class 10 Flashcards
home visit
provision of CHN care where the individual/family reside
home visit referral process
-referral from social or health agency (may be mandatory)
-request from family members/self referral
3 types of home visits
initial routine visit
subsequent routine visit(if needed)
-emergency crisis intervention visit
contacting phase of home visit coordination
-liason nurse(hospital) make referral during discharge planning
-intake coordinator take info
-nurse contacts client
-preparing for the visit (supplies, nursing bag, house/client details, resource info)
entry phase of home visit
-going-to-see phase to seeing phase
-assessment, planning, and intervention
-removing shoes & applying “indoor” shoes
-work as a resource to client/family
2 forms of termination phase of home visit
-ending of home visit or cessation of services
-referral and documentation
-evaluate/document interventions
-give contact info
-discuss next visit/cessation of visits
advantages of home visit
-dignity for client
-environmental/SDOH visible
-family visible
-accessibility/no travel costs for client
disadvantages of a home visit
-safety of the nurse
-adequate equipment/supplies
-no extra staff/second opinion
-may be more time consuming (travel, set-up/down etc)
-client may not be home/may not allow nurse in
-fear of pets
stages of a home visit - #1 planning
-deciding best place to meet(home or clinic)
-review agencies policy on meetings
-contact family
-inform how they were referred to cHN
-arrange a time that is most convenient for most family members
-confirm date/time/place/ or directions
advantages of meeting at clinic
-can see more clients in shorter time
-more cost-effective than home visits
-access to other HCPs
-avoid intense/unsafe family interactions
disadvantages of meeting at clinic
-not able to assess home/neighborhood/community
-may not access family members/natural interactions
-limited access to cultural/religious traditions
-may be a burden to client
eastern health responsibilities of client for home visits
-no smoking 1h before/during visit
-animals must be controlled
-firearms placed in a locked cabinet
-staff will be required to wear footwear
-walkway free of ice/snow
what if the client refuses the visit?
-review the referral info
-explore reasons for referral
-offer to meet elsewhere
-inform case manager/physician
what if a client refuses a visit that ISNT mandatory?
-accept clients right
-inform Dr
-inform cline you will contact them in a few days to reassess need for home visits
-document
what if the client refuses a visit that IS mandatory?
-inform client it is mandatory
-if refusal continues, inform client supervisor will need to be involved
-follow agency policy regarding follow up
4 safety features for nurse during home visits
-can refuse unsafe visits/bring a 2nd nurse
-staff safety risk assessment tool
-safety line: can check-in/check-out of visit
stages of home visit - #2 engagement stage
-provides professional identification & tells the client the location fo the agency
-engages in a brief social conversation to help establish rapport
-describes his/her role, responsibilities, and limitations
-determines the clinet’s expectations