AMBULATORY CARE NURSING
CERTIFICATION PRACTICE REVIEWS
The tambulatory tcare tnurses tfunction tunder t3 tmajor troles t- tCORRECT tANSWER-
tOrganizational
Professional
tClinical
Organizational troles tinclude t- tCORRECT tANSWER-Policies tand tprocedures
Professional troles tinclude t- tCORRECT tANSWER-Evidence-based tpractice
Clinical troles tinclude t- tCORRECT tANSWER-Assessment tand tcritical tthinking
Social tworkers t- tCORRECT tANSWER-Provide tPSYCHOSOCIAL tassessments,
tongoing tcounseling t& ttx
Serve tas ta tconsultant tto tthe tteam
Dietician t- tCORRECT tANSWER-Nutritional tscreen/assessments
Definition tof tCase tManagement t- tCORRECT tANSWER-The tcollaborative tprocess
tthat tassesses, tplans, timplements, tcoordinates, tmonitors, tand tevaluates toptions t&
tservices tto tmeet tan tindividual's tneeds
5 tRights tof tdelegation t- tCORRECT tANSWER-Right tTask
tRight tCircumstance
Right tPerson
Right tDirections/communication
tRight tsupervision t& tevaluation
If ta ttask tis tnot tw/in tthe tscope tof tnursing tpractice, tit tcannot tbe tdelgated t-
tCORRECT tANSWER-No
,Definition tof tStaffing tRatio t- tCORRECT tANSWER-Ratio tof tnurses tor tnursing
tpersonal tto tproviders
Airborne tdz t- tCORRECT tANSWER-Chicken tPox
tMeasles
TB
Influenza
tSars
Definition tof tDisinfection t- tCORRECT tANSWER-Process tthat tdestroys tmany tor tall
tpathogenic tmicroorganisms t(EXCEPT tbacteria/spores), tor tinanimate tobjects tusually
tby tuse tof tliquid tchemical tor twet tpasteurization
Vs tSterilization t- tCORRECT tANSWER-Eliminates tall tmicrobial tlife
"Critical tItems" t- tCORRECT tANSWER-Enters tSterile tTissue
tMust tbe tsterilized
Semi-critical titems t- tCORRECT tANSWER-HIgh-level tdisinfection
tItems tthat tcontact tmucous tmembranes tor tnon-intact tskin
Ex. tRespiratory/anesthesia tequipment, tendoscopes, tlaryngoscopes tblades,
tcystoscope, tesophageal/anorectal, tdiaphragms
Non-critical titems t- tCORRECT tANSWER-Must tbe tcleaned/decontaminated
tItems tthat tcontact tintact tskin, tbut tNOT tmucous tmembranes
BP tcuffs/environmental titems
Total tCosts tof trunning tan tambulatory tpractice thas t3 tCategories t- tCORRECT
tANSWER- tFixed
Variable
tMixed tCosts
Definition tof tNet tIncome t- tCORRECT tANSWER-Revenue, tless texpense, tafter tall
texpenses tare tpaid
*needs tto tbe tdetermines tfor tfunding tnew tprojects
Definition tof tService tUnit t- tCORRECT tANSWER-Basic tmeasure tof ta tproduct tor tservice
tbeing tprovided tby tan torganization
Example tof tService tUnit t- tCORRECT tANSWER-Individual tpt tencounter t(Office tvisit,
tNV, tProcedures)
Definition tof tDirect tCost t- tCORRECT tANSWER-Costs tof tresources tfor tproviding ta
tspecific tservice tdirectly tr/t tthe tdelivery tof tpatient tcare
Example tof tDirect tCost t- tCORRECT tANSWER-Nursing tSalaries
, Supplies
tMedications
Definition tof tIndirect tCosts t- tCORRECT tANSWER-Costs twithin ta tservice tunit tthat
tare tnot tincurred tfor tdirect tpt tcare
Example tof tIndirect tCosts t- tCORRECT tANSWER-Clerical tsupport
tstaff tRent
Laundry
tHousekeeping
tUtilities
Definition tof tRevenue t- tCORRECT tANSWER-Total tamount tof tincome treceived tor
tthat tis tentitles tto tbe treceived tbased ton tservices trendered
Definition tof tRelevant tRange t- tCORRECT tANSWER-Normal trange tof tan
texpected tactivity tfor ta tcost tcenter
Example tof tRelevant tRange t- tCORRECT tANSWER-Anticipated t# tof tpt toffice tvisits
tmonthly tor tyearly
Definition tof tFixed tCosts t- tCORRECT tANSWER-Costs tthat tare tfixed tin tthe tcontext tof ta
tRelevant tRange.
