CHS-LTC (Certified in Healthcare Safety-Long Term Care)

The International Board for Certification of Safety Managers, also known as BCHCM, was established in 1976 as a not-for-profit independent credentialing organization. The Board establishes certification and re-certification requirements for the Certified in Healthcare Safety - Long Term Care (CHS-LTC). The Board operates as an independent professional credentialing organization that is not affiliated with any other membership group, association, or lobbying body. The Board exists solely for the purpose of issuing individual certifications to qualified candidates. Our mission is to 'Upgrade the Profession' by offering real world and practical certifications.


CHS-LTC Background

The CHS-LTC credential was established in 2014 to focus on the importance of using management principles to improve the safety performance of nursing care facilities. The CHS-LTC credential would be appropriate for Candidates desiring to improve their professional practice in long term care facilities. Earning the CHS-LTC credential provides recognition and documents achievement. Long term care and other nursing care facilities need certified personnel that understand how proactive safety practice supports operational effectiveness, improves resident care processes, and reduces organizational costs. The textbook: Healthcare Hazard Control and Safety Management, can help CHS-LTC Candidates prepare for the CHSP Exam.  The book is available for purchase from the Board. Contact IBFCSM for information about other self-study materials.


CHS-LTC Examination Outline

1. Safety Management Principles (25%)

1. Accident, Injury, and Illness Prevention and Accident Costing

2. Inspections, Audits, Surveys, Investigations, and Root Cause Analysis  

3. Safety Policies, Safety Plans, and Reporting Procedures

4. Understanding Safety Cultures

5. Management and Leadership Concepts, and Principles

6. Human Relations and Understanding Organizational Cultures

7. Managerial Techniques (Management by Exception, Migrating Decision Making, etc.)


2. Government Agencies and Standards (25%)

A. Occupational Safety and Health Administration (OSHA)

1. OSH Act and General Duty Clause (Dangerous Drugs, TB, Lasers, Workplace Violence)

2. Healthcare Related Standards

            (a) Hazard Communication (29 CFR 1910.1200)

            (b) Respiratory Standard (29 CFR 1910.134)

            (c) Controlling Hazardous Energy (29 CFR 1910.147)

            (d) Permit Confined Spaces (29 CFR 1910.146)

            (e). Air Contaminants (29 CFR 1910, Subpart Z)            

            (f) Electrical Standards (29 CFR 1910.303)

            (g) Bloodborne Pathogens (29 CFR 1910.1030)

            (h) Nursing Home and Healthcare E-Tools (OSHA Website)

B. Resource Conservation & Recovery Act (RCRA) and Universal Waste Act (UWA)

C. Federal Insecticide, Fungicide, and Rodentcide Act (FIFRA)

D. Food and Drug Administration (21 CFR)

E. Department of Health and Human Services (42 CFR) - NIOSH, AHRQ, etc.


3. Long Term Care Facility Hazard Control (20%)

A. Physical Hazards (Electrical, machine, equipment, tools, noise, radiation, etc.)

B. Chemical Hazards (Disinfectants, pesticides, solvents, dangerous drugs, gases, etc.)

C. Ergonomic/Environmental Hazards (Repetitive tasks, falls, musculoskeletal disorders, etc.)

D. Biohazards (Legionella, waste handling, sharps exposures, construction risks, etc.)

E. Psycho-Social Hazards (Workplace violence, security, substance abuse, stress, shift work, etc.)

E. Nursing Facility Support Department Safety


4. Voluntary and Standards Organizations (15%)

A. National Fire Protection Association (NFPA)

B. American National Standards Institute (ANSI)

C. American Society of Testing Materials (ASTM)

D. American Society of Heating, Refrigerating, & Air Conditioning Engineers (ASHRAE)

E. Underwriters Laboratory (UL)

F. Factory Mutual (FM)

G. American Conference of Government Industrial Hygienists (ACGIH)


5. CMS Standards, Fire Safety, & Infection Control (20%)

A. Fire Safety and Emergency Management

B. CMS Standards (Nursing Homes)

C. NFPA 101, Life Safety and NFPA 99, Healthcare Facilities

D. Fire Safety Management and Other Relevant NFPA Publications

E. CDC Infection Control Guidelines

F. Nursing Facility Acquired Infections

G. Opportunistic Infections (Aspergillus and Pseudomonas)

Example Questions

1. Which of the following best describes the benefit of implementing a resident lifting program?

a. Improved quality of care*

b. Reduced workers' compensation costs

c. Greater resident satisfaction

d. Increased morale for employees


2.  Which NFPA publication exclusively addresses healthcare facility topics?

a. NFPA 13

b. NFPA 72

c. NFPA 99*

d. NFPA 101


3. Which control measure should be considered first when protecting workers from chemical airborne contaminants?

a. Isolating the hazard far from most workers

b. Providing proper local and general ventilation*

c. Requiring use of supplied air respirators immediately

d. Conducting periodic monitoring in all exposure areas


4.  Which dietary hazard control would be least effective in preventing potential food-borne illnesses?

a. Requiring food preparation workers to wash hands frequently

b. Maintaining hot foods on the serving line at 140F or higher

c. Providing a supply of cloth towels to wipe food prep surfaces frequently*

d. Maintaining coolers and refrigerators at 40F or lower