CERTIFICATION EXAM STUDY GUIDE
j Ambulatory Care Nursing - complex, multi-faceted specialty that encompasses independent and
collaborative practice based on nursing process
-it is built on broad knowledge based on nursing and health sciences
-use of evidence-based information based in clinical practice
-focus on safe, quality care and improved patient outcomes
-the role and functions of an RN
-accountability for and autonomy in delivering ambulatory nursing services
Defining Characteristics of Ambulatory Nursing - -nurse autonomy, critical reasoning, astute clinical
judgement, nursing process
-patient advocacy, ethics, holistic nursing care
-assists and supports patients and families in optimal management of their health care
-skillful, rapid nursing assessment, patient education, patient engagement
-long term relationships that promote patient/family trust
Characteristics of Ambulatory Care of Nursing Practice - - ambulatory care applies clinical expertise that
is rooted in nursing practice
-includes clinical, leadership, education, and research (EBP) process focused on individuals, groups, or
populations who seek assistance with improving health and/or seek care for health-related problems
based on patient safety and patient outcomes
acute care - Treatment management: initiate, implement, observe by healthcare team
Timing: admission to discharge
ambulatory - Treatment management: treatment plan handled by patient
Timing: individual intermittent, flexible period of time
, ambulatory care nursing - -encounter are episodic
-less than 24 hours in duration
-occur singly or in a series
-encounter modalities happen via:
-face to face
-telehealth
-email, patient portal, text messaging, video conferencing, smart phones, facetime, virtual clinics,
biosensors, various apps
patient - individual who requests or receives nursing services
-unique, functions holistically, center of patient-nurse relationship
environment - where ambulatory care nurses practice. Organizational, social, economic, legal, political
within health care system and virtual ______
professional - dynamic, continually evolving in response to environmental needs, directions, and
preferences, EBP, adherence to professional standards and ethics
patient, family, significant other - -approach health system in variety of circumstances and health states
-patient usually initiates contact
-collaborate with interdisciplinary ambulatory care team regarding treatment options/regimen
-manages and provides health care between visits, patient engagement
-controls health care decisions and has choices
-can have long term relationships with ambulatory care providers
Social Determinates of Health - conditions where people live, learn, work, and play that affect a wide
range of risks and health outcomes
-socioeconomic status (helps determine decisions and access)
-educational level