Cost tdoes tnot tchange twith ta tchange tin tvisit tvolumes
Example tof tFixed tcosts t- tCORRECT tANSWER-Manager tsalary
trent
Minimum tstaff
Support tstaff trequirements
Definition tof tVariable tCosts t- tCORRECT tANSWER-Costs tthat tvary tw/ tchanges tin
tvolumes tof tservice tunits
Examples tof tVariable tCosts t- tCORRECT tANSWER-Meds
tSupplies
Direct tstaffing
tBeyond
tminimum tOT
Definition tof tMixed tCosts t- tCORRECT tANSWER-Costs tthat tinclude tboth tfixed tand
tvariable tcosts
Examples tof tmixed tcosts t- tCORRECT tANSWER-Utilities
Minimum tcosts tare tfixed, tbut tmay tvary tbased ton tweather textremes tor tneed tfo tperiodic
textended thours
Staffing: tminimum tlevel tis tfixed, tw/ tvariation tr/t tvolume
CERTIFICATION PRACTICE REVIEWS
The tambulatory tcare tnurses tfunction tunder t3 tmajor troles t- tCORRECT tANSWER-
tOrganizational
Professional
tClinical
Organizational troles tinclude t- tCORRECT tANSWER-Policies tand tprocedures
Professional troles tinclude t- tCORRECT tANSWER-Evidence-based tpractice
Clinical troles tinclude t- tCORRECT tANSWER-Assessment tand tcritical tthinking
Social tworkers t- tCORRECT tANSWER-Provide tPSYCHOSOCIAL tassessments,
tongoing tcounseling t& ttx
Serve tas ta tconsultant tto tthe tteam
Dietician t- tCORRECT tANSWER-Nutritional tscreen/assessments
Definition tof tCase tManagement t- tCORRECT tANSWER-The tcollaborative tprocess
tthat tassesses, tplans, timplements, tcoordinates, tmonitors, tand tevaluates toptions t&
tservices tto tmeet tan tindividual's tneeds
5 tRights tof tdelegation t- tCORRECT tANSWER-Right tTask
tRight tCircumstance
Right tPerson
Right tDirections/communication
tRight tsupervision t& tevaluation
If ta ttask tis tnot tw/in tthe tscope tof tnursing tpractice, tit tcannot tbe tdelgated t-
tCORRECT tANSWER-No
,Definition tof tStaffing tRatio t- tCORRECT tANSWER-Ratio tof tnurses tor tnursing
tpersonal tto tproviders
Airborne tdz t- tCORRECT tANSWER-Chicken tPox
tMeasles
TB
Influenza
tSars
Definition tof tDisinfection t- tCORRECT tANSWER-Process tthat tdestroys tmany tor tall
tpathogenic tmicroorganisms t(EXCEPT tbacteria/spores), tor tinanimate tobjects tusually
tby tuse tof tliquid tchemical tor twet tpasteurization
Vs tSterilization t- tCORRECT tANSWER-Eliminates tall tmicrobial tlife
"Critical tItems" t- tCORRECT tANSWER-Enters tSterile tTissue
tMust tbe tsterilized
Semi-critical titems t- tCORRECT tANSWER-HIgh-level tdisinfection
tItems tthat tcontact tmucous tmembranes tor tnon-intact tskin
Ex. tRespiratory/anesthesia tequipment, tendoscopes, tlaryngoscopes tblades,
tcystoscope, tesophageal/anorectal, tdiaphragms
Non-critical titems t- tCORRECT tANSWER-Must tbe tcleaned/decontaminated
tItems tthat tcontact tintact tskin, tbut tNOT tmucous tmembranes
BP tcuffs/environmental titems
Total tCosts tof trunning tan tambulatory tpractice thas t3 tCategories t- tCORRECT
tANSWER- tFixed
Variable
tMixed tCosts
Definition tof tNet tIncome t- tCORRECT tANSWER-Revenue, tless texpense, tafter tall
texpenses tare tpaid
*needs tto tbe tdetermines tfor tfunding tnew tprojects
Definition tof tService tUnit t- tCORRECT tANSWER-Basic tmeasure tof ta tproduct tor tservice
tbeing tprovided tby tan torganization
Example tof tService tUnit t- tCORRECT tANSWER-Individual tpt tencounter t(Office tvisit,
tNV, tProcedures)
Definition tof tDirect tCost t- tCORRECT tANSWER-Costs tof tresources tfor tproviding ta
tspecific tservice tdirectly tr/t tthe tdelivery tof tpatient tcare
Example tof tDirect tCost t- tCORRECT tANSWER-Nursing tSalaries
, Supplies
tMedications
Definition tof tIndirect tCosts t- tCORRECT tANSWER-Costs twithin ta tservice tunit tthat
tare tnot tincurred tfor tdirect tpt tcare
Example tof tIndirect tCosts t- tCORRECT tANSWER-Clerical tsupport
tstaff tRent
Laundry
tHousekeeping
tUtilities
Definition tof tRevenue t- tCORRECT tANSWER-Total tamount tof tincome treceived tor
tthat tis tentitles tto tbe treceived tbased ton tservices trendered
Definition tof tRelevant tRange t- tCORRECT tANSWER-Normal trange tof tan
texpected tactivity tfor ta tcost tcenter
Example tof tRelevant tRange t- tCORRECT tANSWER-Anticipated t# tof tpt toffice tvisits
tmonthly tor tyearly
Definition tof tFixed tCosts t- tCORRECT tANSWER-Costs tthat tare tfixed tin tthe tcontext tof ta
tRelevant tRange.
Cost tdoes tnot tchange twith ta tchange tin tvisit tvolumes
Example tof tFixed tcosts t- tCORRECT tANSWER-Manager tsalary
trent
Minimum tstaff
Support tstaff trequirements
Definition tof tVariable tCosts t- tCORRECT tANSWER-Costs tthat tvary tw/ tchanges tin
tvolumes tof tservice tunits
Examples tof tVariable tCosts t- tCORRECT tANSWER-Meds
tSupplies
Direct tstaffing
tBeyond
tminimum tOT
Definition tof tMixed tCosts t- tCORRECT tANSWER-Costs tthat tinclude tboth tfixed tand
tvariable tcosts
Examples tof tmixed tcosts t- tCORRECT tANSWER-Utilities
Minimum tcosts tare tfixed, tbut tmay tvary tbased ton tweather textremes tor tneed tfo tperiodic
textended thours
Staffing: tminimum tlevel tis tfixed, tw/ tvariation tr/t tvolume
