Novant Health | Compliance Documentation 301

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Question 1 of 10

1. Question
Which of the following time intervals is required for documenting annual preventative maintenance tasks for Joint Commission compliance purposes?
- 1 year from the last event, plus or minus 30 days
- At least once per calendar year
- Every 12 months
- Every year around the same time period
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Question 2 of 10

2. Question
Which of the following Joint Commission standards pertains to fire suppression systems?

Which of the following DNV standards pertains to fire suppression systems?
- EC.02.03.05 / PE.2 L.S. SR.13d
- EC.02.05.01 / PE.8 Util. SR.2
- LS.02.01.1 / PE.1 Fac. SR.10
- LS.03.01.10 / PE.2 L.S. SR.1b
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Question 3 of 10

3. Question
Which of the following Joint Commission standards pertains to generator logs?

Which of the following DNV standards pertains to generator logs?
- EC.02.05.07 / PE.8 SR.6
- EC.02.02.01 / PE.8 SR.2
- LS.02.01.50 / PE.1 SR.2b
- EC.04.01.01 / PE.2 L.S. SR.13d
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Question 4 of 10

4. Question
Which of the following Joint Commission standards pertains to medical gases?

Which of the following DNV standards pertains to medical gases?
- EC.02.05.09 / PE.8 SR.4
- EC.02.05.05 / PE.2 SR.8
- LS.02.01.35 / PE.7 SR.7
- EC.02.02.01 / PE.2 SR.5
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Question 5 of 10

5. Question
Which of the following time intervals is required to evaluate the Fire Safety Management Plan’s scope, objectives, performance, and effectiveness?
- Annually
- Every 2 years
- Every 3 years
- As required by hospital administration
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Question 6 of 10

6. Question
Which of the following NFPA standards should be used as a reference for Fire Alarm and Signaling Code?
- NFPA 72
- NFPA 99
- NFPA 80
- NFPA 25
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Question 7 of 10

7. Question
At which of the following frequencies shall fire extinguishers be inspected?
- Monthly
- 30-day intervals
- 90-day intervals
- Quarterly
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Question 8 of 10

8. Question
Which of the following fire codes is most applicable to the performance, maintenance, installation, and testing of electrical, medical gas and vacuum, and HVAC systems?
- NFPA 99
- NFPA 25
- NFPA 15
- NFPA 25
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Question 9 of 10

9. Question
Which of the following notices are issued to organizations when problem trends are identified by The Joint Commission surveyors during a required survey?

What is the process that is followed when issues are cited during a DNV survey?
- Requirement for Improvement / The hospital submits a corrective action plan to DNV within 10 days of the final report.
- Report on Deficiency /Deficiency correction report is submitted directly to CMS.
- Requirement for Compliance / DHSR reviews the survey report and issues fines.
- Record of Non-Compliance / Local Fire Marshall is notified and performs a follow-up survey.
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Question 10 of 10

10. Question
Which of the following statements most accurately summarizes the instructions of NFPA 80 in regards periodic fire damper inspections and testing?
- Confirm unobstructed access to damper is provided. Confirm damper frame is not penetrated by any foreign objects that would affect operation. Lubricate moving parts. Remove fusible link. Verify damper fully closes. Reinstall fusible link. Document date of inspection, name of inspector, and deficiencies discovered.
- Confirm unobstructed access to damper is provided. Confirm damper frame is not penetrated by any foreign objects that would affect operation. Activate associated duct-mounted smoke detector. Verify that fire damper fully closes. Reset smoke detector.
- Confirm unobstructed access to damper is provided. Confirm damper frame is not penetrated by any foreign objects that would affect operation. Activate the fire alarm relay by overriding the relay at the fire alarm panel. Verify that fire damper fully closes. Reset fire alarm panel.
- Inspect the entire assembly. Confirm unobstructed access to damper is provided. Confirm damper frame is not penetrated by any foreign objects that would affect operation. Operate damper. Replace fusible link. Lubricate moving parts.
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Novant Health | Compliance Documentation 301

Novant Health | Compliance Documentation 301

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