ambulatory Healthcare Occupancy
2) A retail space and physicians offices classified as Business Occupancy
QUESTIONS AND ANSWERS
Smoking is prohibited in a hospital by The Joint Commission standards except under
what condition? - Correct Answers -The hospital has a smoking policy that identifies any
specific circumstances where smoking by patients is permitted (EC 20.01.03 EP1)
Which of the Joint Commission standards requires testing of fire alarm and sprinkler
systems? - Correct Answers -Environment Of Care (EOC)
Is the Jockey Pump Run Status required to be monitored by the Fire Alarm Master
Control Station? - Correct Answers -No, the Jockey Pump runs as needed to ensure
system design pressure is kept within normal conditions
What Fire Pump parameters MUST the Fire Alarm Master Controller Station monitor? -
Correct Answers -1) Power Supplies to Fire Pumps
2) Fire Pump run conditions
3) Tank water temperatures
The Joint Commission Standards require that the effectiveness of Environment Of Care
Management plans be evaluated at least how often? - Correct Answers -Annually,
including a review of the plans, objectives, scope, performance, and effectiveness. (EC
04.01.01)
For a health care organization that uses accrediting agencies, who designates the
person responsible for managing survey related deficiencies? - Correct Answers -The
health care organization
What is the basic premise of the defend in place concept - Correct Answers -
Containment of the fire through compartmentation allows horizontal movement to a
space that provides protection from fire or smoke, with vertical movement & building
evacuation being the last resort.
A hospital is adding two additions onto a building:
1) an outpatient imaging center classified as ambulatory Healthcare Occupancy
2) A retail space and physicians offices classified as Business Occupancy
