A home visit is one of the essential parts of the community health services because most of the people are found in a home. Home visit fulfils the needs of individual, family and community in general for nursing service and health counseling.

1. HOME VISIT
&
BAG TECHNIQUE
DR. RAHUL B. PANDIT
FACULTY OF NURSING
SASSOON GENERAL HOSPITAL
Dr. Rahul Bhausaheb Pandit

2. Dr. Rahul Bhausaheb Pandit 2

3. INTRODUCTION
Dr. Rahul Bhausaheb Pandit 3
 A home visit is one of the essential parts of
the community health services because most
of the people are found in a home.
 Home visit fulfils the needs of individual,
family and community in general for nursing
service and health counseling.

4. INTRODUCTION
Dr. Rahul Bhausaheb Pandit 4
 A home visit is considered as the backbone of
community health service.
 A home visit is a family nurse contact which
allows the health worker to assess the home
and family situation in order to provide the
necessary nursing care and health related
activities.

5. DEFINITION
Dr. Rahul Bhausaheb Pandit 5
A home visit is defined
as the process of
providing the nursing
care to patients at their
doorsteps. It requires
technical skills,
resourcefulness,
judgment, relationships.

6. DEFINITION
Dr. Rahul Bhausaheb Pandit 6
Home Visit is a purposeful
and deliberate psychosocial
activity undertaken by the
health team members for
meeting the diagnostic and
therapeutic needs of the
family.

7. OBJECTIVES
Dr. Rahul Bhausaheb Pandit 7
 To obtain information for family assessment.
 To get acquainted with the family.
 To begin a relationship of continuing
assistance in the family health and health
related needs.

8. PURPOSES
Dr. Rahul Bhausaheb Pandit 8
 To find out needs of individual, family and
community in relation to health,
socioeconomic and cultural aspects.
 To provide domiciliary midwifery as care for
pregnant, delivery, and puerperal mother
and infant.

9. PURPOSES
Dr. Rahul Bhausaheb Pandit 9
To give care to the sick to a postpartum
mother and her newborn with the view teach
a responsible family member to give
subsequent care.
To assess the living condition of the patient
and his family and their health practices in
order to provide the appropriate health
teachings.

10. PURPOSES
Dr. Rahul Bhausaheb Pandit 10
 To provide basic health services for minor
ailments. (i.e. injury, boils, abrasions)
 To provide counseling on family planning,
immunization, nutrition.
 To give health teaching regarding the
prevention and control of diseases.

11. PURPOSES
Dr. Rahul Bhausaheb Pandit 11
 To establish a close relationship between the
nurses and the public for promotion of
health.
 To make use of an inter-referral system and
to promote the utilization of community
services.

12. PRINCIPLE OF HOME VISIT
Dr. Rahul Bhausaheb Pandit 12
 The home visit should have a purpose and
objectives.
 The home visit should be planned according
to priority.
 The purpose of the home visit should be
clear, regular, and flexible according to the
needs of the family.

13. PRINCIPLE OF HOME VISIT
Dr. Rahul Bhausaheb Pandit 13
 First of all, introduce yourself, your
institution, your purpose, of a home visit,
and collects facts about an individual,
family environment.
 Establish a good interpersonal relationship
between families and be polite, courage,
friendly.

14. PRINCIPLE OF HOME VISIT
Dr. Rahul Bhausaheb Pandit 14
 Carefully listen the family and understand
the others person view.
 Health education and nursing care should be
scientific.
 Use safe technical skills and scientific
nursing procedures.

15. PRINCIPLE OF HOME VISIT
Dr. Rahul Bhausaheb Pandit 15
 Involve whole family members as much as
possible during nursing care.
 The nurse and family member must develop a
positive interpersonal relationship in their
work to achieve present goals.
 Evaluate your own work periodically.

16. PRINCIPLE OF HOME VISIT
Dr. Rahul Bhausaheb Pandit 16
 Make a note of important facts about the
home visit in your diary.
 Thanks to the family members and
individual for good response.

17. STEPS OF HOME VISITING
Dr. Rahul Bhausaheb Pandit 17
1. Facts findings
2. Data finding
3. Planning action with individual or family
4. Action and health education
5. Follow up
6. Evaluation of services

18. ADVANTAGE
Dr. Rahul Bhausaheb Pandit 18
 It helps to develop an interpersonal relationship
between family members and the nurses.
 Community health nurse assess the individual
and family member in their own environment.
 It gives an opportunity to observe the background
of the family member and their relationship.

19. ADVANTAGE
Dr. Rahul Bhausaheb Pandit 19
 It helps in the basic understanding of
physical and emotional needs of individual
and to guide them.
 It helps to gain more knowledge and become
realistic as a family member are more
relaxed in their own surroundings.
 It also gives an opportunity to find out new
health problems

20. STEPS IN HOME VISIT
Dr. Rahul Bhausaheb Pandit 20
 Plan your home visit according to routine, high
risk and post natal.
 Take out family folder.
 Note down important point to be discussed with
the family.
 Inform village leader & anganwadi worker about
visit.

