IBFCSM CHSP flashcards

32 cards. Read the term and the definition here. The deck at the top of this page is optional.

Hierarchy of Controls

Ranking of hazard controls from most to least effective: elimination, substitution, engineering controls, administrative controls, and personal protective equipment. PPE is the last line of defense.

Root Cause Analysis

A retrospective, structured review of a sentinel event that identifies underlying system failures and latent conditions rather than blaming an individual, producing corrective actions with owners and due dates.

Just Culture

A framework that separates human error, at-risk behavior, and reckless behavior, applying console, coach, or sanction accordingly. The response depends on the behavior, not the outcome severity alone.

Risk Priority Number

In FMEA, the product of severity, occurrence, and detectability scores, each on a 1-10 scale. RPN ranges from 1 to 1000, and the highest values drive redesign priorities.

CMS Conditions of Participation

Federal requirements that hospitals must meet to participate in Medicare and Medicaid. Joint Commission accreditation can provide deemed status, but CMS retains enforcement authority and may survey directly.

Bloodborne Pathogens Standard

OSHA 29 CFR 1910.1030 requires an exposure control plan reviewed annually, hepatitis B vaccination offered within 10 working days, post-exposure evaluation, and a sharps injury log.

Environment of Care Plan

A documented management plan covering safety, security, hazardous materials, fire safety, medical equipment, utilities, and construction, with an annual risk assessment, measurable objectives, and annual evaluation.

Deemed Status

Accreditation status that CMS accepts as evidence of compliance with Conditions of Participation. It does not remove CMS authority to investigate complaints or cite deficiencies directly.

Standard Precautions

Infection control practices applied to all patients regardless of diagnosis: hand hygiene, gloves, gown, mask, eye protection based on exposure risk, safe injection practices, and respiratory hygiene.

Airborne Precautions

Precautions for tuberculosis, measles, and varicella requiring an N95 respirator or PAPR and a negative-pressure airborne infection isolation room with documented air exchanges and door closed.

WHO Five Moments

Hand hygiene indications: before touching a patient, before aseptic procedure, after body fluid exposure risk, after touching a patient, and after touching patient surroundings.

CLABSI Prevention Bundle

A set of evidence-based practices for central line insertion and maintenance: hand hygiene, maximal sterile barrier, chlorhexidine antisepsis, optimal site selection, daily necessity review, and prompt removal.

Safety Data Sheet

A 16-section document required by OSHA Hazard Communication, providing hazard, handling, and emergency information for a chemical. It must be accessible in every work area where the chemical is used.

NFPA 704 Diamond

A hazard marking system rating Health, Flammability, and Instability on 0-4 scales, with a white quadrant for special hazards such as oxidizers or water reactivity. Four is most severe.

Regulated Medical Waste

Waste capable of transmitting infection, including blood and other potentially infectious material, sharps, pathological waste, and cultures. It is segregated at the point of generation, labeled, and stored per state rules.

Sharps Container Requirements

Containers must be closable, puncture-resistant, leak-proof, labeled or color-coded, and replaced when three-quarters full. Overfilling is a frequent regulatory citation.

R.A.C.E.

Fire response sequence: Rescue anyone in immediate danger, Alarm and notify, Contain by closing doors, and Extinguish or Evacuate. It is the standard healthcare fire response framework.

Defend-in-Place

A healthcare fire strategy in which patients are horizontally relocated to another smoke compartment before vertical evacuation. Full building evacuation is a last resort.

Interim Life Safety Measures

Temporary measures required when a Life Safety Code feature is impaired during construction or repair, including fire watch, extinguishers, exit route maintenance, and staff notification.

Fire Door Compliance

Fire doors must self-close and latch, and hold-open devices must release on alarm. Wedging or propping a fire door open is a Life Safety Code violation.

Hepatitis B Vaccination Rule

The employer must offer hepatitis B vaccination free of charge within 10 working days of assignment to employees with occupational exposure risk and document acceptance or declination.

Respirator Fit Testing

Annual quantitative or qualitative testing for each respirator model used, plus medical evaluation and training. Users must be clean-shaven at the face seal for tight-fitting respirators.

Needlestick First Aid

Wash the site with soap and water; do not squeeze, scrub, or use caustic agents. Then evaluate the source and initiate post-exposure prophylaxis decisions promptly for HIV and hepatitis B.

OSHA 300 Log

A record of work-related injuries and illnesses that are recordable: death, days away, restricted work, medical treatment beyond first aid, loss of consciousness, or significant diagnosis.

Hazard Vulnerability Analysis

A tool that ranks potential hazards by probability and by human, property, and business impact, plus preparedness, producing a risk score that drives emergency planning and resource allocation.

CMS Emergency Preparedness Rule

Requires four elements: a risk assessment and emergency plan, policies and procedures, a communication plan, and training and testing with two exercises yearly, one community-based.

Hospital Incident Command System

A scalable command structure with Incident Commander, Operations, Planning, Logistics, Finance/Administration, and Public Information roles, integrated with community NIMS and ICS.

Surge Capacity Four S's

Staff, stuff, space, and systems. These four categories frame surge gap analysis, and crisis standards of care define how care is delivered under extreme scarcity.

Two-Patient-Identifier Rule

Verify identity using two identifiers, such as name plus date of birth or medical record number. Room number or bed location is never an acceptable identifier.

High-Alert Medications

Drugs with heightened risk of harm, including concentrated electrolytes, anticoagulants, insulin, and neuromuscular blockers. They require independent double checks, standardized concentrations, and separate storage.

Sentinel Event

An unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof. It triggers a root cause analysis and an action plan with measurable outcomes.

ICRA

Infection Control Risk Assessment: a pre-construction evaluation of renovation activity that determines barrier requirements, negative air pressure, dust control, and monitoring to protect patients from airborne contaminants.