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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Administration | 12% | - Workforce development and safety programs - Policies, procedures and communication - Strategic and performance management - Leadership and organizational management |
| Topic 2: Maintenance and Operations | 27% | - Building systems: HVAC, electrical, plumbing - Preventive maintenance and asset management - Utilities and operational continuity - Medical gas and emergency power systems |
| Topic 3: Compliance | 33% | - Life safety and fire safety - Emergency preparedness and response - Documentation, inspections and corrective actions - Regulatory standards and codes |
| Topic 4: Planning, Design and Construction | 18% | - Construction safety and commissioning - Infection control and risk assessment - Capital project planning and management - Interim life safety measures |
| Topic 5: Finance Management | 10% | - Operating and capital budgeting - Life-cycle cost analysis - Deferred maintenance and stewardship - Cost control and financial reporting |
>> Reliable CHFM Exam Syllabus <<
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NEW QUESTION # 79
Fire drills in healthcare occupancies shall include the
Answer: A
Explanation:
NFPA 101 (Life Safety Code, Chapter 18/19.7.1.4) requires healthcare fire drills to include transmission of the fire alarm signal and a simulation of emergency fire conditions, ensuring staff are trained to carry out emergency duties. Full evacuation of patients is not required during drills.
References: NFPA 101, Sections 18/19.7.1.4; The Joint Commission EOC standards.
NEW QUESTION # 80
Engineering controls required by the CDC for TB isolation rooms include
Answer: B
Explanation:
CDC Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Facilities (1994, reaffirmed in later updates) require negative pressure isolation rooms as a primary engineering control.
This ensures airflow moves into the room and is exhausted to the outside or through HEPA filtration. PPE and respirator fit testing are administrative or personal controls, not engineering.
References: CDC Guidelines for TB Control; NFPA 99; ASHRAE 170.
NEW QUESTION # 81
According to OSHA, which of the following is required as part of a lockout/tagout program?
Answer: D
Explanation:
OSHA's Control of Hazardous Energy (Lockout/Tagout) Standard (29 CFR 1910.147) requires that employers implement a staff training program to ensure all affected employees understand energy control procedures. Insulated tools, logs, or clothing may be used in some contexts, but training is mandatory under OSHA.
References: OSHA 29 CFR 1910.147(c)(7) - Employee Training and Communication.
NEW QUESTION # 82
A code compliant, medical gas storage room contains a large number of different compressed gases. The gases are in 25 cu. ft. cylinders and in 250 cu. ft. cylinders. All cylinders are full. The Safety Officer completed a cylinder storage audit and discovered the room was over the maximum amount of compressed gas cylinders allowed by 140 cu. ft. Which of the following is the minimum number of 25 cu. ft. cylinders that must be removed to make the storage room code compliant?
Answer: C
Explanation:
Overage = 140 cu. ft.
Each small cylinder = 25 cu. ft.
140 ÷ 25 = 5.6 # minimum 6 needed if rounding up. However, since the question asks for the minimum number to remove to get below the limit, removing 5 cylinders = 125 cu. ft. would still leave 15 cu. ft. over the limit. Therefore, 6 cylinders must be removed.
Correct answer = C (6), not B.
References: NFPA 99 (Health Care Facilities Code), Chapter on Medical Gas Systems.
NEW QUESTION # 83
A measured carbon dioxide level of 1,500 ppm in an area of a facility may indicate
Answer: C
Explanation:
Acceptable indoor CO# concentrations in healthcare facilities are generally expected to remain below 1,000 ppm, as recommended by ASHRAE Standard 62.1 (Ventilation for Acceptable Indoor Air Quality). A reading of 1,500 ppm typically signals inadequate ventilation and insufficient outside air being introduced into the space. This is a direct indicator of poor dilution of indoor contaminants.
Correct: Lack of outside air (C) - High CO# concentrations are directly linked to reduced outside air supply.
Incorrect:
A). Within design - Not correct, since 1,500 ppm exceeds design thresholds.
B). Vehicular exhaust - Would raise CO and NOx levels, not primarily CO#.
D). Humidity/dewpoint - Unrelated to CO# measurement.
References:
ASHRAE 62.1: Ventilation for Acceptable Indoor Air Quality.
CHFM Candidate Handbook - Maintenance and Operations domain: ventilation standards.
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NEW QUESTION # 84
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