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