professional face to face contact made by the nurse to provide necessary health services.
Home Visit
professional face to face contact made by the client to avail necessary health services in the RHUs/BHSs
Clinic Visit
Steps in the CLINIC VISIT
1.REGISTRATION/ADMISSION
2.Waiting time
3. TRIAGING/REFERRAL SYSTEM
4.Laboratory
5.Dispensing- proper instructions on drug intake
6.Discharge instruction –reinforce HT and give
appointment to next visit
7.Document
1.REGISTRATION/ADMISSION
A. Greet the patient & establish rapport
B. Family Record
C. Assess chief complaint/clients history
E. Physical Examination
- Waiting time
A. Priority number
B. Implement policy except emergency cases
- TRIAGING/REFERRAL SYSTEM
A. Manage program-based cases
B. Refer all non-program based cases to physician
C. If patient needs further management, use two- way referral system
PURPOSES OF HOME VISIT
- To give nursing care
- To assess the living condition
- To give health teaching
- To establish close relationship between
the health agency and the public - To make use of the inter-referral system
PRINCIPLES OF HOME VISIT
- Plan/Objectives
- All available information
- Revolve om essential needs
- Inlcude individual and family
- Flexible
Steps of home visit
- Greet & introduce
- State the purpose
- Observe & determine health need
- Place the bag in a convenient space & perform bag technique
5.Perform nursing care and give health teachings - Record all pertinent data, observation and care rendered
- Make Appointment for a return visit
Guidelines to consider in considering home visit
- Needs of the family
- Acceptance
- Policies of the agency and emphasis given towards health programs
- Health personnel and other health agencies already involved in the care
- Careful Evaluation of past services given and how the family avail of the nursing services
- Ability of patient and family to recognize own needs
Testing for protenuria
Heat acetic Test
Tetsting for glycosuria
Benedict Test
_____________A tool by which the nurse, will enable her to perform a nursing procedure with ease and to save
time & effort with the end view of rendering effective nursing care to clients.
Bag technique
________An essential and indispensable equipment which the nurse carries along during home visits. It contains basic medications and articles which are necessary for giving care
PHN Bag
PRINCIPLES of BAG TECHNIQUE
- Performed in a variety of ways.
- Saves time and effort during performance of procedure
- Shows effectiveness of total care given
- Totally prevent or minimizes spread of infection
IMPORTANT POINTS TO CONSIDER IN USING THE BAG
- it contains all necessary articles, supplies and equipment
- The bag & its contents should be cleaned often, supplies are replaced, and ready for use anytime.
- The bag & its contents should be well protected from any contact with any article
- Arrangement of the contents of the bag Should be convenient to user.
CONTENTS of OB Bag
• Paper lining , Extra paper (cornucopia)
• Plastic/linen lining, Apron
• Hand towel, Soap in a soap dish
• Thermometers, scissors, forceps, syringes,
hypodermic needles, sterile dressing,
cotton balls, cord clamp, micropore tape,
tape measure, sterile gloves, baby’s scale,
alcohol lamp, test tubes,
solutions(betadine, spirit of ammonia,
acetic acid, benedict’s sol, hydrogen
peroxide, alcohol, opthalmic ointment)
Steps in Performing bag technique
- Place the bag in a clean surface lined with paper
- Ask/look for a water
- Open the bag and take out the soap and towel
- Wash hands
- Take out the the apron
- Pull out necessary article
- Close the bag and put it one corner
- Perform needed nursing care
- After giving care, clean all things used
- Open the bag and return things properly
- Remove the apron and place in bag
- Fold the paper lining and place inside bag. Close the bag
- Record data, observations, nursing care rendered
- Make appointment for the next visit
PRINCIPLES OF NURSING CARE IN THE HOME
Utilize a plan of care and treatment
Utilize skills, maximum comfort and security
Used as a teaching opportunity for patient
and family
Should recognize dangers of over-prolonged
acceptance and of support and comfort
Good opportunity for detecting abnormal
signs and symptoms, observing patient’s
attitudes toward care and progress exhibited.
ISOLATION TECHNIQUES IN THE HOME
Frequent washing and airing of
beddings and other articles
Use of protective gown by the person
caring for the sick in the room
Discharges from the nose and throat
should be carefully discarded
All articles should not be mixed with
those used by the rest of the
household
Articles soiled with discharges are to
be boiled for 30 minutes.
