Doclaura

Elements of CCTM - ANS -Assuming accountability -Providing patient support -Building relationships and agreements among providers that lead to shared expectations for communication and care -Developing connectivity via electronic or other information pathways that encourage timely and effective information flow between Care coordination - ANS Need high quality referral or transition Should be timely Safe: Referrals and transitions are planned and managed to prevent harm...

Challenges for RNs in ambulatory settings - ANS Social changes HC environment (more regulation, higher expectations, PCP shortage, fragmentation) No integration of HC records No billing recognition for nursing care PHCN workforce (still developing team-based care model) Lack of appropriate ambulatory nursing education CCTM Dimensions - ANS 1) Nursing Process 2) Pop Health Management 3) Teamwork + Collaboration 4) Patient-Centered Care Planning 5) Support for Self-Ma...

what is the continuum of healthcare - ANS categories of care and services throughout the lifespan. The role of Ambulatory care management - ANS Assess, plan facilitate and advocate Define primary, secondary and tertiary care - ANS principal point of contact: hospital services and technical / specialized services What does coordination of care include - ANS utilizing resources and manage the transition, case and disease What is mass casualty triage?...

Key Roles/Responsibilities is Ambulatory Care RN (4) - ANS 1) enhance pt safety and quality/effectiveness of care delivery (irreplaceable) 2) responsible for design/administration/eval of professional nursing services within organization in accordance with nurse practice acts/scope of practice/org standards 3) provide leadership necessary for collab/coordination of services; includes defining appropriate skills mix + delegation of tasks to licensed and unlicensed workers 4) RN ...

Ambulatory care nurses focus on - ANS Healthcare for individuals,families,groups communities and populations. Ambulatory nurses practice in - ANS Primary,specialty care outpatient venues,non acute surgical and diagnostic outpatient settings and in telehealth. The scope of practice statement describes the - ANS Who,what,where,why and how of professional ambulatory nurse nursing practice. The definition of ambulatory care nursing identifies - ANS The un...

The mother of a 3-year old boy, Chase, calls the primary care clinic for advice about Chase's fever. She reports Chase does not appear to be uncomfortable, is playing quietly, and is eating and drinking, but his temperature is 101.0F orally. The nurse should recommend the following" - ANS - Administer acetaminophen, dosing according to the guidelines on the clinic website - Dress in lightweight clothing and avoid overdressing. Avoid bundling blankets. How many doses of MMR should ...

Tension headache - ANS Radiates Periodic Related to not eating properly and trouble sleeping A mild to moderate pain often described as feeling like a tight band around the head. Multiple factors can bring on a tension headache, including stress, inadequate sleep, and poor posture. rebound headache - ANS Patient complains of daily headaches (or almost daily headaches). May be accompanied by irritability, depression, and insomnia. Caused by overuse of abortive medicines s...

Accreditation Association for Ambulatory Health Care (AAAHC) - ANS private, non-profit agency that offers voluntary peer-based review of the quality of health care services of ambulatory health organizations Ambulatory Patient Classifications (APCs) - ANS used by CMS for prospective payment in hospital outpatient depts and ambulatory surgery centers; based on procedures and adjusted for severity Ambulatory Patient Groups (APGs) - ANS patient classification system...

The ambulatory care nurse is teaching a patient who is newly diagnosed with diabetes, and cautions the patient against taking nonsteroidal anti-inflammatory medication, because of the: Additional stress on kidney function. B Additional stress on liver function. C Effect on the liver when combined with an oral hypoglycemic agent. D Interference with insulin absorption. - ANS Additional stress on kidney function. The most effective strategy for improving patient adherence to the c...

Standard 1: Assessment - ANS The RN practicing in the ambulatory care setting systematically collects or supervises collection of focused data related to health needs and concerns of patients, groups, or populations Standard 2: Diagnosis - ANS The RN practicing in the ambulatory care setting analyzes assessment data to determine diagnostic statements for health promotion, health maintenance, or health-related problems or issues. Standard 3: Outcomes Identification - ANS ...

