1. AMBULATORY CARE NURSING Presented by Lindy Peterson, RN

2. References McEwen, M. (2002). Community-based nursing: An introduction (2nd ed.). Philadelphia, PA: Saunders.  Chapter 3: Nursing Care in Ambulatory Settings

3. Competencies for Ch 3 Ambulatory Settings 1. List and briefly describe aspects of nursing care in clinics, offices, schools, worksites, rural areas, parishes, and correctional facilities

4. DEFINITION “Personal health care provided to an individual who is not a bed patient in a healthcare institution” Includes all health services provided to non-institutionalized patients

5. AMBULATORY SETTINGS Healthcare Provider Office or Clinic Schools Occupational Health Rural Health Parish Nursing Correctional Institutions Public Health Oncology Care Ambulatory Surgery

6. HEALTH CARE PROVIDER OFFICE OR CLINIC Most common outside of hospital Scope of Practice AAACN Education Requirements  Certification

7. SCHOOLS Prevention of illness and disease transmission Intervention in identified problems such as alcohol and drug use. Promotion of healthy lifestyles Health education both formal and informal

8. OCCUPATIONAL HEALTH OHN – specialty practice that focuses on promotion, prevention, restoration of health within the context of a safe and health environment.” (AAOHRN, 1999) Worker’s Compensation Acts Occupational Safety and Health Act (1970)

9. RURAL HEALTH Issues:  Distance  Isolation  Nursing shortage  Physician Shortage Clinic Home Health

10. PARISH NURSING Enhance the quality of life for all members of the congregation. “Promote the health of a faith community by working with the pastor and staff to integrate the theological, psychological, and sociological and physiological perspectives of health and healing into the work sacrament and services of the congregation.” (Solari-Twadell, Djupe, and McDermott, 1990)

11. CORRECTIONAL FACILITIES Health Education Suicide Prevention Communicable Disease Control Alcohol and Drug Rehabilitation Medication Administration Psychosocial Counseling Environmental Health

12. PUBLIC HEALTH Communicable Disease Prenatal and Family Planning Well Baby Care Community Mental Health Services Home Health Care

13. OTHER AMBULATORY CARE SETTINGS Ambulatory Oncology Ambulatory Surgery Poison Control Centers Ambulatory Diagnostic Centers  Imaging  Radiology Community Hot Lines Summer Camps