The Defining Characteristics of Ambulatory Care Nursing

Defining characteristics: Differentiate ambulatory care nursing as a specialty distinct from other specialties and describe major attributes (the American Academy of Ambulatory Care Nursing (AAACN), 2017).

  1. Ambulatory nursing care requires critical reasoning and astute clinical judgment to expedite appropriate care and treatment, especially given the patient may present with complex problems or potentially life-threatening conditions.
  2. Ambulatory care RNs provide quality care across the life span to individuals, families, caregivers, groups, populations, and communities.
  3. Ambulatory care nursing occurs across the continuum of care in a variety of settings, which include but are not limited to:
    • Hospital-based outpatient clinics/centers.
    • Solo or group medical practices.
    • Ambulatory surgery and diagnostic procedure centers.
    • Telehealth service environments.
    • University and community hospital clinics.
    • Military and Veterans Administration settings.
    • Nurse-managed clinics.
    • Managed care organizations.
    • Colleges and educational institutions.
    • Freestanding community facilities.
    • Care coordination organizations.
    • Patients' homes.
  4. Ambulatory care RNs interact with patients during face-to-face encounters or through a variety of telecommunication strategies in the virtual environment, often establishing long-term relationships.
  5. Telehealth nursing is an integral component of professional ambulatory care nursing that utilizes a variety of telecommunications technologies during encounters to assess, triage, provide nursing consultation, perform follow up and care coordination.
  6. Ambulatory care RNs practicing in telehealth environments adhere to the Scope and Standards of Practice for Professional Telehealth Nursing (AAACN, 2018).
  7. During each encounter, the ambulatory care RN focuses on patient safety and quality of nursing care by applying appropriate nursing interventions, such as identifying and clarifying patient needs, performing procedures, conducting health education, promoting patient advocacy, coordinating nursing and other health services, assisting patient to navigate health care system, and evaluating patient outcomes.
  8. Nurse-patient encounters in clinical settings can occur once or as a series of occurrences, are usually less than 24 hours in length, and occur in single or group settings.
  9. Ambulatory care RNs, acting as partners, advocates, and advisors, assist and support patients/families in the optimal management of their health care, respecting their culture and values, individual needs, health goals, and treatment preferences.
  10. Ambulatory care RNs facilitate continuity of care using the nursing process, interprofessional collaboration, and coordination of and access to appropriate health care services and community resources across the care continuum.
  11. Ambulatory care RNs are knowledgeable about and provide leadership in the clinical and managerial operations of the organization.
  12. Ambulatory care RNs design, administer, and evaluate nursing services within the organization in accord with relevant federal requirements, state laws and nurse practice acts, regulatory standards, and institutional policies and procedures.
  13. Ambulatory care RNs provide operational accountability for and coordination of nursing services, including the appropriate skill mix and delegation of roles and responsibilities for licensed and unlicensed nursing personnel.
  14. Ambulatory care RNs apply the provisions of the ANA Code of Ethics for Nurses (2015) to their own professional practice.
  15. Ambulatory care RNs pursue lifelong learning which updates and expands their clinical, organizational, and professional knowledge, skills, and abilities in professional practice.
  16. Ambulatory care RNs functioning in care coordination and transition management roles and settings adhere to the AAACN Scope and Standards of Practice for Registered Nurses in Care Coordination and Transition Management (AAACN, 2016). See Chapter 14, Care Coordination and Transition Management.


  • American Academy of Ambulatory Care Nursing (AAACN). (2016). Scope and standards of practice for registered nurses in care coordination and transition management. Pitman, NJ: Author.
  • American Academy of Ambulatory Care Nursing (AAACN). (2017). Scope and standards of practice for professional ambulatory care nursing. Pitman, NJ: Author.
  • American Academy of Ambulatory Care Nursing (AAACN). (2018). Scope and standards of practice for professional telehealth nursing (6th ed.). Pitman, NJ: Author.
  • American Nurses Association (ANA). (2015). Code of ethics for nurses with interpretive statements. Silver Spring, MD: Author