AHA CHFM Dumps

NFPA 70 (NEC) Article 110.26(A)(1) establishes the depth of working space in front of electrical equipment. For systems 0–150 volts to ground, the minimum depth is 3 ft (36 in.); for 151–600 volts, the required depth is 3–4 ft depending on the condition (exposed live parts and grounded surfaces). In healthcare facilities, unless a more stringent “condition” applies, the baseline minimum clearance encountered for 600 V or less is 36 inches.

The outsourcing scenario matches the current in-house budget exactly; therefore, no savings are achieved. This type of financial analysis is common in the CHFM Financial Management domain.

===========

Salary ranges are determined by job requirements and market benchmarks, not individual candidate qualifications. Key factors are:

Market salary analysis (1).

Internal equity review (3).

Job description (4).

Candidate qualifications (2) affect where within the salary range an individual may be placed, but not the establishment of the range itself.

Best practice in safety and risk management is to have a final inspection performed by individuals with “fresh eyes” and go/no-go authority. Those directly involved may overlook issues due to task familiarity. Independent inspection reduces risk before re-energization.

Any renovation project in a healthcare environment—even in non-clinical spaces like a dietitian’s office—requires evaluation of infection control and safety hazards. The Infection Control Risk Assessment (ICRA) process, supported by The Joint Commission and Facility Guidelines Institute (FGI) standards, mandates involvement of infection prevention and safety personnel in planning.

Correct (D): Ensures compliance with infection prevention standards and staff/patient safety during renovation.

Incorrect:

A. housekeeping and security: Important for support but not primary coordinators.

B. interior designer and supply chain: Handle design and material procurement, but not regulatory compliance.

C. information technologies and finance: Important in certain projects, but not relevant for infection/safety planning.

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.

The primary cause of change orders is incomplete or unclear plans and specifications. Ensuring that drawings and specs are fully developed before bidding reduces ambiguity, scope gaps, and the likelihood of modifications during construction.

A (Correct): Complete plans/specs = fewer change orders.

B: Bonds/policies protect financially but do not reduce change orders.

C: Prequalification ensures capable bidders but doesn’t eliminate scope issues.

D: Competent managers/subcontractors help but cannot offset incomplete design docs.

The operations and maintenance (OandM) operating budget includes recurring expenses needed to run the facility: labor, staff training, utilities, and equipment/vehicle repairs. Capital improvements such as major building upgrades are typically not part of the operating budget; they belong in the capital budget.

Correct: Training (1), Utilities (3), and Vehicle repairs (4) are OandM operating costs.

Incorrect: Building improvements (2) are capital budget items.

A Ground-Fault Circuit Interrupter (GFCI) continuously monitors the current balance between the “hot” and “neutral” conductors. If an imbalance greater than about 5 milliamps occurs (indicating leakage current flowing to ground), the GFCI trips instantly to protect personnel from shock.

Correct (D): Current – GFCIs detect differences in current between conductors.

Incorrect: Resistance (A), Voltage (B), and Power (C) are not directly monitored by GFCIs.

The FGI Guidelines and ASHRAE healthcare design standards recommend steam humidifiers for duct-mounted systems in hospitals, since they minimize microbial growth. Reservoirs, spray, and pan humidifiers pose contamination risks and are not permitted for patient care areas.

NFPA 10: Standard for Portable Fire Extinguishers requires that extinguishers be visually inspected at least monthly. This inspection confirms accessibility, proper charge, and readiness.

Weekly, quarterly, semi-annual are not correct; only monthly inspections are mandated.

EPA and OSHA define regulated medical waste (RMW) as waste that is saturated or dripping with blood or other potentially infectious materials (OPIM).

B. Blood-saturated gauze (Correct): Meets the definition of RMW.

A. Fluorescent bulbs: Considered hazardous universal waste (mercury), not RMW.

C. Urine-soaked pads: Not classified as RMW unless visibly contaminated with blood.

D. Home-use sharps: Not regulated by EPA as medical waste from households.

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.

Per NFPA 101: Life Safety Code, soiled linen and trash containers greater than 32 gallons are not permitted in patient rooms or at nurse stations. Containers larger than this must be located in designated hazardous areas with proper fire protection.

C. 32 gal. (Correct).

Smaller values (8, 16) are permissible but not the regulatory maximum.

D. 64 gal.: Exceeds NFPA maximum and requires special room design.

NFPA uses mandatory language to indicate requirements:

“Shall” = mandatory requirement (must comply).

“Should” = advisory or recommended practice.

Therefore, when NFPA states “shall,” it represents a mandate.

D. mandate (Correct): Required compliance.

A. recommendation / B. guideline: NFPA uses “should” for recommendations.

C. performance standard: Not the intent of “shall” language.

Comprehensive and Detailed Explanation From Exact Extract:

Per NFPA 101: Life Safety Code, the maximum allowable capacity for soiled linen or trash receptacles located outside of hazardous storage rooms (such as within patient rooms or nurse stations) is 32 gallons (121 liters). If containers are larger than this, they must be stored in a room meeting hazardous area protection requirements.

Correct Answer (C. 32 gal.): Matches NFPA 101, 18/19.7.5.5.7 (Health Care Occupancies), which restricts container size to 32 gallons maximum unless in a protected hazardous storage room.

Incorrect Options:

A. 8 gal. and B. 16 gal. – These are not the standard NFPA thresholds.

D. 64 gal. – Exceeds NFPA’s maximum; would require special hazardous storage protections.

Relevance to CHFM: This falls under the Compliance domain, as CHFM professionals must ensure healthcare facilities follow NFPA 101 and Joint Commission standards regarding fire and life safety.

