Ambulatory Care Nursing Certification
QUESTIONS & ANSWERS(GRADED A)
The ambulatory care nurses function under 3 major roles - ANSWER Organizational
Professional
Clinical
Organizational roles include - ANSWER Policies and procedures
Professional roles include - ANSWER Evidence-based practice
Clinical roles include - ANSWER Assessment and critical thinking
Social workers - ANSWER Provide PSYCHOSOCIAL assessments, ongoing counseling & tx
Serve as a consultant to the team
Dietician - ANSWER Nutritional screen/assessments
Definition of Case Management - ANSWER The collaborative process that assesses, plans, implements,
coordinates, monitors, and evaluates options & services to meet an individual's needs
5 Rights of delegation - 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 - ANSWER No
, Definition of Staffing Ratio - ANSWER Ratio of nurses or nursing personal to providers
Airborne dz - ANSWER Chicken Pox
Measles
TB
Influenza
Sars
Definition of Disinfection - 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 - ANSWER Eliminates all microbial life
"Critical Items" - ANSWER Enters Sterile Tissue
Must be sterilized
Semi-critical items - 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 - 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 - ANSWER Fixed
Variable
Mixed Costs
, Definition of Net Income - ANSWER Revenue, less expense, after all expenses are paid
*needs to be determines for funding new projects
Example of Fixed costs - ANSWER Manager salary
rent
Minimum staff
Support staff requirements
Definition of Variable Costs - ANSWER Costs that vary w/ changes in volumes of service units
Examples of Variable Costs - ANSWER Meds
Supplies
Direct staffing
Beyond minimum
OT
Definition of Mixed Costs - ANSWER Costs that include both fixed and variable costs
Examples of mixed costs - 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
Definition of Relative Value Unit - ANSWER Used to approximate work done by physicians based on
knowledge & skills required
EST by HCFA/CMS
The 3 elements of a Relative Value Unit - ANSWER Values for the physician work
The practice expense
, Malpractice expense for delivery of service
Government Funds or Provides health plans (Fed/state/local) - ANSWER Medicare
Medicaid
Trickle
Indian Health Service
Prisons
Private insurance - ANSWER Includes commercial INDEMNITY & MANAGED care plans.
Individual or employed chooses insurance
Ex. Aetna/BCBS
Definition of Capitation - ANSWER Managed care approach that pays providers a flat fee per pt
regardless of the care the pt consumes
Disease Management - ANSWER Use of standardized, EB care plans to manage pts w/ specific chronic
medical conditions to ensure best practice is employed to manage pt care processes
Health promotion - ANSWER Education of pts on illness prevention w/ self care
Case management/care coordination - ANSWER Population-based management of panels of pts over
time that are @ risk for comorbidities, re-hospitalizations, or adverse outcomes
Focuses on maximizing control of chronic dz & prevent exacerbations
Financial Planning - strategic plan - ANSWER Spans 3-5 years & used to drive operational goals & short-
term budget cycles
Strategic plans have the following Elements - ANSWER Mission
Long-term goals
Competitive strategy
QUESTIONS & ANSWERS(GRADED A)
The ambulatory care nurses function under 3 major roles - ANSWER Organizational
Professional
Clinical
Organizational roles include - ANSWER Policies and procedures
Professional roles include - ANSWER Evidence-based practice
Clinical roles include - ANSWER Assessment and critical thinking
Social workers - ANSWER Provide PSYCHOSOCIAL assessments, ongoing counseling & tx
Serve as a consultant to the team
Dietician - ANSWER Nutritional screen/assessments
Definition of Case Management - ANSWER The collaborative process that assesses, plans, implements,
coordinates, monitors, and evaluates options & services to meet an individual's needs
5 Rights of delegation - 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 - ANSWER No
, Definition of Staffing Ratio - ANSWER Ratio of nurses or nursing personal to providers
Airborne dz - ANSWER Chicken Pox
Measles
TB
Influenza
Sars
Definition of Disinfection - 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 - ANSWER Eliminates all microbial life
"Critical Items" - ANSWER Enters Sterile Tissue
Must be sterilized
Semi-critical items - 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 - 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 - ANSWER Fixed
Variable
Mixed Costs
, Definition of Net Income - ANSWER Revenue, less expense, after all expenses are paid
*needs to be determines for funding new projects
Example of Fixed costs - ANSWER Manager salary
rent
Minimum staff
Support staff requirements
Definition of Variable Costs - ANSWER Costs that vary w/ changes in volumes of service units
Examples of Variable Costs - ANSWER Meds
Supplies
Direct staffing
Beyond minimum
OT
Definition of Mixed Costs - ANSWER Costs that include both fixed and variable costs
Examples of mixed costs - 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
Definition of Relative Value Unit - ANSWER Used to approximate work done by physicians based on
knowledge & skills required
EST by HCFA/CMS
The 3 elements of a Relative Value Unit - ANSWER Values for the physician work
The practice expense
, Malpractice expense for delivery of service
Government Funds or Provides health plans (Fed/state/local) - ANSWER Medicare
Medicaid
Trickle
Indian Health Service
Prisons
Private insurance - ANSWER Includes commercial INDEMNITY & MANAGED care plans.
Individual or employed chooses insurance
Ex. Aetna/BCBS
Definition of Capitation - ANSWER Managed care approach that pays providers a flat fee per pt
regardless of the care the pt consumes
Disease Management - ANSWER Use of standardized, EB care plans to manage pts w/ specific chronic
medical conditions to ensure best practice is employed to manage pt care processes
Health promotion - ANSWER Education of pts on illness prevention w/ self care
Case management/care coordination - ANSWER Population-based management of panels of pts over
time that are @ risk for comorbidities, re-hospitalizations, or adverse outcomes
Focuses on maximizing control of chronic dz & prevent exacerbations
Financial Planning - strategic plan - ANSWER Spans 3-5 years & used to drive operational goals & short-
term budget cycles
Strategic plans have the following Elements - ANSWER Mission
Long-term goals
Competitive strategy
