NCMA217 Care of Mother, Child and Adolescent Laboratory
BSN 2-YA-6 PRELIMS
Coverage for Laboratory:
I. Home Visit
II. Bag Technique
Home Visit
- Professional contact made by the nurse to the
patient or family to further a special activity of
the agency
- Delivery of specialized nursing care services in
the home health care setting
- Process of providing nursing care to patient or
family at their doorstep
Principles
- Should be planned with purpose
- Purpose should be clear and must meet the needs
of the patient
- Should be flexible and regular
- Should give opportunities to demonstrate
hygienic principles
- Should be educative
- Nurse should try to include each family member
while using the nursing process
- Nurse and family must develop a positive
intrapersonal relationship in their work to
achieve the goal
- Nurse should respect the patient’s rights
- Should be recorded in the diary and family
folder
Purposes
- To give nursing care to sick, post-partum mother
and newborn with a view of teaching a
responsive family member on how to give
subsequent care
- To teach health practices, prevention of disease
and correction of defect for better living
- To establish a close relationship between health
agencies and public for promotion of public
health
- To find out home/ living condition of clients or
family to fit health teaching needs
- To detect and help prevent the spread of
communicable diseases
- To make use of community services and referral
system
Advantages
- Provides opportunity to implement nursing
process
- To study home and family situation
- Provides opportunity to render free service to the
family members at their own surroundings
- Creates good understanding between the nurse
and family
- Clarify doubts raised by the family members
Disadvantages
- No access to emergency equipment
- No control over environment
- Time consuming
- Family resent time the visit requires
- Nurse’s security risk
- Increase risk of healthcare worker to exhaustion
and illness exposure
Steps of Home Visit
1. Greet client/ family according to the time of
the day. Introduce yourself
2. Explain the purpose of home visit; allow
client to feel at ease before proceeding further
3. Look for a place to put the PHN bag
o on a table or chair 6 ft. away from
beside or any convenient flat surface
(limited area)
4. Inquire about health and welfare of client and
other members of the family.
o Ask about any health related problem
5. Proceed to get articles needed from PHN bag
while observing proper bag technique
o Give necessary care or demonstration
6. Give the necessary health teaching and advice
based on the client’s need and condition
o Schedule consultation to health center if
necessary
7. Observe immediate environment (home and
surroundings)
o Record all pertinent information
gathered
8. Set another appointment for follow up home
visit
Bag Technique
Public Health Bag
- Essential and indispensable equipment of public
health nursing
- Carry out along during home visit
- Has basic medications and articles necessary
while giving care
Bag Technique
- Tool used in public health bag during a home
visit
- Minimize or prevent spread of infection
- Saves time and effort in nursing procedure
- Performed depending on the agency’s policy and
home situation
Purposes
- Prevent contamination of bag and equipment to
avoid cross infection and establish a clean work
area
- Protect client, family members, and health care
workers from spread of infection
- Demonstrate compliance with agency, local laws
and regulations, accreditation, standards,
infection control principles, and standard
precautions
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 NCMA217 Care of Mother, Child and Adolescent Laboratory
BSN 2-YA-6 PRELIMS
Important notes to remember: 4. Lay paper on flat surface of table, chest or
box. If none use the floor. Place the bag on
- Bag should contain all necessary articles, the left side of the paper lining
supplies, and equipment before leaving visits
5. Open the bag and take out the towel and
- All contents should be cleaned and is well soap
protected in contact with any article in the 6. Wash hands using pouring method instead of
patient’s home running water.
- Contents are arranged most convenient to the 7. Remove apron from the bag and put it on.
user Observe proper technique.
- Soiled reusable items that cannot be cleaned in 8. Remove from the bag all materials needed
the client’s home for the care. Close the bag
- Plan where you discard disposable items ahead 9. After performing the care, wash all materials
of time used. Dispose soiled materials.
- Clean and disinfect the health care bag weekly 10. Do hand washing
by wiping down inside of the bag with a clean 11. Return all materials in their proper place in
cloth the bag. Take off apron and fold properly.
- Outside of the bag must be washed in mild soap Put it back again in the bag.
and warm water. Air dry on a monthly basis 12. Close the bag. Get the bag.
Nursing considerations: 13. Get the paper lining. Fold it and dispose.
14. Record the visit accurately
- Referring client who have active infectious
organisms
- Visit these client last or at the end of the day
- When possible, use disposable equipment or
keep needed equipment in the home with these
client
- instruct the client on infection control
precautions
Contents and Arrangement of Bag
Top Pile Hand Towel
Center Soap in a soap dish
Apron
Paper Lining
Plastic Lining
Paper waste bag in the pocket
Sterile gloves
Clean gloves
Front of the Thermometer
bag (L to R)

Back Alcohol 70%

Acetic acid 5%
Aromatic spirit of ammonia
Benedict’s solution
Hydrogen peroxide
10% and 7% betadine solution
Center Kelly forceps (Curve/straight)
Sterile dressings (Gauze)
Cotton applicator
Tape measure
Syringes (1cc, 3cc, 5cc)
Hypodermic needles (G19, G22,G
G23, G25, G26)
Alcohol lamp
Tongue depressor
Micropore tape
Sterile cord clamp
Kidney basin

Steps of Bag Technique

1. Establish rapport to the family to gain
cooperation
2. Identify the client and explain the procedure
3. Take client’s health history.