Home Visit
spread of Communicable Disease
- It is a professional contact made by
the nurse to the patient/family to
further a special activity of the
agency.
- Delivery of specialized nursing care
services in the home health care
setting.
- A process of providing nursing care
to patients or families at their
doorstep.
Advantages of Home Visit
- Provides opportunity to implement
the nursing process, to study home
and family situations.
- Provides opportunity to render free
service to the family members at
their own surroundings.
- Creates good understanding for both
nurse and family
- Clarify doubts raised by the family
members.
Purposes
- To give nursing care to sick,
postpartum mothers and newborns,
with a view of teaching a responsible
family member on how to give
subsequent care.
- To teach health practices, previous
diseases and correction of defects
for better living.
- To establish close relationships with
both health agencies and the public
for the promotion of public health.
- To find out the home living condition
of the client/family in order to fit
health teaching needs.
- To detect and help prevent the
(CD)
- To make use of community services
and referral systems.
Disadvantages
- No access to emergency equipment
- No control over environment
- Time consuming
- Family reset time the visit requires
- Nurse’s security risk
- Increase risk of HCW to exhaustion
and illness-exposure
Principles
- Should be planned with purpose
- Purpose should be clear and must
meet needs of the patients
- Should be flexible and regular
- Should give opportunities to
demonstrate hygienic principles
- Should be educative
- Nurses should make an attempt to
include each family member while
using the nursing process.
- Nurse and family must develop
positive interpersonal relationships
in their work to achieve the goal
- Nurse must respect the patient’s
right
- Should be recorded in the diary and
family folder
Steps of Home Visit

1. Greet clients/family according to the

time of the day.
- Ex. Introduce yourself (tell
the patient which department
you are in)
2. Explain purpose of home visit; allow
client to feel at ease before
proceeding further.
3. Look for a place to put the PHN bag;
On a table or chair 6ft. away from
bedside or any flat surface (limited
area)
4. Inquire about the health and welfare
of clients and other family members.
Ask about any health and health
related problems.
5. Proceed to get articles needed from
PHN bags observing proper bag
technique.
Give necessary care or
demonstration.
6. Give the necessary health teaching
advice based on the client’s need
and condition.
Schedule consultation to the Health
Center if necessary.
7. Observe immediate environment
(home and surroundings)
Record all pertinent information
gathered
8. Set another appointment for a follow
up home visit.
Bag Technique Nursing Considerations

Public Health Bag (PHN) ➔ Referring client who have active

infectious organisms
- Essential and indispensable ➔ Visit these client last or at the end of
equipment of PHN the day
- Carry along during home visit ➔ When possible, use disposable
- Has basic medications and article equipment or keep needed
necessary when giving care equipment in the home with these
client
Bag Technique ➔ Instruct the client on infection
precautions
- Tool use in public health bag during
a home visit Bag Contents
- Minimize/prevent spread of infection
- Saves time and effort in nursing - Apron
procedure - Paper, Plastic, Linen Lining
- Performed depending on the - Extra paper for making waste bag
agency’s policy and home situation - Soap in soap dish
- Hand towel
DON’T FORGET - 1 sterile and clean gloves
- Benedict’s reagent
➔ Bag should contain all necessary - Acetic acid
articles, supplies and equipment - Alcohol lamp
before leaving for visits - (2) 10ml test tube
➔ All contents should be cleaned and - Dropper
is well protected in contact with any - Test tube holder
article in the patient’s home - Bandage
➔ Contents are arranged most - Scissors/Clamp
convenient to the user - Kidney basin
➔ Soiled reusable items that cannot be - Cotton balls
cleaned in the client’s home - Micropore tape
➔ Plan where you discard disposable
items ahead of time Contents and Arrangements of the Bag
➔ Clean and disinfect the health care
bag weekly by wiping down inside of Top pile center of the bag
bag with a clean cloth
➔ Outside of bag must be washed in - Hand towel in plastic bag
mild soap and warm water air dry on - Soap in a soap dish
monthly basis - Apron
- Paper lining
- Paper waste bag in the pocket of the
bag
- Plastic lining
 - Surgical and Clean gloves Steps on how to do Bag Technique

Front of the Bag 1. Place bag on surface w/paper lining

2. Ask for basic or glass of water
- Thermometer 3. Open bag, take spread pare lining
4. Put apron
Back of the bag (Cleaning solutions) 5. Open bag
6. Paper waste basket
- Alcohol 70% 7. Close bag
- Acetic Acid 5% 8. Nursing care
- Aromatic Spirit of ammonia 9. Clean, alcoholize things used
- Benedict’s Solution 10. Handwashing
- Hydrogen Peroxide 11. Open bag, put back materials
- 10% and 7% betadine solution 12. Remove apron
13. Fold linen
Right rear of the bag 14. Environment, Health Teaching,
Recoding
- 2 test tubes (medium) 15. Set Appointment
- Test tube holder
- Medicine dropper
- Penlight

Left rear of the bag

- Medicine glass
- Baby’s weighing scale
- Bandage scissors
- Straight scissors
- Tourniquet

Center of the bag

- Kelly forceps (curve/straight)

- Sterile dressing (gauze)
- Cotton applicator
- Tape measure
- Tongue depressor
- Syringes (1cc, 3cc, 5cc)
- Hypodermic needles (G19, 22, 23,
25, 26)
- Alcohol lamp
- Micropore tape
- Sterile cord clamps
- Kidney basin