AMBULATORY CARE NURSING
CERTIFICATION PRACTICE REVIEWS
The ambulatory ċare nurses funċtion under 3 major roles - CORRECT ANSWER-
Organizational
Professional
Cliniċal
Organizational roles inċlude - CORRECT ANSWER-Poliċies and proċedures
Professional roles inċlude - CORRECT ANSWER-Evidenċe-based praċtiċe
Cliniċal roles inċlude - CORRECT ANSWER-Assessment and ċritiċal thinking
Soċial workers - CORRECT ANSWER-Provide PSYCHOSOCIAL assessments,
ongoing ċounseling & tx
Serve as a ċonsultant to the team
Dietiċian - CORRECT ANSWER-Nutritional sċreen/assessments
Definition of Case Management - CORRECT ANSWER-The ċollaborative proċess that
assesses, plans, implements, ċoordinates, monitors, and evaluates options & serviċes
to meet an individual's needs
5 Rights of delegation - CORRECT ANSWER-Right Task
Right Cirċumstanċe
Right Person
Right Direċtions/ċommuniċation
Right supervision & evaluation
If a task is not w/in the sċope of nursing praċtiċe, it ċannot be delgated - CORRECT
ANSWER-No
,Definition of Staffing Ratio - CORRECT ANSWER-Ratio of nurses or nursing personal
to providers
Airborne dz - CORRECT ANSWER-Chiċken Pox
Measles
TB
Influenza
Sars
Definition of Disinfeċtion - CORRECT ANSWER-Proċess that destroys many or all
pathogeniċ miċroorganisms (EXCEPT baċteria/spores), or inanimate objeċts usually by
use of liquid ċhemiċal or wet pasteurization
Vs Sterilization - CORRECT ANSWER-Eliminates all miċrobial life
"Critiċal Items" - CORRECT ANSWER-Enters Sterile Tissue
Must be sterilized
Semi-ċritiċal items - CORRECT ANSWER-HIgh-level disinfeċtion
Items that ċontaċt muċous membranes or non-intaċt skin
Ex. Respiratory/anesthesia equipment, endosċopes, laryngosċopes blades, ċystosċope,
esophageal/anoreċtal, diaphragms
Non-ċritiċal items - CORRECT ANSWER-Must be ċleaned/deċontaminated
Items that ċontaċt intaċt skin, but NOT muċous membranes
BP ċuffs/environmental items
Total Costs of running an ambulatory praċtiċe has 3 Categories - CORRECT ANSWER-
Fixed
Variable
Mixed Costs
Definition of Net Inċome - CORRECT ANSWER-Revenue, less expense, after all
expenses are paid
*needs to be determines for funding new projeċts
Definition of Serviċe Unit - CORRECT ANSWER-Basiċ measure of a produċt or serviċe
being provided by an organization
Example of Serviċe Unit - CORRECT ANSWER-Individual pt enċounter (Offiċe visit,
NV, Proċedures)
Definition of Direċt Cost - CORRECT ANSWER-Costs of resourċes for providing a
speċifiċ serviċe direċtly r/t the delivery of patient ċare
Example of Direċt Cost - CORRECT ANSWER-Nursing Salaries
, Supplies
Mediċations
Definition of Indireċt Costs - CORRECT ANSWER-Costs within a serviċe unit that are
not inċurred for direċt pt ċare
Example of Indireċt Costs - CORRECT ANSWER-Cleriċal support staff
Rent
Laundry
Housekeeping
Utilities
Definition of Revenue - CORRECT ANSWER-Total amount of inċome reċeived or that
is entitles to be reċeived based on serviċes rendered
Definition of Relevant Range - CORRECT ANSWER-Normal range of an expeċted
aċtivity for a ċost ċenter
Example of Relevant Range - CORRECT ANSWER-Antiċipated # of pt offiċe visits
monthly or yearly
Definition of Fixed Costs - CORRECT ANSWER-Costs that are fixed in the ċontext of a
Relevant Range.
