TYPES OF FAMILY

NURSE CONTACT
 Family-Nurse Contacts

• Clinic Visit
• Home Visit
• Group Conference
• Telephone
• Written Communication
 Clinic Visit

• The patient visits the Health

Center/clinic to avail of the
services thereto offered by the
facility primarily for
consultation on matters that
ailed them physically.
– Pre-natal, post partum care,
well baby check up,
immunization, free med under
DOTS
 Clinic Visit

Pre-consultation
conference
– Pre-clinic lecture is
usually conducted
prior to the admission
of patients, which is
one way of providing
health education
 Clinic Visit

Standard Procedures performed during clinic visits

I. Registration/Admission
- Establish rapport
- Prepare record (new); retrieve records (old)
- Elicit and record the client’s CC and clinical history
- Perform physical examination on the client and record
II. Waiting time
- Give priority numbers to clients
- Implement the 1st come 1st served policy except for
emergency/urgent cases
 Clinic Visit

III. Triaging
1. Manage program-based cases
2. Refer all non-program based cases to the
physician
3. Provide 1st aid tx. To emergency cases
and refer when necessary
 Clinic Visit

IV. Clinical Evaluation

V. Laboratory and other diagnostic
examinations
VI. Referral System
VII. Prescription/Dispensing
VIII. Health Education
 Home Visit

• A professional, purposeful interaction

that takes place in the family’s
residence aimed at promoting,
maintaining or restoring the health of
the family or its members.

• The nurse makes a home visit upon

the family’s request, as a result of
case-finding, in response to a referral,
or to follow up clients who have utilized
services of a health facility such as a
health center, lying-in clinic or hospital.
 OBJECTIVES OF HOME VISIT

• Assessment
• Nursing care
• Treatment
• Health education
– Information
– Education (3 key element – AKS) –
change within the individual
• Referral (if care fails)
– BHS – RHU – MHO – PHO – RHO –
National Agencies – Specialized
Agencies
 HOME VISIT

• Priorities (in the Care): to

prevent cross contamination
– Newborn
– Post-partum
– Pregnant mothers
– Morbid cases
The families need the assistance
of the health center that’s why
home visit was done to the family
The person who makes the home
visit is rendering services on
behalf of the health center
 Phases of Home Visit

• Pre-Visit Phase
– Determine the family’s willingness
– Set an appointment with them
– Formulate plan for the home visit
• Starts at the health center
• Makes a study on the status of the family
• Statement of the problem
• Formulation of objective
 Phases of Home Visit

• In-Home Phase
– Initiation
• Socialization -
– Implementation
• Activity –
• Provide or extend health services
• Perform standard role of the nurse
– Termination
• Post-Visit Phase (Summarization)
– Documentation
– Ability to put into record and report about the outcome of the
activity
 GROUP
CONFERENCE

• opportunities to learn about group,

organizational and social dynamics; the
exercise of authority and power; the interplay
between tradition, innovation and change;
and the relationship of organizations to their
social, political and economic environments
• a useful way of improving
understanding and relationships
 Telephone calls

• Telephone nursing care services

• Provided by nurses working in areas:
- mental health
- emergency
- community health
- health information call centers
- services where nurse-client communication is
maintained through continuum of care
 Telephone calls

2 services rendered by the nurse:

1. Health advice
address identified health needs
Communication is initiated for purposes of
triage, referral or recommendations to
address immediate needs
 Telephone calls

2. Health information
 share information about a health issue
 communication is initiated for purposes of
enhancing caller ability to self-manage
their health issues
 WRITTEN
COMMUNICATION
Health services need to keep good written records of the
care given to patients/clients for three main reasons:

1. To make sure the care and treatment can continue to

be given safely no matter which staff are on duty, 24 hours
a day, seven days a week
2. To record the care that has been given to the
patient/client
3. To make sure there is an accurate record to be used as
evidence’ when there is a complaint from a patient/client
about the care they have received.
 Description about
Bag

• Usually bag made up of leather,

canvas or light material
• Material should be dark in colour,
washable and durable
• It should be stable, should not
collapse when placed over surface
 The Nursing Bag

• The nursing bag usually has the following:

• Articles for infection control
• Articles for assessment of family members
• Articles for nursing care
– Sterile items
– Clean articles
– Pieces of paper (for lining and waste
receptacle)
Principles

1. Cleanliness
2. Sterilization
3. Improvisation
4. Maintenance
5. Restocking
6. Economy of time, material and energy
 Cleanliness

• barrier(newspaper)
• Hand washing
• Once hands are washed the
sequence of using bag will be from
the sterile to less clean pockets
• Should not keep any personal
items
 Sterilization

 Sterilize the equipment before and

after care
 If not able, clean it with soap and
water
 Improvisation

 Standard procedure should be

carried out as far as possible
 Utilizing alternate resources from
home environment to carry out the
intervention with out violating the
basic principle of the procedure
 Aftercare and protection

 Keep away from heat, moist, dust,

rain, moving path and wind
 Clean once a week and wash at least
once a month
 Well protected bag can be used for
8 years
 Restocking

 Always kept and ready for use

 Content should be clean and in
order
 Should be replenished daily with
articles and supplies
 Do not mix up the bag items
 Economy of material,time &
energy

 Use standard protocol

 Thorough knowledge
 Labeling
BAG TECHNIQUE

PROCEDURE
 The following are steps in performing bag
technique and rationale for each action:

1. Upon arrival at the patient’s

home, place the bag on the table Rationale: To protect the
lined with a clean paper. The clean bag from getting
side must be out and the folder contaminated.
part, touching the table

2. Ask for a basin of water or a

Rationale: To be used for
glass of drinking water if tap water
hand washing.
is not available.
3. Open the bag and take out Rationale: To prepare for hand
the towel and soap. washing.

Rationale: To prevent
4. Wash hands using soap
infection from the care
and water, wipe to dry.
provider to the client.

5. Take out the apron from

Rationale: To protect the
the bag and put it on with the
nurse’s uniform.
right side
6. Put out all the necessary
Rationale: To have them readily
articles needed for the specific
accessible
care.

7. Close the bag and put it in Rationale: To prevent

one corner of the working area. contamination

8. Proceed in performing the

Rationale: To give comfort and
necessary nursing care
security and hasten recovery
treatment.
9. After giving the treatment,
Rationale: To protect the
clean all things that were used
caregiver and prevent infection
and perform hand washing.
10. Open the bag and return all
things that were used in their
proper places after cleaning
them.
11. Remove apron, folding it Remove apron, folding it away
away from the person, the from the person, the soiled
soiled side in and the clean side in and the clean side out.
side out. Place it in the bag.
12. Fold the lining, place it
inside the bag and close the
bag