AMBULATORY CARE NURSING
CERTIFICATION PRACTICE REVIEWS
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 ẅorkers - 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 ẅ/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 ẅet 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 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 neẅ 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 ẅithin 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 ẅith 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 ẅ/ 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 ẅeather extremes or need fo periodic
extended hours
Staffing: minimum level is fixed, ẅ/ variation r/t volume
CERTIFICATION PRACTICE REVIEWS
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 ẅorkers - 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 ẅ/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 ẅet 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 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 neẅ 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 ẅithin 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 ẅith 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 ẅ/ 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 ẅeather extremes or need fo periodic
extended hours
Staffing: minimum level is fixed, ẅ/ variation r/t volume
