participation
Intra- and inter-sectoral
linkage
Use of appropriate
Community Health Nursing
Levels of Health Care
• Two Levels of Primary Health Care
Workers
– Village or Barangay Health Workers
• Trained CHW
• Health auxiliary volunteers
• Traditional birth attendants
– Intermediate Level Health Workers
• General medical practitioner
• Public health nurses
• Rural sanitary inspectors
• Midwives
Community Health Nursing
Three Levels of Health Care
Services
Primary Secondary Tertiary
Barangay Health Emergency or Regional Health
Station District Hospitals Services
Rural Health Units Provincial or City Regional Medical
Community Hospitals Centers and
Hospitals Training Hospitals
National Health
Services Medical
Centers
visits
• Need of the client
Community Health Nursing
Steps in Conducting Home
Visits
1.Greet the client and introduce self
2.State the purpose of the visit
3.Assess the health needs
4.Perform the bag technique
5.Perform nursing care and give health
teachings
6.Record all data (observation and care
rendered)
7.
Community Health Nursing
Bag Technique
• Is a tool used by the nurse to enable
her to perform a nursing procedure
with ease and deftness
• PHN Bag is an essential and
indispensable equipment of a public
health nurse which she has to carry
along during home visits
• The BP Apparatus is part of the PHN
Bag
Community Health Nursing
Bag Technique
Principles
• Minimize, if not prevent the spread of
infection
• Saves time and effort of the nurse
• Should show effectiveness of total care given
to an individual or family
• Can be performed in a variety of ways
Important Points
• Barrier
– Intrauterine Device
– Diaphragm
Community Health Nursing
Malnutrition
• Vitamin A Supplementation
– Infants (6 to 11 months) 100,000 IU – 1
dose
– Children (12 to 72 months) 200,000 IU –
1 capsule every 6 months
– For Pregnant women given starting 4th
Month 10,000 IU twice a week until
delivery
• Iron Supplementation
– For Pregnant women 60 mg Iron and 400
mcg Folic Community
acid 1 tablet OD for 6
Health Nursing
months or 2 tabs per day if started in
• Iron Supplementation
– For Low Birth Weight - drops 15 mg
Iron/0.6 mL, 0.3 mL once a day to start
2 months until 6 months
– For 1 to 5 y/o – syrup 30 mg Iron/5 mL, 1
tbsp OD for 3 months or 1 tsp once a
week for 6 months
– For 6 to 11 years anemic and
underweight – syrup 30 mg/5 mL, 2
tbsp OD for 6 months
• Iodine Supplementation
Community Health Nursing
– Iodized capsule with 200 mg iodine 1
IMCI
• Assess, Clasify, Identify, Treat
• CUVA
•
• SAMBONG
Community Health Nursing
Isolation Precautions
• Universal Precautions or Standard
Precautions
– Apply to blood, all body fluids,
secretions, and excretions; skin that is
not intact; and mucus membranes
• Hand Hygiene or Handwashing
– Best way to prevent spread of
pathogens
– May use alcohol based when hands are
not visibly soiled
– Handwashing is for visibly soiled hands
Community Health Nursing
Transmission Based Precautions
Airborne Precaution Droplet Precaution Contact Precaution
For PTB, measles, For influenza, Skin to skin contact or
varicella meningitis, diptheria, through fomites
Must use a particulate rubella Requires gloves, a
filter mask Safe 3 feet and more mask, gown, and
personal equipment
D o N O T R E C A P N E E D LE S !