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HOME VISIT

It is a family nurse contact which allows the


health worker to assess the home and family
situations in order to provide the necessary
nursing care and health related activities.
PURPOSES OF A HOME VISIT

To give nursing care to the:


sick
postpartum mother
newborn
To assess the living condition of the patient
and his family and their health practices in
order to provide the appropriate teaching.
PURPOSES OF A HOME VISIT

To give health teachings regarding the


prevention and control of diseases.
To establish a close relationship between the
health agencies and the public for the
promotion of health.
To make use of the inter-referral system and
to promote the utilization of community
services.
ADVANTAGES OF THE HOME VISIT

It provides a more direct and personal contact


between the nurse and the family.
It provides an opportunity for the nurse to
assess the real situation or conditions of the
family
It permits teaching in actual situation making
use of available resources that the family have.
It provides an opportunity for the nurse to seek
out health problems.
It provides an opportunity to observe the
actual care that is being given to the family
members.
Family members become less hesitant to
raise questions than they might be in another
situation.
DISADVANTAGES OF A HOME VISIT

Burden on the responsibility of the hostess to


the nurse.
Distractions in the home may make
instructions difficult.
Unable to share their experiences to others.
Expensive in time, energy and money.
PRINCIPLES IN PREPARING FOR A
HOME VISIT
A home visit must have a purpose or objective.
Planning for a home visit should make use of
all available information about the client and
his family through family records.
In planning for a home visit, we should
consider and give priority to the essential
needs of the individual and his family.
Planning and delivery of care should involve
the individual and family.
The plan should be flexible where in the
patient can adjust
GUIDELINES TO CONSIDER REGARDING THE
FREQUENCY OF HOME VISIT

The physical needs, psychological needs and


educational needs of the individual and
family.
The acceptance of the family for the services
to be rendered, their interests and their
willingness to cooperate.
The policy of a specific agency and the
emphasis given towards the health program.
GUIDELINES TO CONSIDER REGARDING THE
FREQUENCY OF HOME VISIT

Take into account other health agencies and


the number of health personnel already
involved in the care of a specific family.
Careful evaluation of past services given to a
family and how the family availed of the
nursing services.
The ability of the patient and his family to
recognize their own needs, their knowledge
of available resources and their ability to
make use of their resources for their benefit.
PHASES AND STEPS IN THE HOME VISIT
PLANNING AND PREPARATION PHASE
 1.
Review of records and reports.
2. Review of technical content materials.
3. Definition of objectives
4. Definition of activities to be done during the
home visit.
5. Identification, preparation and compilation of
needed tools and materials.
6. Scheduling the visit.
ACTUAL CONDUCT OF THE HOME VISIT
1.Establishment of rapport with the family.-
2. Assessment of the family and home
situation in relation to the plan of visit and
the plans validation or modification.
3.Implementation of planned activities.
4. Summarization
Break
PHN/CHN BAG

 Is an essential and indispensable equipment of the


public health nurse which he/she carries along when
he/she goes out home visiting.
 It contains basic medications and articles which is
necessary for giving care
THE BAG TECHNIQUE

This is a tool by which the nurse, during her


visit will enable him to perform a nursing
procedure with ease and deftness, to save
time and effort, with the end view of
rendering effective nursing care to clients.
PRINCIPLES OF THE BAG TECHNIQUE

Performing the bag technique will minimize,


if not prevent the spread of any spread of
infection from individuals to family and to
the community.
It saves time and effort in the performance of
a nursing procedures.
The bag technique should show the
effectiveness of total care given to an
individual or family.
PRINCIPLES OF THE BAG TECHNIQUE

The bag technique can be performed in a


variety of ways depending on the agencies
policy, the home situation, or as long as
principles of avoiding transfer of infection is
always observed.
CONSIDERATIONS IN THE USE OF THE BAG

The bag should contain all the necessary


articles, supplies and equipments that will be
used to answer emergency needs.
The bag and its contents should be cleaned
very often, the supplies replaced, and ready
for use anytime.
The bag and its contents should be well
protected from contact with any article in the
patients home.
CONSIDERATIONS IN THE USE OF THE
BAG
The arrangement of the contents of the bag
should be the one most convenient to the
user.
Hand washing is done as frequently as the
situation calls for.
The bag when used for a communicable case
should be thoroughly cleaned and disinfected
before keeping and re-using.
CONTENTS OF THE CHN BAG

