FAMILY – NURSE CONTACT:

I. HOME VISIT
 Home visit or nursing visit is a professional face to face contact
done by a nurse to an individual, family or a group in a
community on behalf of a case to further relay the special
activity of the agency.
 The home visit 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.
 In performing this activity, is essential to prepare a plan of visit
to meet the needs of the client and achieve the best results of
desired outcomes.
Purposes:
1. To give nursing care to the sick, post partum mother & her
newborn with the view to teach a responsible member of a
family to give subsequent care.
2. To assess living condition of client and his family and their
health practices in order to provide an appropriate health
teachings.
3. To Give health teachings regarding the prevention and control
of diseases.
4. To establish relationship with health agency and public for the
promotion of public health.
5. To make use of inter-referral system and to promote the
utilization of community services.
PRINCIPLES:
1. Must have a purpose and objective.
2. Make use available information about the patient and his family.
3. Consider and prioritize essential needs of the individual and family.
4. Should involve the individual and family in planning and delivery of care.
5. Plan should be flexible.

Preparation:
1. Assemble records of the cases to be visited and investigated for
health supervision and nursing care.
2. List their names and address in duplicate form in order of visit.
Take one list with you for your guide and leave in your box the
copy to acquaint the supervision of your whereabouts.
Example;
Name Address Purpose of visit
Pacarasia Duforte Millora, Lucao dst To give nursing care
To ppartum mother
And health teachings
3. Clip the list on cover of bag for your guide.
4. Provide yourself with ballpen with ink or pencil and eraser,
watch with second hand, information about the prevailing
condition in the district and an umbrella, raincoat and rubber
shoes during the rainy season.

Arrangement of visit:
1. Nursing care to postnatal cases.
2. Health supervision visit to prenatals and infants.
3. Visit to patients with communicable diseases.

Important Steps of Home Visit:

1. Greet client and family then introduce yourself.
2. Explain the purpose of the visit.
3. Observe the patient and determine the health needs.
 4. Look for a place to put down the bag or a table or chair six feet
away from the bedside. Line the table with newspaper (as a paperline)
before putting down the bag. See the patient and determine the need.
5. Perform nursing care and give health teachings.
6. Record all important data, observation and care rendered.
7. Make appointment for a return visit.
PHASES:
1. Preparatory Phase
a. review existing records of referral data of the family
b. notifies the family of the intention to make a home visit
2. Home Visit Phase
a. actual visits of the family
b. makes plans, interventions, evaluation with the family
and set schedule for the next visit
3. Post Visit Phase
a. records data and plans for the next visit and referrals
Priorities During Home Visit:
1. Newborn
2. Post partum
3. Pregnant women
4. Morbid individuals
Factors affecting Frequency of Home Visit:
1. Physical, psychological and educational
2. Acceptance of family
3. Policies given by the agency
4. Consider other health agencies and number of personnel
already involved
5. Depends on a careful evaluation of past services given to
family
 6. Ability of the family to recognize their own needs. Their
knowledge to available resources, and ability to utilize those
resources.

Priorities:
a. Expectant mothers who do not have a prenatal check up.
b. Those who do not visit a clinic for one reason or another.
c. Those which the clinic Dr. requested for a follow up
home visit

Components of a Home visit:

1. Planning for a visit
2. Approach and introduction
3. Activity during the visit
4. Summary and evaluation

Bag Technique:
- a tool making use of a public health bag and which the public
health nurse can perform procedures during home visits.
Rationale :
- Helps render effective nursing care to clients.
Principles:
1. Minimize if not totally prevent the spread of infection.
2. Save time and effort.
3. To systematize the procedure so as to give care and
adeptness for effective performance.
*** Open bag TWICE during home visit.
 Special Consideration:
B- Bag and its contents must be free from any contamination.
A- Always perform handwashing.
G- Gather necessary equipment’s to render effective nursing
care.

Steps in Performing The Bag Technique Actions:

1. Upon arrival, place the bag on the table lined with a clean paper.
(the clean side must be out and folded part, touching the table)
2. Ask for a basin of water.
3. Open the bag and take out the towel and soap.
4. Wash hands.
5. Take out the apron and put it on with the right side.
6. Put out all the necessary articles needed for the specific care.
7. Close the bag and put it in one corner of the working area.
8. Perform nursing care and treatment.
9. After giving the treatment, clean all things that were used and
perform handwashing.
10. Open the bag and return all things that were used in their proper
place
11. Remove apron, folding it away from the person, the soiled side in
and the clean side out. Place it in the bag.
12. Fold the lining, place it inside the bag. Close the bag.
13. Take the record and have a talk with the mother.
14. Make an appointment for the next visit.