Home-visit-and-bag-technique JCARAME.ppt

Community Health Nursing

1. 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.

2. PURPOSES OF A HOME VISIT•To give nursing care to the sick, to postpartum mother and her
newborn with the view to teach a responsible family member to
give the subsequent care.
•To assess the living condition of the patient and his family and
their health practices in order to provide the appropriate teaching.

3. 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.

4. 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.

5. 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.

6. 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.

7. STEPS IN CONDUCTING HOME VISIT
•Greet the patient and introduce yourself including the agency you are
representing.
•State the purpose of the home visit.
•Observe the patient and determine their health needs.
•Put the bag in a convenient place then proceed to perform the bag
technique.

8. STEPS IN CONDUCTING HOME VISIT
•Perform the nursing care needed and give health teaching.
•Record all important data, observation and care rendered.
•Make an appointment for a return visit if necessary.

9. 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.

10. PRINCIPLES OF THE BAG TECHNIQUE
•Performing the bag technique will minimize, if not prevent the spread of any
spread of any infection.
•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.

11. 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.

12. IMPORTANT POINTS TO CONSIDER 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.

13. IMPORTANT POINTS TO CONSIDER IN THE USE
OF THE BAG
•The arrangement of the contents of the bag should be the one most
convenient to the user, to facilitate efficiency and avoid confusion.

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

15. 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

16. 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, Opthalmic ointment, Benedict’s solution.

17. •Benedict’s solution can be used to test for the presence of glucose in urine.
Procedure of Benedict’s Test
•Approximately 1 ml of sample is placed into a clean test tube.
•2 ml (10 drops) of Benedict’s reagent (CuSO4) is placed in the test tube.
•The solution is then heated in a boiling water bath for 3-5 minutes.
•Observe for color change in the solution of test tubes or precipitate formation.

19. •What is the purpose of heat and acetic acid test?
•Turbidity develops in the heated portion of the urine. Add 1% acetic acid drop
by drop and boil or simply add a drop of 33% acetic acid. If the turbidity
persists it confirms the presence of albumin in the urine sample

20. 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.

21. STEPS / PROCEDURE OF THE BAG TECHNIQUE
3. Open the bag, take the linen/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. (leave plastic wrappers inside the CHN bag)

22. 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.

23. 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.

24. 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.

25. 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.

26. 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.