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    Home Visit Checklist

    Uploaded by

    Carielle Mae Panague
    The document outlines the procedure for a home visit by a public health nurse. The purpose is to educate the family on health promotion, disease prevention and access to community resources. The pre-visit phase involves contacting the family, setting an appointment, and planning the visit focus. During the home visit, the nurse greets the family, conducts a health assessment, provides health teaching and advice, and makes follow-up appointments. After the visit, the nurse records findings and nursing care provided.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Home Visit Checklist

    Uploaded by

    Carielle Mae Panague
    84 views3 pages
    The document outlines the procedure for a home visit by a public health nurse. The purpose is to educate the family on health promotion, disease prevention and access to community resources. The pre-visit phase involves contacting the family, setting an appointment, and planning the visit focus. During the home visit, the nurse greets the family, conducts a health assessment, provides health teaching and advice, and makes follow-up appointments. After the visit, the nurse records findings and nursing care provided.

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    The document outlines the procedure for a home visit by a public health nurse. The purpose is to educate the family on health promotion, disease prevention and access to community resources. The pre-visit phase involves contacting the family, setting an appointment, and planning the visit focus. During the home visit, the nurse greets the family, conducts a health assessment, provides health teaching and advice, and makes follow-up appointments. After the visit, the nurse records findings and nursing care provided.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    84 views3 pages

    Home Visit Checklist

    Uploaded by

    Carielle Mae Panague
    The document outlines the procedure for a home visit by a public health nurse. The purpose is to educate the family on health promotion, disease prevention and access to community resources. The pre-visit phase involves contacting the family, setting an appointment, and planning the visit focus. During the home visit, the nurse greets the family, conducts a health assessment, provides health teaching and advice, and makes follow-up appointments. After the visit, the nurse records findings and nursing care provided.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Name:________________________________ Date:_______________

    Course/Year:___________________________

    Home Visit

    Purpose:

     To educate the family about measures of health promotion, disease


    prevention and control of health problems.
     To provide supplemental interventions for the sick, disabled or dependent
    family member.
     To provide family with greater access to health resources in the
    community.

    Material:

     Questionnaire
     PHN Bag

    Rating:
    1- Needs Improvement 4- Very Good
    2- Good 5- Excellent
    3- Better

    Procedure:

    Pre-Visit Phase 1 2 3 4 5 Remarks


    1. Contact the family, determines
    the family willingness for a home
    visit.
    2. Set an appointment.
    3. Plan for the home visit, set
    purpose:
    a. To have
    more accurate
    assessment of the family
    condition
    b. Educate the family
    c. Prevent
    spread of infection
    d. Provide
    supplemental
    intervention
    e. Provide
    greater access to health
    resources
    4. Use information about the
    family
    5. Set plan focus on identified
    family needs, needs
    recognized by the family
    6. Check and gather the needed
    materials.
    7. Comply with practices and
    policies for personnel safety.
    In Home Phase
    1. Greet client or household
    member and introduce
    yourself.
    2. Explain purpose of home visit.
    3. Inquire about health and
    welfare of client/ patient and
    other family members. Ask
    about any health and health-
    related problems. (Health
    Assessment Form)
    4. Place the PHN bag in a
    convenient place before doing
    bag technique.
    5. Wash hands and wear apron
    and put out needed articles
    and/or medicines, dressings
    from bag.
    6. Perform physical assessment
    and nursing care needed. If
    more than one member of the
    family is for health supervision
    and care, start with the well
    member to avoid transfer of
    infection.
    7. Give the necessary health
    teaching and advice based on
    client’s patient’s need and
    condition.
    8. Evaluate with the family
    9. Make appointment either for
    clinic or home visit.
    10. Wash hands and close bag.
    Post-Visit Phase
    1. Record findings and nursing
    care given.
    2. On succeeding home visit and
    when nurse has gained the
    family’s trust and confidence,
    she/he may look into more
    detailed aspects of the
    household and surroundings
    and other health
    problems/concerns.

    Total Score
    Equivalent Grade

    Signature of the Clinical


    Instructor
    Signature of the Student

    Comment/Remarks:
    ____________________________________________________________________
    ____________________________________________________________________
    ____________________________________________________________________
    ____________________________________________________________________

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