Definition of Ambulatory care nursing - ANS complex, multifaceted specialty that encompasses independent and collaborative practice. Ambulatory Care Nursing includes - ANS clinical, management, education, research Ambulatory nurses work with patients who seek care for - ANS health promotion, health maintenance, health related problems Services focus on cost-effective ways to: - ANS maximize wellness, prevent illness, disability, disease and minimize s...

The ambulatory care nurses function under 3 major roles - ANS Organizational Professional Clinical Organizational roles include - ANS Policies and procedures Professional roles include - ANS Evidence-based practice Clinical roles include - ANS Assessment and critical thinking Social workers - ANS Provide PSYCHOSOCIAL assessments, ongoing counseling & tx Serve as a consultant to the team Dietician - ANS Nutritional screen/ass...

How many medications does it typically take to be considered "polypharmacy?" A -Three B -Ten C -Twenty-four D -Five or more - ANS D -Five or more The ANP knows that it is her responsibility to report certain things to the proper authorities. Which of the following is NOT required to be reported? A - gunshot wound B - suspected child abuse C - drug abuse D - stab wounds - ANS C - drug abuse Drug abuse is not required by law to be reported. Gunshot wounds, stab ...

The nursing process is foundational to the process of patient education. Which of the following describes the evaluation phase of patient education? a. Tailoring teaching, learning strategies, and interventions. b. Measuring learning attained and level of self-efficacy. c. Determining readiness to learn and learning needs? d. Mutually setting goals and outcomes expected. - ANS B. Measuring learning attained and level of self-efficacy For patients with chronic pain, educational i...

The Ambulatory care Nurse is triaging a client whose chief complaint is chest pain. What is a priority action for the nurse to take? A. Complete full head to toe B. Administer ASA C. Perform Electrocardiogram (ECG) D. Call 911 - ANS C. Perform an Electrocardiogram Which of the following is essential for the ambulatory care nurse to remind the client of when performing an Electrocardiogram? A. Take a deep breath during the test B. Hold you breath during the test C. Try not to ...

3 yr old plays with himself, says naughty things. Normal for which theorist - ANS Piaget Which cranial nerve for 14 yr old clenching teeth - ANS Trigeminal, Cranial nerve V 16 yr old falls with wrong crowd may have what disorder - ANS Conduct disorder Ace inhibitors are drug choice for what - ANS Heart failure, HTN Acute stress disorder must occur within what time frame - ANS 1 month of trauma and resolve within the month Exposure to a ...

When many answers are remarkably similar, they are usually _____________ - ANS wrong When two answers are opposites, usually... - ANS one of those two is the correct answer When looking at questions about interprofessional communication: ________ don't _________. - ANS collaborate, don't delegate If asked to differentiate #1 from #2; think what is unique about _______. - ANS #1 If a question and an answer use the same words or synonyms, then that...

What is a decreased effect of the same dose of a medication overtime? - ANS Tolerance Ex. taking 2 pills of ibuprofen over a period of time so now needing to take 3 pills to achieve the same effect What is it called when there is a tendency of some regions of the brain to react to repeated LOW level bioelectrical stimulation by progressively boosting synaptic discharges thereby lowering seizure thresholds? - ANS Kindling Kindling explanation/definition - ANS pro...

Native americans - ANS ethnic group w/ the highest rate of SI in the US If cultural question - ANS make an accommodation for them even if against policy RESPECT also important contextualize their situation/clarify the meaning of their illness in their culture if it's a cultural syndrome, it's not mental illness--provide supportive psychotherapy Education w/ cultural consideration - ANS teach education based on culture. if multiple cultures present d...

What should you not do when advocating for a patient? - ANS Judge or confront What class of medication is contraindicated with tics? - ANS Stimulants What should you provide for prior to assessing abuse victims? - ANS A safe environment What are your actions if a child reports abuse? - ANS First interview separately from parents then report to CPS What should you do if a child plays with toys in a way that you suspect abuse? - ANS Report t...