CHFM Exam Dumps - Certified Health Care Facility Manager (CHFM)

A Hazard Vulnerability Analysis (HVA) evaluates probability/likelihood of events, impact/consequences on operations and safety, and surge/demand effects on services to prioritize preparedness and mitigation. While cost considerations inform later planning, the core HVA scoring focuses on likelihood, consequences, and demand effects.

The Safe Medical Device Act (SMDA) of 1990 requires healthcare facilities to report to the FDA and the manufacturer when a device is suspected of causing or contributing to death or serious injury.

C. death or injury (Correct): Specifically mandated under SMDA.

A. inappropriate application: A usage issue, not a reporting trigger.

B. recall: Issued by the FDA/manufacturer, not the facility’s reporting obligation.

D. major breakdown: Requires service but not mandatory reporting.

Best practice in healthcare facilities management is to keep one critical spare part for each unique piece of patient-care equipment (not for every unit). This approach balances patient safety and risk mitigation while avoiding excessive storage costs.

A: “As needed” creates downtime risk.

B: Annual bulk purchase may leave gaps in urgent needs.

D: One-for-one spares is excessive, costly, and impractical.

OSHA’s Control of Hazardous Energy (Lockout/Tagout) standard, 29 CFR 1910.147, requires that each authorized employee shall affix a personal lockout device to the energy-isolating device when they are working on equipment. This ensures that energy cannot be restored until every individual has removed their own lock, thereby directly protecting each worker.

Correct (D): The standard explicitly describes the use of a multiple lockout device (commonly called a hasp), where each employee applies their own personal lock. No lock may be removed until the individual’s work is complete.

Incorrect Options:

A: Listing multiple names on a single lock/tag does not meet OSHA’s requirement for individual control.

B: Providing multiple keys to a single lock defeats the purpose of individual energy control and is not compliant.

C: Commonly keyed locks are prohibited because one employee could remove another’s lock.

Relevance to CHFM Exam (Compliance Domain):

The CHFM exam tests knowledge of OSHA workplace safety standards because healthcare facility managers must ensure compliance in utility and maintenance operations. Proper lockout/tagout procedures are critical for worker safety and regulatory adherence.

According to standard accounting practices, when an overhaul or replacement extends the useful life of an asset, it is considered a capital expenditure. Operating costs are day-to-day expenses; contingency is reserved budget for unforeseen costs; non-depreciable refers to land, not equipment.

Federal and accreditor requirements establish two emergency exercises per year for hospitals: one full-scale community-based (or facility-based if community-based is not available) and a second exercise (which may be a second full-scale or an exercise such as a tabletop). Real events may be used to meet one of the required exercises when criteria are met.

In a standard patient room in a healthcare facility, the typical medical gas outlets include:

Oxygen (1) – for patient respiratory therapy.

Medical Air (2) – used for respiratory support.

Vacuum (4) – for suction applications.

Nitrogen (3) is not normally supplied in a patient room; it is typically used in surgical suites for powering tools.

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.