nursing procedures Flashcards
professional face to face contact made by the nurse to
provide necessary health services.
home visit
professional face to
face contact made by the client to
avail necessary health services in the rhu/bhs
clinic visit
steps in clinic visit
RWTLDDD
registration/ admission
waiting time
triaging/ referral system
laboratory
dispensing
discharge
document
registration and admission
GFAC
greet patient and be able to establish rapport
family record
assess pt ( ask chief complaints and look into client’s hx)
conduct physical examination (head to toe)
waiting time
PI
priority numbers
implement policies except emergency cases
triaging or referral system
MRI
manage program-based cases
refer all non-program based cases to physician
if patient needs further management, use two way referral system
purpose of home visit
- To give nursing care
- To assess the living condition
- To give health teaching
- To establish close relationship between
the health agency and the public - To make use of the inter-referral system
principles of home visit
HIPUP
home visits should be flexible
it should revolve around the essential needs in the family
plan or objective
use all available information
planning should include the individual and family
steps of home visits
GSOPP RM
- Greet & introduce
- State the purpose
- Observe & determine health need
- Place the bag in a convenient space &
perform bag technique
5.Perform nursing care and give health
teachings - Record all pertinent data, observation and
care rendered - Make Appointment for a return visit
guidelines to consider in home visits
- Needs of the family
- Acceptance
- Policies of the agency and emphasis given towards
health programs - Health personnel and other health agencies already
involved in the care - Careful Evaluation of past services given and how the
family avail of the nursing services - Ability of patient and family to recognize own needs
to test for pregnancy induced hypertension
testing for proteinuria
testing for proteinuria equipments
test tube
test tube holder
alcohol lamp with denature alcohol inside
dropper
steps in testing for proteinuria
- Pour urine 5-10 ml in the test tube
- Pour 3 drops of acetic acid in the test tube
- Heat for 10-15 minutes (not boil)
results (proteinuria)
0 to +1- 0- no cloudiness/ +1 - mild proteinuria (10-50 mg/dl)
+2- moderated proteinuria (50-200 mg/dl)
+3- marked proteinuria ( 200-500 mg/dl)
+4- thick cloudiness (>500mg/dl)
to test for presence of gestational diabetes
testing for glycosuria
equipments for benedict’s test
tes tube
test tube holder
alcohol lamp with denature alcohol inside
dropper
steps for benedict’s test
- Pour 2 ml OF BENEDICT solution in the test tube
- Pour 8 drops OF URINE in the test tubes
- Heat the tube 3-5 mins
results for benedict’s test
0-+1- 0- blue (no sugar) ; +1- green (traced-0.1 to 0.5% sugar)
+2- yellow ( mild glycosuria - 0.5- 1%)
+3- orange (moderate glycosuria - 1 - 1.5%)
+4- red ( severe glycosuria - 1.5 - 2%)
- brick red ( more than 2%)
A tool by which the
nurse, will enable her to perform a
nursing procedure with ease and to save
time & effort with the end view of
rendering effective nursing care to
clients.
bag technique
An essential and indispensable
equipment which the nurse carries along
during home visits. It contains basic
medications and articles which are
necessary for giving care
public health bag
principle of bag technique
PSST
Performed in a variety of ways.
Saves time and effort during performance of procedure
Shows effectiveness of total care given
Totally prevent or minimizes spread of infection
important points to consider in using the bag
- it contains all necessary articles,
supplies and equipment - The bag & its contents should be
cleaned often, supplies are replaced, and
ready for use anytime. - The bag & its contents should be well
protected from any contact with any
article - Arrangement of the contents of the bag
Should be convenient to user
contents of the bag
• Paper lining , Extra paper (cornucopia)
• Plastic/linen lining, Apron
• Hand towel, Soap in a soap dish
• Thermometers, scissors, forceps, syringes,
hypodermic needles, sterile dressing,
cotton balls, cord clamp, micropore tape,
tape measure, sterile gloves, baby’s scale,
alcohol lamp, test tubes,
solutions(betadine, spirit of ammonia,
acetic acid, benedict’s sol, hydrogen
peroxide, alcohol, opthalmic ointment
steps in performing bag technique
- Place the bag in a clean surface lined
with paper - Ask/look for a water
- Open the bag and take out the soap
and towel - Wash hands
- Take out the the apron
- Pull out necessary article
- Close the bag and put it one corner
- Perform needed nursing care
- After giving care, clean all things
used - Open the bag and return things
properly - Remove the apron and place in bag
- Fold the paper lining and place
inside bag. Close the bag - Record data, observations, nursing
care rendered - Make appointment for the next visit
principles of nursing care in the home
Utilize a plan of care and treatment
Utilize skills, maximum comfort and security
Used as a teaching opportunity for patient
and family
Should recognize dangers of over-prolonged
acceptance and of support and comfort
Good opportunity for detecting abnormal
signs and symptoms, observing patient’s
attitudes toward care and progress exhibited
isolation techniques in the home
Frequent washing and airing of
beddings and other articles
Use of protective gown by the person
caring for the sick in the room
Discharges from the nose and throat
should be carefully discarded
All articles should not be mixed with
those used by the rest of the
household
Articles soiled with discharges are to
be boiled for ______minutes
needed for vision,
maintenance of
healthy skin cells,
growth and
development, fights
infections, boosts the
immune system
vit A
inadequate dietary intake of vit A
night blindness of xeropthalmia
corneal ulcerations/scarring
bitot’s spots (foamy whitish lesions found in cornea)
scaly and dry skin
foamy whitish lesions found in cornea
bitot’s spots
vit a rich foods
yellow or orange fruits and vegetables
some green vegetables
animal source: eggs, meats
processed foods: cheese, fortified milk
vit A supplements
children every 6 months
- children 6-11 months old: 100,000k IU (blue capsule)
- children 12-71 months old: 200,000k IU (red capsule)
vit a pregnant mother
2x/week - 10,000k IU
do not give 1st trimester (organogenesis)
give at 4 months
if pregnant mom is taking multivitamins, do not give vit a
if pregnant mom is not taking multivitamins, give vit a
vit a postpartum
old [do not give within 4 weeks] possible pregnant
New [within 6-8weeks] involution returned of the uterus in a pre-pregnant give 200,000 IU
An Act Establishing the
Philippine Food Fortification Program (Food
Fortification Law)
RA 8976
RA 8976 refers to the mandatory
fortification of staple food items:
rice, flour, oil, sugar
voluntary fortification of processed
foods:
noodles, snack foods
Look for the __________when
looking for fortified food items
sangkap pinoy seal
rice
sugar
cooking oil
flour
salt
iron
vit a
vit a
vit a and iron
iodine