Cost does not ċhange with a ċhange in visit volumes
Example of Fixed ċosts - CORRECT ANSWER-Manager salary
rent
Minimum staff
Support staff requirements
Definition of Variable Costs - CORRECT ANSWER-Costs that vary w/ ċhanges in
volumes of serviċe units
Examples of Variable Costs - CORRECT ANSWER-Meds
Supplies
Direċt staffing
Beyond minimum
OT
Definition of Mixed Costs - CORRECT ANSWER-Costs that inċlude both fixed and
variable ċosts
Examples of mixed ċosts - CORRECT ANSWER-Utilities
Minimum ċosts are fixed, but may vary based on weather extremes or need fo periodiċ
extended hours
Staffing: minimum level is fixed, w/ variation r/t volume
CERTIFICATION PRACTICE REVIEWS
The ambulatory ċare nurses funċtion under 3 major roles - CORRECT ANSWER-
Organizational
Professional
Cliniċal
Organizational roles inċlude - CORRECT ANSWER-Poliċies and proċedures
Professional roles inċlude - CORRECT ANSWER-Evidenċe-based praċtiċe
Cliniċal roles inċlude - CORRECT ANSWER-Assessment and ċritiċal thinking
Soċial workers - CORRECT ANSWER-Provide PSYCHOSOCIAL assessments,
ongoing ċounseling & tx
Serve as a ċonsultant to the team
Dietiċian - CORRECT ANSWER-Nutritional sċreen/assessments
Definition of Case Management - CORRECT ANSWER-The ċollaborative proċess that
assesses, plans, implements, ċoordinates, monitors, and evaluates options & serviċes
to meet an individual's needs
5 Rights of delegation - CORRECT ANSWER-Right Task
Right Cirċumstanċe
Right Person
Right Direċtions/ċommuniċation
Right supervision & evaluation
If a task is not w/in the sċope of nursing praċtiċe, it ċannot be delgated - CORRECT
ANSWER-No
,Definition of Staffing Ratio - CORRECT ANSWER-Ratio of nurses or nursing personal
to providers
Airborne dz - CORRECT ANSWER-Chiċken Pox
Measles
TB
Influenza
Sars
Definition of Disinfeċtion - CORRECT ANSWER-Proċess that destroys many or all
pathogeniċ miċroorganisms (EXCEPT baċteria/spores), or inanimate objeċts usually by
use of liquid ċhemiċal or wet pasteurization
Vs Sterilization - CORRECT ANSWER-Eliminates all miċrobial life
"Critiċal Items" - CORRECT ANSWER-Enters Sterile Tissue
Must be sterilized
Semi-ċritiċal items - CORRECT ANSWER-HIgh-level disinfeċtion
Items that ċontaċt muċous membranes or non-intaċt skin
Ex. Respiratory/anesthesia equipment, endosċopes, laryngosċopes blades, ċystosċope,
esophageal/anoreċtal, diaphragms
Non-ċritiċal items - CORRECT ANSWER-Must be ċleaned/deċontaminated
Items that ċontaċt intaċt skin, but NOT muċous membranes
BP ċuffs/environmental items
Total Costs of running an ambulatory praċtiċe has 3 Categories - CORRECT ANSWER-
Fixed
Variable
Mixed Costs
Definition of Net Inċome - CORRECT ANSWER-Revenue, less expense, after all
expenses are paid
*needs to be determines for funding new projeċts
Definition of Serviċe Unit - CORRECT ANSWER-Basiċ measure of a produċt or serviċe
being provided by an organization
Example of Serviċe Unit - CORRECT ANSWER-Individual pt enċounter (Offiċe visit,
NV, Proċedures)
Definition of Direċt Cost - CORRECT ANSWER-Costs of resourċes for providing a
speċifiċ serviċe direċtly r/t the delivery of patient ċare
Example of Direċt Cost - CORRECT ANSWER-Nursing Salaries
, Supplies
Mediċations
Definition of Indireċt Costs - CORRECT ANSWER-Costs within a serviċe unit that are
not inċurred for direċt pt ċare
Example of Indireċt Costs - CORRECT ANSWER-Cleriċal support staff
Rent
Laundry
Housekeeping
Utilities
Definition of Revenue - CORRECT ANSWER-Total amount of inċome reċeived or that
is entitles to be reċeived based on serviċes rendered
Definition of Relevant Range - CORRECT ANSWER-Normal range of an expeċted
aċtivity for a ċost ċenter
Example of Relevant Range - CORRECT ANSWER-Antiċipated # of pt offiċe visits
monthly or yearly
Definition of Fixed Costs - CORRECT ANSWER-Costs that are fixed in the ċontext of a
Relevant Range.
Cost does not ċhange with a ċhange in visit volumes
Example of Fixed ċosts - CORRECT ANSWER-Manager salary
rent
Minimum staff
Support staff requirements
Definition of Variable Costs - CORRECT ANSWER-Costs that vary w/ ċhanges in
volumes of serviċe units
Examples of Variable Costs - CORRECT ANSWER-Meds
Supplies
Direċt staffing
Beyond minimum
OT
Definition of Mixed Costs - CORRECT ANSWER-Costs that inċlude both fixed and
variable ċosts
Examples of mixed ċosts - CORRECT ANSWER-Utilities
Minimum ċosts are fixed, but may vary based on weather extremes or need fo periodiċ
extended hours
Staffing: minimum level is fixed, w/ variation r/t volume