To evaluate overall building condition, the Facility Condition Index (FCI) is commonly used. FCI = Deferred Maintenance ÷ Current Replacement Value. A lower FCI indicates better building condition (less deferred maintenance relative to value).

Building 1: 1,200,000 ÷ 25,000,000 = 0.048

Building 2: 200,000 ÷ 2,500,000 = 0.080

Building 3: 25,000 ÷ 600,000 = 0.0417

Building 4: 900,000 ÷ 10,000,000 = 0.090

Building 3 has the lowest FCI (0.0417), which means it has the least deferred maintenance compared to its value and therefore is in the best overall condition.

Incorrect Options:

Building 1 (0.048) – Good, but not the lowest.

Building 2 (0.080) – Higher FCI means poorer condition.

Building 4 (0.090) – Highest FCI of the group.

When Alternate B is chosen, total price = Base Bid + price for Alternate B (or zero if “Included”).

A: Not available → cannot be selected.

B: $20,000 + Included ($0) = $20,000.

C: $19,000 + $500 = $19,500.

D: $19,000 + $1,000 = $20,000.

Lowest total = $19,500 (Company C).

A low-water cut-off is a safety device that shuts down the burner when water level falls below a safe operating point. This prevents catastrophic overheating and potential boiler explosion. It does not stop steam flow, air supply, or water feed; instead, it directly interrupts burner operation.

Cost reduction without reducing service scope can be achieved by:

Implementing an in-house first response program (1): Staff address minor issues before calling the vendor, reducing service calls.

Extending the contract length (4): Vendors often offer reduced rates for long-term contracts.

Increasing house calls (2): Increases cost, not savings.

Financing the contract (3): Impacts payment terms, not cost reduction.

Hospital-grade receptacles, as defined in UL 498 and required under NFPA 99 Health Care Facilities Code, must be marked with a green dot. This identifies receptacles tested for durability, grounding reliability, and retention force.

Red outlets are often tied to emergency power, but that is separate from the “hospital grade” designation.

Submittals and shop drawings are specifically reviewed to ensure compliance with the design intent, plans, and specifications prepared by the architect/engineer. Code compliance is established during design and permitting, while minimizing change orders or ensuring contractor understanding are indirect benefits.

Comprehensive and Detailed Explanation From Exact Extract:

MRI (Magnetic Resonance Imaging) scanners do not use ionizing radiation; instead, they use powerful magnetic fields and radiofrequency energy. The primary safety hazard is the projectile effect (missile effect), where ferromagnetic objects are pulled violently into the scanner bore. This is one of the most well-documented risks in MRI safety and is a leading cause of MRI accidents.

Correct Answer (D. missile projection): Strong magnetic fields can accelerate ferromagnetic objects, causing serious patient/staff injury or equipment damage.

Incorrect Options:

A. visual impairment: Not a recognized risk from MRI scanning itself.

B. radiation overexposure: MRI does not use ionizing radiation, unlike CT or X-ray.

C. permanent hearing loss: While MRI noise can be damaging without ear protection, the most likely injury of those listed is projectile accidents.

Relevance to CHFM: This falls under Compliance and Safety domains. Facility managers must ensure MRI safety zones, access control, ferromagnetic detection systems, and staff training to prevent accidents.

The correct calculation shows an annual energy consumption of 158,444 kWh. Smaller values (A and B) underestimate by factor of 10, while D overestimates by factor of 100.

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.

Fuel requirements for emergency systems are determined by calculating total consumption per hour multiplied by the required operating duration.

Generator: 25 gallons/hour

Boiler: 35 gallons/hour

Total consumption per hour = 25 + 35 = 60 gallons/hour

For 72 hours: 60 × 72 = 4,320 gallons

Therefore, the fuel tank must have at least 4,320 gallons capacity to meet the 72-hour requirement.

Correct Answer (D. 4,320 gallons).

Other options are underestimations of total combined consumption and would not meet compliance with CMS and NFPA 110 standards, which require hospitals to maintain a 72-hour supply of fuel for emergency power and critical operations.

The simple payback period is calculated by dividing the initial investment cost by the annual operating savings (reduction in operating cost). It does not consider time value of money, inflation, or full life-cycle costs.

A (Correct): Annual operating cost directly determines the annual savings, which is essential for payback calculation.

B: Inflation is considered in more advanced financial models (e.g., NPV, IRR), not simple payback.

C: Replacement cost is relevant for life-cycle cost analysis, not simple payback.

D: Life of the equipment may determine feasibility but is not part of the basic payback formula.

NFPA 80 (Standard for Fire Doors and Other Opening Protectives) sets requirements for fire door construction and installation. It specifies that the maximum undercut clearance is 3/4 inch unless otherwise tested and listed. Greater clearances compromise the integrity of the fire barrier.

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.

The Joint Commission (TJC) aligns with NFPA 101: Life Safety Code. For business occupancies (such as outpatient clinics), the requirement is that fire drills be conducted annually (every 12 months).

Quarterly (every 3 months) drills are required for healthcare occupancies (hospitals, nursing care).

Outpatient business occupancies are less stringent.

NFPA 110 (Standard for Emergency and Standby Power Systems) requires that emergency generators be tested monthly under load. If the available load is less than 30% of the generator’s nameplate rating, the test may be conducted until operating parameters (water temperature, oil pressure) stabilize. For longer durations, supplemental loading or load bank testing applies, but the minimum standard is monthly operation until systems stabilize.

Calculation:

234,480 ÷ 15,000 = 15.63 days → ≈ 15 days supply available.