21. STEPS IN HOME VISIT
Dr. Rahul Bhausaheb Pandit 21
 Prepare your community bag.
 Keep all required article in bag before going
to visit.
 Knock the door and ask the permission.
 Greet the family.

22. STEPS IN HOME VISIT
Dr. Rahul Bhausaheb Pandit 22
 Introduce yourself to family.
 Talk to every person in family.
 Speak about the general things.
 When you feel they ready to talk about the
reason for visit explain about the visit.
 Complement them for nice work.

23. STEPS IN HOME VISIT
Dr. Rahul Bhausaheb Pandit 23
 Keep bag on charpai, chair, stool.
 Talk in the language which family can
speak.
 Be sensitive to immediate needs of the
family.
 Give incidental teaching to family.

24. STEPS IN HOME VISIT
Dr. Rahul Bhausaheb Pandit 24
 Give instruction clear and in simple word.
 Listen patiently and carefully.
 Try to answer all the questions.
 Use safe technique.
 Give only 2-3 health massage at a time.
 Do not accept any gift or payment.

25. STEPS IN HOME VISIT
Dr. Rahul Bhausaheb Pandit 25
 Record your activities.
 Take appointment for next visit.
 Report any important event to authority.
 Evaluate your visit.

26. COMMUNITY BAG
Dr. Rahul Bhausaheb Pandit 26
 During the home visit to carry out the articles
and tools.
 Community bag may be 14 inch long and 12 inch
wide.
 It is convenient to have bag with outer pocket.
 Inside of bag should have two section. For
articles and solution bottles.

27. COMMUNITY BAG ARTICLES
Dr. Rahul Bhausaheb Pandit 27
Contents of Outer Pocket
Daily dairy, disposable paper bags, hand
towel, nail brush, soap and soap dish, spring
balance, weighing pans, tape measure.

28. COMMUNITY BAG ARTICLES
Dr. Rahul Bhausaheb Pandit 28
• Contents of Inner Pocket
• Lotions/Medicines for External Use
i) Gentian violet--one bottle
ii) Methyl Alcohol 70% - one bottle
iii) Mercurochrome - one bottle
iv) Antiseptic lotion – Dettol/Savlon-one bottle
V) Vaseline lubricate rectal catheter-in a
small jar
vi) Acriflavin with spirit - one bottle

29. COMMUNITY BAG ARTICLES
Dr. Rahul Bhausaheb Pandit 29
Medicines for Internal Use
i) Aspirin tablets - strip or bottle to
carry about 20 tablets
ii) Rehydration salt packets - 5-10
packets
iii) Antispasmodics
iv) Vitamins

30. COMMUNITY BAG ARTICLES
Dr. Rahul Bhausaheb Pandit 30
Other Equipment in Separate Small Bag
• A small kidney tray
• A small gallipot
• Cotton swabs (two paper bags) one of which contains sterile swabs and the
• other contains clean swabs
• Gauze pieces
• Bandages, Adhesive tape and swab sticks
• Instruments such as scissors, dissecting and artery forceps
• Oral and rectal thermometer
• 2 ml syringe (disposable) with needles for I/M injection
• One file to cut the ampoule

31. PURPOSE OF COMMUNITY BAG
Dr. Rahul Bhausaheb Pandit 31
 Prevent the spread of infection.
 Teach the principles of cleanliness to family
 Carry out selected procedure.

32. INDICATION OF COMMUNITY BAG
Dr. Rahul Bhausaheb Pandit 32
 Provide antenatal, intranatal and postnatal
care.
 Carry out certain procedures.
 Provide first aid.
 Follow up care.

33. BAG TECHNIQUE
Dr. Rahul Bhausaheb Pandit 33
• Place the bag on a plastic sheet on a clean hard
surface.
• Remove the hand washing articles and wash the
hands under running or poured water.
• Open the bag and remove the articles as required
for the procedure, place them on the clean
surface, close the bag so that the dust from
outside does not get inside the bag.

34. BAG TECHNIQUE
Dr. Rahul Bhausaheb Pandit 34
Carry out the procedure following the
scientific principles and the steps of the
procedure.
Receive the soiled swabs/dressings in the
paper bag and dispose this paper bag by
burning it.

35. BAG TECHNIQUE
Dr. Rahul Bhausaheb Pandit 35
• Clean the used instruments with soap and
water and then boil them before replacing
them in the bag, if it is not possible to boil
these soiled instruments then wrap them in a
separate clean newspaper and carry them to
the centre for final disinfection / autoclave
and sterilization

36. BAG TECHNIQUE
Dr. Rahul Bhausaheb Pandit 36
 Wash hands. Open the bag and replace the
clean articles. Close the bag.
 Replace soap, soap dish and hand towel in
the outer pocket.
 Record the condition and the procedure
performed in the family folder or health
card.

37. BAG TECHNIQUE
Dr. Rahul Bhausaheb Pandit 37
 Check the bag daily and replenish the used
articles for adequate materials for use at all
times.
 Clean the bag, disinfect the articles and
change the lining once a week

38. Dr. Rahul Bhausaheb Pandit 38

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