N342 Ambulatory Care Test #1 2022
Key Roles/Responsibilities is Ambulatory Care RN (4) - Answer- 1) enhance pt
safety and quality/effectiveness of care
... [Show More] 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 fully accountable in amb care for all nursing services and associated pt
outcomes provided under their direction
Role of RNs in Ambulatory Care (7) - Answer- 1) TELEHEALTH NURSE - uses
nursing process/tech to care for remote pts.
2) NURSE NAVIGATOR - helps nagivate health system
3) NURSE EDUCATOR - educate pts and educate other nurses
4) NURSE-RUN CLINICS - APRN clinics
5) RESEARCH NURSE - for enrolling pts in trials and providing care during trial
6) CARE COORDINATOR - similar to nurse navigator
7) PROCEDURAL - infusion center, cath lab, amb surgery
Categories of Challenges to RNs in Ambulatory Setting (6) - Answer- 1) Societal
Changes
2) Healthcare environment
3) Integration of Health Records
4) Changing Reimbursement Models
5) Ambulatory Care Nursing Workforce
6) Nursing Education
Amb RN Challenges: Societal Changes - Answer- - pop w/ more old people and
more diverse w/ complex behavioral needs
- high quality/individalization w/ care tech (mobile devices/social media
- societal violence: challenges of settings lacking infrastructure + resources of larger
facility
Amb RN Challenges: Healthcare Environment - Answer- -fragmented care delivery;
struggle to coordinate across specialties
- amb care increasing regulatory control -- demand for high quality/safety --> impacts
reimbursement/ability to compete for contracts
- increase demand for care; shortage of primary care providers
Amb RN Challenges: Integration of Health Records - Answer- -lack of record
integration -- system fragmentation
- longitudinal health records not accessible across settings/providers/services
- EHRs not patient-centered; not good for care coordination
Amb RN Challenges: Changing Reimbursement Models - Answer- nursing filed
struggles w/ bill recognition from third-party payers
Amb RN Challenges: Ambulatory Care Nursing Workforce - Answer- - RNs need skill
development/situational translation of knowledge to amb environment
- more interdisciplinary team members working in amb environment
Amb RN Challenges: Nursing Education - Answer- - nursing ed still mostly on acute
care
-idea that nurses need to work inpatient before doing amb; reality is that hospital
skills are not needed in amb care
- amb care needs to integrate new grads early' starts with having nurse educators
integrate amb clinical experience in with nursing curriculum
Goal of Affordable Care Act - Answer- LESS HOSPITALIZATIONS AND MORE
FOCUS ON PREVENTION
Changes from ACA in Slides (5) - Answer- 1) gives free preventive care for seniors
2) Community Care Transitions Program for at risk seniors to prevents ED visits and
hospital readmissions
3) Increase primary care reimbursement
4) State-sanctioned patient-centered medical homes
5) physician reimbursement changed to value based care models
How are nurses meeting ACA goal of quality affordable health care for all
Americans? - Answer- increasing use of APRNs and RNs in primary care
nurses practicing to the fullest extent
How are nurses meeting ACA goal of improving the quality and efficiency of health
care? - Answer- improved patient care through nursing education
expanded opportunities for nurses to lead/diffuse collaborative improvement efforts
achieving high value w/ innovative models. Continues... [Show Less]