Front of the bag (left to right)


 Adhesiveplaster
 Tape Measure
 Thermometer in case (one oral and rectal)
 Cotton applicator
CONTENTS OF THE CHN BAG

On the right rear of the bag


2 test tubes
 test tube holder
 Medicine dropper
 alcohol lamp
CONTENTS OF THE CHN BAG

On the left rear of the bag


 Medicine glass
 Bandage scissor
 Baby’s scale
CONTENTS OF THE CHN BAG

Back of the bag (left to right)


 70% alcohol
 Betadine solution
 Hydrogen peroxide
 Terramycin opthalmic ointment (antibiotic)
 Zephiran solution
 Spirit of ammonia
 Acetic acid
 Benedict’s solution
 Liquid soap
 Cotton in sterile water
CONTENTS OF THE CHN BAG

In the center of the bag


2 pairs of forceps (curved & straight)
 1 surgical scissors
 Sterile dressings (OS, C.B.)
 Roller bandage
 Syringes (5 ml & 2 ml)
 Hypodermic needles g. 19, 22, 23, 25
 Sterile cord lamp
 Kidney basin
CONTENTS OF THE CHN BAG

On the top pile, center of the bag


 Hand towel in plastic bag
 Soap in soap dish
 Apron
 Plastic/linen lining
CONTENTS OF THE CHN BAG

Pocket of bag
 Surgicalgloves
 Extra paper for making bag for waste materials
(paper bag)
STEPS / PROCEDURE OF THE BAG TECHNIQUE

1. Upon arriving at the client’s home, place


the bag on the table or any flat surface
lined with paper lining, clean side out
(folded part touching the table), Put bag’s
handle or strap beneath the bag.
2. Ask for a basin, pail of water if faucet is not
available. Place this outside the work area.
STEPS / PROCEDURE OF THE BAG TECHNIQUE

3. Take the plastic lining and spread over work


field or area. (with folded part out)
4. Take out hand towel, soap with soap dish
and apron, and place them at one corner of
the work area.
STEPS / PROCEDURE OF THE BAG TECHNIQUE

5. Do handwashing. Pat dry with towel.


6. Put on apron right side out and with wrong
side touching the body.
7. Bring out things most needed for a specific
case (e.g. thermometer, kidney basin, cotton
balls, cornucopia) and place them at one
corner of the work area.
STEPS / PROCEDURE OF THE BAG TECHNIQUE

8. Place waste paper bag outside of work area.


9. Close the bag.
10. Proceed to the specific nursing care or
treatment.
11. After completing nursing care or treatment,
clean and alcoholize the things used.
STEPS / PROCEDURE OF THE BAG TECHNIQUE

12. Do handwashing again.


13. Open the bag and return all the articles in
their proper places.
14. Remove apron folding away from the body,
with soiled side inwards, and clean side out.
Place it inside the bag.
STEPS / PROCEDURE OF THE BAG TECHNIQUE

15. Fold the linen/plastic lining place return to


the bag. Close the bag.
16. Make a post visit conference on matters
relevant to health care. Record all the
necessary data that were gathered, the
nursing care and treatment rendered and the
patient’s response to it.
STEPS / PROCEDURE OF THE BAG TECHNIQUE

17. Make an appointment for the next visit


(either home or clinic), taking note of the
date and time and purpose of the visit.
18. Documentation on:
relevant findings
environmental factors
quality of nurse-patient relationship
effectiveness of nursing care provided
CONTENTS OF THE CHN BAG

Paper lining
Cornucopia
Plastic/linen lining
Apron
Hand towel
Soap with soap dish
Thermometers
Surgical scissors
CONTENTS OF THE CHN BAG

2 forceps (1 curve and 1 straight)


Bandage scissors
Disposable syringes with needles
Hypodermic needles
Sterile dressings
Cotton balls (dry and with alcohol)
Sterile cord clamps
Micropore plasters
CONTENTS OF THE CHN BAG

Tape measure
Sterile gloves
Baby’s scale
Alcohol lamp
Test tubes
Solutions: Betadine, Zephiran solution,
Spirit of ammonia, Acetic acid, 70%
alcohol, Hydrogen peroxide, Opthalmic
ointment, Benedict’s solution.

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