AMBULATORY CARE NURSING CERTIFICATION PRACTICE REVIEWS

AMBULATORY CARE NURSING CERTIFICATION PRACTICE REVIEWS The ambulatory care nurses function under 3 major roles - CORRECT ANSWEROrganizational 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 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 BP cuffs/environmental items Total Costs of running an ambulatory practice has 3 Categories - CORRECT ANSWERFixed 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 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 Definition of Mixed Costs - CORRECT ANSWER-Costs that include both fixed and variable costs Examples of mixed costs - CORRECT ANSWER-Utilities Minimum costs are fixed, but may vary based on weather extremes or need fo periodic extended hours Staffing: minimum level is fixed, w/ variation r/t volume