CLINIC AND

HOME VISIT
 CLINIC VISIT

• A nurse patient contact relationship

that takes place in primary level of
facility such as Rural Health/City
Health Office, Barangay Health
Stations and private clinics for a
patient to seek consult and treatment
for community related diseases and
other health concerns.
PHASES OF CLINIC VISIT

•Pre-consultation
•Medical Examination
•Nursing Intervention
•Post Consultation
Pre-consultation

1. Take clinical history after greeting and making

client at ease.
2. Take temperature, blood pressure, height and
weight.
3. Perform a thorough physical assessment.
4. Do selective laboratory examinations such as
urinalysis for sugar and albumin as necessary,
sputum exam, stool examination for parasites,
vaginal smear for STD screening after taking the
necessary training.
5. Write findings on client’s record.
Medical Examination

1. Assist client before, during and after

examination by physician.
2. Inform physician of relevant findings
gathered in pre-conference.
3. Work with the physician during the
examination.
4. Ensure privacy, safety and comfort of patient
throughout procedure.
5. Observe confidentiality of examination
results.
Nursing Intervention

1. Carry out physician’s orders as giving

medication of injection.
2. Explain and reinforce physician’s order and
advises.
3. Teach patient/client measures designed to
promote and maintain health as proper diet,
exercise and personal hygiene.
4. Seek information regarding health status of
other family members. (Ex: Immunization
status of children, health and problems of
elderly if any, health of husband.)
5. Counselling
Post Consultation

1.Explain findings and needed care

or intervention.
2.Refer patient/client to other health
of related staff/agency if
necessary.
3.Make an appointment for next
clinic/home visit.
4.Referral as needed.
STANDARD CLINIC PROCEDURES
1. Registration / Admission

A.GREET the client and ESTABLISH

RAPPORT
B.PREPARE family record– NEW Client
• RETRIEVE record – OLD Client
C.Elicit and record the client’s CHIEF
COMPLAINT and CLINICAL
HISTORY
D.Perform PHYSICAL EXAM on the
client.
 2. Waiting Time

A. Give Priority numbers to clients

B. Implement “FIRST COME, FIRST

SERVED” policy except for emergency
cases.
 3. Triaging

A.Manage program-based cases.

B.Refer all non-program based cases

to the physician.

C.Provide first-aid treatment to

emergency cases.
TRIAGE
CONCEPTS OF TRIAGING
IN CLINIC

•Program Based Case

•Non-Program Based
•Emergency Case
TYPES OF TRIAGE

Four Level
Three Level
Triage
Triage
Immediate
Emergent
Delayed
Urgent
Minimal
Non-Urgent
Expectant
 4. Clinical
Evaluation
• Validate clinical history and physical
exam
• Nurse arrives at the evidence-based
diagnosis and provides rational
treatment based on DOH Programs.
• Inform the client on the nature of the
illness, appropriate treatment and
prevention and control measures
5. Laboratory and other
Diagnostic Examinations

• Identify a designated referral

laboratory when needed
Examples: CBG, Sputum
Examination, Urinalysis, CBC, X-ray.
6. Referral System

• Refer the patient if he needs

further management following
the two-way referral system
• Accompany the patient when
an emergency referral is
needed
7. Prescription / Dispensing

• Give proper instructions on

drug intake
• Example: Dosage, Interval,
Time and Side effects.
8. Health Education

• Conduct one-on-one
counselling with the patient
• Reinforce health education and
counselling messages
• Give appointments for the next
visit
HOME VISIT
 HOME VISIT

• DEFINITION:
– Professional face to face contact made
by the nurse to the client in their home.

• RATIONALE:
– Allows the health worker to assess the
home and family situations in order to
provide the necessary nursing care and
health related activities.
PURPOSES OF HOME VISIT

• To give nursing care to the clients

• To assess living conditions of the
patient and his family
• To give health teachings regarding the
prevention and control of diseases.
• To establish close relationship between
health agencies and public
• To make use of inter referral system
PHASES OF HOME VISIT

•Preparatory
•Actual Home Visit
•Post Home Visit
PRINCIPLES OF HOME
VISIT

Planning should be done (Flexible and

P Essential to Family and Individuals)

It should have a purpose or

I
objective.
I It should make use of
available information
T There is no definite rule in the
frequency of conducting home visit.
Factors Affecting
frequency
A Acceptance of the family and
ability to recognize needs.
P Physical, psychological or
educational needs.
O Other health agencies involves

P Policy of a given agency

Evaluation of past services
E rendered.
 STEPS OF HOME
VISIT
1. Greet the client
2. Introduce self
3. Explain purpose
4. Look for the client and observe
5. Determine health needs
6. Put the bag in a conventional place
7. Proceed to bag technique and perform nursing
care.
8. Health education
9. Documentation
10.Set appointment for the next check-up.