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IBFCSM Certified Emergency and Disaster Professional Sample Questions (Q38-Q43):

NEW QUESTION # 38
What organization or agency developed the Hospital Evacuation Decision Guide?

A. Centers for Medicare and Medicaid Services
B. Agency for Healthcare Risk and Quality
C. The Joint Commission

Answer: B

Explanation:
TheHospital Evacuation Decision Guidewas developed by theAgency for Healthcare Research and Quality (AHRQ), a lead Federal agency within the Department of Health and Human Services.1This guide was created to address the significant challenges hospital leadership teams face when deciding whether to evacuate patients or "shelter-in-place" during an approaching threat, such as a hurricane, or an immediate incident, such as a major utility failure. The AHRQ developed this tool because historical events, particularly Hurricane Katrina, highlighted that many hospitals lacked a systematic, evidence-based process for making this critical, high-stakes decision.
The guide provides a structured framework that helps "Decision Teams" evaluate the risk-benefit ratio of moving fragile patients. It emphasizes that evacuation is often more dangerous than sheltering in place due to the "transfer trauma" and the risks associated with moving patients on life-support without the full resources of a medical facility. The AHRQ guide introduces the concept of theDecision Point, the "last safe moment" an evacuation can be ordered to ensure it is completed before environmental conditions (like high winds or flooding) make transport impossible.
WhileThe Joint Commission(Option A) andCMS(Option C) mandate that hospitals have evacuation plans for accreditation and reimbursement purposes, they do not provide the granular, analytical guidance found in the AHRQ document. The AHRQ guide is an "all-hazards" tool that integrates with theHospital Incident Command System (HICS). It includes specific tools like the "Evacuation Planning Checklist" and the "Shelter- in-Place Analysis." For aCertified Emergency and Disaster Professional (CEDP), the AHRQ guide is the definitive resource for healthcare continuity planning. It shifts the focus from an emotional, reactive decision to a data-driven process that considers facility integrity, resource availability, and the specific medical needs of the patient population, ultimately ensuring that the choice made is the one that maximizes the survival chances of every soul in the facility.

NEW QUESTION # 39
What entity coordinates Public Health Preparedness capabilities?

A. DHS
B. ASPR
C. CDC

Answer: C

Explanation:
While public health and medical preparedness are shared responsibilities, the specificPublic Health Emergency Preparedness (PHEP) Capabilitiesare developed and coordinated by theCenters for Disease Control and Prevention (CDC). The CDC established the "15 Public Health Preparedness Capabilities" as the national standard for state, local, tribal, and territorial (SLTT) health departments to use in their planning and to justify federal grant funding.
The 15 PHEP capabilities include:
* Community Preparedness
* Community Recovery
* Emergency Operations Coordination
* Emergency Public Information and Warning
* Fatality Management
* Information Sharing
* Mass Care
* Medical Countermeasure Dispensing and Administration
* Medical Materiel Management and Distribution
* Medical Surge
* Non-Pharmaceutical Interventions
* Public Health Surveillance and Epidemiological Investigation
* Public Health Laboratory Testing
* Responder Safety and Health
* Volunteer Management
In contrast,ASPR(Option A) coordinates the "Healthcare Preparedness Capabilities," which focus on hospitals and healthcare coalitions. The CDC's focus is broader, addressing the underlying public health infrastructure, such as laboratory testing (Capability 13) and epidemiological investigation (Capability 12). For aCEDPprofessional, the CDC's standards are the "baseline" for community health resilience. When a health department is awarded PHEP funding, they are held accountable for demonstrating their ability to perform these specific functions. This ensures that the nation's public health system is not just reactive to diseases, but is a robust, capability-based shield capable of managing the health impacts of any hazard, from a natural disaster to a biological attack.

NEW QUESTION # 40
What EOP element provides information about response and recovery activities?

