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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Compliance | 33% | - Documentation, inspections and corrective actions - Regulatory standards and codes - Emergency preparedness and response - Life safety and fire safety |
| Topic 2: Planning, Design and Construction | 18% | - Interim life safety measures - Construction safety and commissioning - Capital project planning and management - Infection control and risk assessment |
| Topic 3: Maintenance and Operations | 27% | - Building systems: HVAC, electrical, plumbing - Preventive maintenance and asset management - Medical gas and emergency power systems - Utilities and operational continuity |
| Topic 4: Administration | 12% | - Strategic and performance management - Leadership and organizational management - Workforce development and safety programs - Policies, procedures and communication |
| Topic 5: Finance Management | 10% | - Deferred maintenance and stewardship - Cost control and financial reporting - Life-cycle cost analysis - Operating and capital budgeting |
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NEW QUESTION # 18
In which type of boiler do the gases of combustion pass through tubes surrounded by water?
Answer: C
Explanation:
In a fire tube boiler, hot gases of combustion pass through tubes, and water surrounds those tubes, absorbing the heat to create steam or hot water.
Correct: Fire tube (B) - Gases inside tubes, water outside.
Incorrect:
A). Water tube - The reverse: water flows inside the tubes, combustion gases surround them.
C). Vertical tube - Refers to orientation but still a water-tube or fire-tube design.
D). Cast iron sectional - Built from joined cast iron sections, not tubular gas-through-water design.
References:
ASHE/AHA: Healthcare Facility Engineering and Maintenance Study Guide.
CHFM Candidate Handbook - Maintenance and Operations domain: boilers and HVAC systems.
NEW QUESTION # 19
A primary-secondary chilled water system typically has variable volume pumping on the
Answer: B
Explanation:
In a primary-secondary chilled water system, the primary loop is constant volume, supplying chilled water from the chiller plant. The secondary loop uses variable volume pumping to match distribution system load demand efficiently.
A). Secondary loop (Correct): Where variable flow is applied.
B). Open loop: Not a recognized term in this context.
C). Primary loop: Constant flow design.
D). Cooling tower loop: Separate condenser water system, not chilled water distribution.
References:
ASHRAE Handbook - HVAC Systems and Equipment.
AHA/CHFM Candidate Handbook - Maintenance and Operations (HVAC).
________________________________________
NEW QUESTION # 20
In order to ensure a safe environment for patients, what department must be involved during the planning of all construction projects?
Answer: C
Explanation:
All construction and renovation projects in healthcare must include Infection Control Risk Assessment (ICRA). Infection Control professionals assess potential risks such as dust, ventilation disruptions, and waterborne hazards during construction. They ensure patient safety through control measures (barriers, negative pressure, monitoring).
D). Infection Control (Correct): Mandatory involvement in construction planning.
A). IT / B. Biomed / C. Patient Services: May participate but are not mandated by TJC and CDC requirements for ICRA.
References:
CDC Guidelines for Environmental Infection Control in Healthcare Facilities.
The Joint Commission, Environment of Care and Infection Prevention Standards.
CHFM Candidate Handbook - Planning, Design, and Construction domain.
________________________________________
NEW QUESTION # 21
When storing oil or petroleum products over 1,320 gallons above ground or 42,000 gallons underground, a Spill Prevention, Control, and Countermeasure (SPCC) program is required in accordance with
Answer: D
Explanation:
The requirement for Spill Prevention, Control, and Countermeasure (SPCC) planning is specifically mandated under Federal Regulations 40 CFR Part 112, under the Clean Water Act (Oil Pollution Act amendments).
Facilities with aboveground storage exceeding 1,320 gallons or underground storage over 42,000 gallons must develop and implement an SPCC plan to prevent oil discharges into navigable waters.
Correct Answer (A): Federal 40 CFR Part 112 establishes the threshold quantities and program requirements.
B (Joint Commission): TJC standards govern utility management but do not set SPCC requirements.
C (OSHA 1926.153): This regulation applies to liquefied petroleum gas safety, not petroleum or oil spill prevention.
D (NFPA 430): Governs oxidizers, not oil storage or spill prevention.
References:
Federal Regulation 40 CFR Part 112, Oil Pollution Prevention.
American Hospital Association, CHFM Candidate Handbook - Compliance and Environment of Care standards reference environmental and regulatory codes.
NEW QUESTION # 22
Which of the following Environment of Care (EOC) management plans requires inspecting buildings/facilities and grounds to identify hazardous conditions?
Answer: B
Explanation:
The Safety and Security Management Plan under TJC's Environment of Care standards requires healthcare facilities to regularly inspect buildings, facilities, and grounds to identify unsafe conditions and security risks.
C). Safety and Security Management (Correct): Includes hazard surveillance rounds.
A). Utilities Management: Focuses on utility systems operation and maintenance.
B). Hazardous Materials Management: Covers handling/storage/disposal of hazardous substances.
D). Fire Safety Management: Addresses fire protection systems and procedures, not general hazard inspection.
References:
The Joint Commission, Environment of Care Standards (EC.02.01.01).
AHA/CHFM Candidate Handbook - Compliance domain.
NEW QUESTION # 23
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