Ambulatory Care Nursing Certification
Ambulatory Care Nursing Certification Exam Study Guide
The ambulatory care nurses function under 3 major roles - Correct Answer- Organizational
Professional
Clinical
Organizational roles include - Correct Answer- Policies and procedures
Professional roles include - Correct Answer- Evidence-based practice
Clinical roles include - Correct Answer- Assessment and critical thinking
Social workers - Correct Answer- Provide PSYCHOSOCIAL assessments, ongoing counseling
& tx
Serve as a consultant to the team
Dietician - Correct Answer- Nutritional screen/assessments
Definition of Case Management - Correct Answer- The collaborative process that assesses, plans,
implements, coordinates, monitors, and evaluates options & services to meet an individual's
needs
5 Rights of delegation - Correct Answer- Right Task
Right Circumstance
Right Person
Right Directions/communication
1
, Ambulatory Care Nursing Certification
Right supervision & evaluation
If a task is not w/in the scope of nursing practice, it cannot be delgated - Correct Answer- No
Definition of Staffing Ratio - Correct Answer- Ratio of nurses or nursing personal to providers
Airborne dz - Correct Answer- Chicken Pox
Measles
TB
Influenza
Sars
Definition of Disinfection - Correct Answer- Process that destroys many or all pathogenic
microorganisms (EXCEPT bacteria/spores), or inanimate objects usually by use of liquid
chemical or wet pasteurization
Vs Sterilization - Correct Answer- Eliminates all microbial life
"Critical Items" - Correct Answer- Enters Sterile Tissue
Must be sterilized
Semi-critical items - Correct Answer- HIgh-level disinfection
Items that contact mucous membranes or non-intact skin
Ex. Respiratory/anesthesia equipment, endoscopes, laryngoscopes blades, cystoscope,
esophageal/anorectal, diaphragms
Non-critical items - Correct Answer- Must be cleaned/decontaminated
Items that contact intact skin, but NOT mucous membranes
2
, Ambulatory Care Nursing Certification
BP cuffs/environmental items
Total Costs of running an ambulatory practice has 3 Categories - Correct Answer- Fixed
Variable
Mixed Costs
Definition of Net Income - Correct Answer- Revenue, less expense, after all expenses are paid
*needs to be determines for funding new projects
Definition of Service Unit - Correct Answer- Basic measure of a product or service being
provided by an organization
Example of Service Unit - Correct Answer- Individual pt encounter (Office visit, NV,
Procedures)
Definition of Direct Cost - Correct Answer- Costs of resources for providing a specific service
directly r/t the delivery of patient care
Example of Direct Cost - Correct Answer- Nursing Salaries
Supplies
Medications
Definition of Indirect Costs - Correct Answer- Costs within a service unit that are not incurred
for direct pt care
Example of Indirect Costs - Correct Answer- Clerical support staff
Rent
Laundry
3
, Ambulatory Care Nursing Certification
Housekeeping
Utilities
Definition of Revenue - Correct Answer- Total amount of income received or that is entitles to be
received based on services rendered
Definition of Relevant Range - Correct Answer- Normal range of an expected activity for a cost
center
Example of Relevant Range - Correct Answer- Anticipated # of pt office visits monthly or yearly
Definition of Fixed Costs - Correct Answer- Costs that are fixed in the context of a Relevant
Range.
Cost does not change with a change in visit volumes
Example of Fixed costs - Correct Answer- Manager salary
rent
Minimum staff
Support staff requirements
Definition of Variable Costs - Correct Answer- Costs that vary w/ changes in volumes of service
units
Examples of Variable Costs - Correct Answer- Meds
Supplies
Direct staffing
Beyond minimum
OT
4
Ambulatory Care Nursing Certification Exam Study Guide
The ambulatory care nurses function under 3 major roles - Correct Answer- Organizational
Professional
Clinical
Organizational roles include - Correct Answer- Policies and procedures
Professional roles include - Correct Answer- Evidence-based practice
Clinical roles include - Correct Answer- Assessment and critical thinking
Social workers - Correct Answer- Provide PSYCHOSOCIAL assessments, ongoing counseling
& tx
Serve as a consultant to the team
Dietician - Correct Answer- Nutritional screen/assessments
Definition of Case Management - Correct Answer- The collaborative process that assesses, plans,
implements, coordinates, monitors, and evaluates options & services to meet an individual's
needs
5 Rights of delegation - Correct Answer- Right Task
Right Circumstance
Right Person
Right Directions/communication
1
, Ambulatory Care Nursing Certification
Right supervision & evaluation
If a task is not w/in the scope of nursing practice, it cannot be delgated - Correct Answer- No
Definition of Staffing Ratio - Correct Answer- Ratio of nurses or nursing personal to providers
Airborne dz - Correct Answer- Chicken Pox
Measles
TB
Influenza
Sars
Definition of Disinfection - Correct Answer- Process that destroys many or all pathogenic
microorganisms (EXCEPT bacteria/spores), or inanimate objects usually by use of liquid
chemical or wet pasteurization
Vs Sterilization - Correct Answer- Eliminates all microbial life
"Critical Items" - Correct Answer- Enters Sterile Tissue
Must be sterilized
Semi-critical items - Correct Answer- HIgh-level disinfection
Items that contact mucous membranes or non-intact skin
Ex. Respiratory/anesthesia equipment, endoscopes, laryngoscopes blades, cystoscope,
esophageal/anorectal, diaphragms
Non-critical items - Correct Answer- Must be cleaned/decontaminated
Items that contact intact skin, but NOT mucous membranes
2
, Ambulatory Care Nursing Certification
BP cuffs/environmental items
Total Costs of running an ambulatory practice has 3 Categories - Correct Answer- Fixed
Variable
Mixed Costs
Definition of Net Income - Correct Answer- Revenue, less expense, after all expenses are paid
*needs to be determines for funding new projects
Definition of Service Unit - Correct Answer- Basic measure of a product or service being
provided by an organization
Example of Service Unit - Correct Answer- Individual pt encounter (Office visit, NV,
Procedures)
Definition of Direct Cost - Correct Answer- Costs of resources for providing a specific service
directly r/t the delivery of patient care
Example of Direct Cost - Correct Answer- Nursing Salaries
Supplies
Medications
Definition of Indirect Costs - Correct Answer- Costs within a service unit that are not incurred
for direct pt care
Example of Indirect Costs - Correct Answer- Clerical support staff
Rent
Laundry
3
, Ambulatory Care Nursing Certification
Housekeeping
Utilities
Definition of Revenue - Correct Answer- Total amount of income received or that is entitles to be
received based on services rendered
Definition of Relevant Range - Correct Answer- Normal range of an expected activity for a cost
center
Example of Relevant Range - Correct Answer- Anticipated # of pt office visits monthly or yearly
Definition of Fixed Costs - Correct Answer- Costs that are fixed in the context of a Relevant
Range.
Cost does not change with a change in visit volumes
Example of Fixed costs - Correct Answer- Manager salary
rent
Minimum staff
Support staff requirements
Definition of Variable Costs - Correct Answer- Costs that vary w/ changes in volumes of service
units
Examples of Variable Costs - Correct Answer- Meds
Supplies
Direct staffing
Beyond minimum
OT
4