A. Hazard specific annexes
B. Communication documents
C. Situational assumptions

Answer: A

Explanation:
In a standard Emergency Operations Plan (EOP), theHazard-Specific Annexesprovide the detailed, actionable information regarding response and recovery activities tailored to a particular type of threat. While the Basic Plan provides the general framework for all-hazards, the annexes focus on the unique operational requirements of specific disasters, such as a hurricane, a hazardous material spill, or a biological outbreak.
Situational assumptions (Option B) are found in the Basic Plan and describe the "what if" scenarios that the planners believe to be true. Communication documents (Option C) refer to the actual forms and logs used during the event, but they do not contain the strategic or tactical information found in an annex. Hazard- specific annexes describe the unique triggers for action, the specialized resources required, and the specific recovery milestones for that hazard. For example, a "Tornado Annex" would specify the immediate search and rescue protocols, whereas a "Pandemic Annex" would focus on vaccination clinics and quarantine procedures.
According to FEMA's CPG 101, the use of annexes allows the EOP to remain organized and scalable. It prevents the Basic Plan from becoming too cluttered with technical details that only apply to one type of incident. For a CEDP professional, these annexes are the "playbooks" for the organization. They ensure that when a specific threat is recognized, the Incident Command has a ready-made set of response and recovery steps that have already been vetted and coordinated with subject matter experts.

NEW QUESTION # 41
What purpose does the Remedial Action Management Program (RAMP) serve?

A. Identifies lessons learned and intelligent/smart practices1
B. Evaluates effectiveness of resilience/community involvement
C. Provides guidance on threat assessments and corrections

Answer: A

Explanation:
TheRemedial Action Management Program (RAMP)is a key component of theNational Preparedness Systemand theNational Incident Management System (NIMS). Its primary mission is to identify, document, and sharelessons learnedandbest practices(often referred to in technical documents as "intelligent" or "smart" practices) derived from real-world incidents, exercises, and disasters.2Managed by the National Preparedness Directorate withinFEMA, RAMP provides a standardized, systemic method for handling the transition from
"lessons identified" in After-Action Reports (AARs) to "lessons learned" through the implementation of corrective actions.
According to theFEMA RAMPdoctrine, the program operates as an "information warehouse" for the entire emergency management community. By analyzing the outcomes of multiple events, RAMP can identify recurring systemic issues-such as gaps in interoperable communications or resource request delays-and elevate them to program managers or senior leadership for resolution. This prevents jurisdictions from "re- inventing the wheel" after every disaster. A "best practice" in this context is defined as an innovative or unconventional course of action that proved particularly effective and should be repeated in similar circumstances.
For aCertified Emergency and Disaster Professional (CEDP), the RAMP framework is essential for theContinuous Improvement (CI)cycle. It ensures that the evaluation phase of a disaster is not just a static document but an active management process. By integrating with theLessons Learned Information Sharing (LLIS)system, RAMP allows disaster professionals to access a nationwide network of peer-validated insights.
This ensures that the collective wisdom of the emergency management enterprise is captured and used to update training, policy, and equipment standards, ultimately increasing the speed and efficiency of future disaster response efforts across all levels of government.

NEW QUESTION # 42
What agency publishes guidelines for hospital emergency water management?

A. Centers for Medicare and Medicaid Services
B. Department of Homeland Security
C. Centers for Disease Control and Prevention

Answer: C

Explanation:
TheCenters for Disease Control and Prevention (CDC), in collaboration with the American Water Works Association (AWWA), is the primary agency that publishes technical guidelines for hospital emergency water management.1Their seminal document, theEmergency Water Supply Planning Guide for Hospitals and Healthcare Facilities, provides a comprehensive roadmap for healthcare institutions to prepare for and respond to water supply interruptions.2 While CMS (Option C) mandates that hospitals have an emergency preparedness plan to maintain accreditation, they do not provide the granular technical guidance found in the CDC materials. The CDC guidelines focus on the public health implications of water loss, emphasizing the "four-step process" for developing an Emergency Water Supply Plan (EWSP): performing a water use audit, analyzing alternatives, developing the plan, and exercising it. These guidelines help hospitals calculate the minimum amount of water needed for patient care, sanitation, HVAC (chillers), and laundry during a crisis.
For the CEDP professional, the CDC's water management guidelines are critical because a hospital cannot function without water for more than a few hours. The guidance includes specific advice on "Short-term" versus "Long-term" alternatives, such as using municipal backup lines, private wells, or tankered water. It also details the chemical and microbiological monitoring required when transitioning between water sources to prevent outbreaks of waterborne illnesses likeLegionella. By following CDC standards, disaster professionals ensure that even when the municipal grid fails, the clinical and life-support systems of the facility remain safe for patients and staff.

NEW QUESTION # 43
......

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