Ambulatory Care Nursing Certification || A+ Guaranteed.
The ambulatory care nurses function under 3 major roles correct answers Organizational
Professional
Clinical
Organizational roles include correct answers Policies and procedures
Professional roles include correct answers Evidence-based practice
Clinical roles include correct answers Assessment and critical thinking
Social workers correct answers Provide PSYCHOSOCIAL assessments, ongoing counseling &
tx
Serve as a consultant to the team
Dietician correct answers Nutritional screen/assessments
Definition of Case Management correct answers The collaborative process that assesses, plans,
implements, coordinates, monitors, and evaluates options & services to meet an individual's
needs
5 Rights of delegation correct answers 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 answers No
Definition of Staffing Ratio correct answers Ratio of nurses or nursing personal to providers
Airborne dz correct answers Chicken Pox
Measles
TB
Influenza
Sars
Definition of Disinfection correct answers 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 answers Eliminates all microbial life
"Critical Items" correct answers Enters Sterile Tissue
Must be sterilized
,Semi-critical items correct answers 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 answers 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 answers Fixed
Variable
Mixed Costs
Definition of Net Income correct answers Revenue, less expense, after all expenses are paid
*needs to be determines for funding new projects
Definition of Service Unit correct answers Basic measure of a product or service being provided
by an organization
Example of Service Unit correct answers Individual pt encounter (Office visit, NV, Procedures)
Definition of Direct Cost correct answers Costs of resources for providing a specific service
directly r/t the delivery of patient care
Example of Direct Cost correct answers Nursing Salaries
Supplies
Medications
Definition of Indirect Costs correct answers Costs within a service unit that are not incurred for
direct pt care
Example of Indirect Costs correct answers Clerical support staff
Rent
Laundry
Housekeeping
Utilities
Definition of Revenue correct answers Total amount of income received or that is entitles to be
received based on services rendered
Definition of Relevant Range correct answers Normal range of an expected activity for a cost
center
Example of Relevant Range correct answers Anticipated # of pt office visits monthly or yearly
, Definition of Fixed Costs correct answers 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 answers Manager salary
rent
Minimum staff
Support staff requirements
Definition of Variable Costs correct answers Costs that vary w/ changes in volumes of service
units
Examples of Variable Costs correct answers Meds
Supplies
Direct staffing
Beyond minimum
OT
Definition of Mixed Costs correct answers Costs that include both fixed and variable costs
Examples of mixed costs correct answers 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 correct answers Used to approximate work done by physicians
based on knowledge & skills required
EST by HCFA/CMS
The 3 elements of a Relative Value Unit correct answers Values for the physician work
The practice expense
Malpractice expense for delivery of service
Government Funds or Provides health plans (Fed/state/local) correct answers Medicare
Medicaid
Trickle
Indian Health Service
Prisons
Private insurance correct answers Includes commercial INDEMNITY & MANAGED care plans.
Individual or employed chooses insurance
Ex. Aetna/BCBS
Definition of Capitation correct answers Managed care approach that pays providers a flat fee
per pt regardless of the care the pt consumes
The ambulatory care nurses function under 3 major roles correct answers Organizational
Professional
Clinical
Organizational roles include correct answers Policies and procedures
Professional roles include correct answers Evidence-based practice
Clinical roles include correct answers Assessment and critical thinking
Social workers correct answers Provide PSYCHOSOCIAL assessments, ongoing counseling &
tx
Serve as a consultant to the team
Dietician correct answers Nutritional screen/assessments
Definition of Case Management correct answers The collaborative process that assesses, plans,
implements, coordinates, monitors, and evaluates options & services to meet an individual's
needs
5 Rights of delegation correct answers 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 answers No
Definition of Staffing Ratio correct answers Ratio of nurses or nursing personal to providers
Airborne dz correct answers Chicken Pox
Measles
TB
Influenza
Sars
Definition of Disinfection correct answers 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 answers Eliminates all microbial life
"Critical Items" correct answers Enters Sterile Tissue
Must be sterilized
,Semi-critical items correct answers 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 answers 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 answers Fixed
Variable
Mixed Costs
Definition of Net Income correct answers Revenue, less expense, after all expenses are paid
*needs to be determines for funding new projects
Definition of Service Unit correct answers Basic measure of a product or service being provided
by an organization
Example of Service Unit correct answers Individual pt encounter (Office visit, NV, Procedures)
Definition of Direct Cost correct answers Costs of resources for providing a specific service
directly r/t the delivery of patient care
Example of Direct Cost correct answers Nursing Salaries
Supplies
Medications
Definition of Indirect Costs correct answers Costs within a service unit that are not incurred for
direct pt care
Example of Indirect Costs correct answers Clerical support staff
Rent
Laundry
Housekeeping
Utilities
Definition of Revenue correct answers Total amount of income received or that is entitles to be
received based on services rendered
Definition of Relevant Range correct answers Normal range of an expected activity for a cost
center
Example of Relevant Range correct answers Anticipated # of pt office visits monthly or yearly
, Definition of Fixed Costs correct answers 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 answers Manager salary
rent
Minimum staff
Support staff requirements
Definition of Variable Costs correct answers Costs that vary w/ changes in volumes of service
units
Examples of Variable Costs correct answers Meds
Supplies
Direct staffing
Beyond minimum
OT
Definition of Mixed Costs correct answers Costs that include both fixed and variable costs
Examples of mixed costs correct answers 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 correct answers Used to approximate work done by physicians
based on knowledge & skills required
EST by HCFA/CMS
The 3 elements of a Relative Value Unit correct answers Values for the physician work
The practice expense
Malpractice expense for delivery of service
Government Funds or Provides health plans (Fed/state/local) correct answers Medicare
Medicaid
Trickle
Indian Health Service
Prisons
Private insurance correct answers Includes commercial INDEMNITY & MANAGED care plans.
Individual or employed chooses insurance
Ex. Aetna/BCBS
Definition of Capitation correct answers Managed care approach that pays providers a flat fee
per pt regardless of the care the pt consumes
