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CHN Requirements Format

The document outlines a home visit plan by a student nurse from Notre Dame University College of Health Sciences. The plan involves: 1) Introducing herself to the family and stating the purpose of the visit within the first 3-5 minutes. 2) Gathering health information from the family through questions and taking vital signs over the next 15-20 minutes. 3) Thanking the family for their cooperation before concluding the visit within the last 3-5 minutes.

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160 views

CHN Requirements Format

The document outlines a home visit plan by a student nurse from Notre Dame University College of Health Sciences. The plan involves: 1) Introducing herself to the family and stating the purpose of the visit within the first 3-5 minutes. 2) Gathering health information from the family through questions and taking vital signs over the next 15-20 minutes. 3) Thanking the family for their cooperation before concluding the visit within the last 3-5 minutes.

Uploaded by

haruhiminami
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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NOTRE DAME UNIVERSITY COLLEGE OF HEALTH SCIENCES

HOME VISIT PLAN # 1


Head of Family: _________________________________ CI: Jozaenne Maryll Joco, RN Students name: Castor, Hazel Imee M. General Objective: Within 40 minutes, the family will be able to show trust and cooperation as the student nurse establish rapport, build trust and gather information as
an initial assessment of the familys present health

Date: March 17, 2011

Time Allotment

Specific Objective

Activity

Content

Resources

Evaluation

3-5 minutes

35 minutes

>The family will be able Introduction to know and recognize the presence of the visiting nursing student nurse Purpose stating and >The student nurse will contract making be able to set an agreement or contact with the assigned family and state the purpose of the home visit. Gathering information >The family will be able to share vital information and verbalize their health Vital signs taking problems >The familys vital signs will be taken by the Termination of the home student nurse visit >The student nurse will be able to thank the family for their cooperation and end the home visit.

>Saying Magandang umaga po >Asking permission to enter the house

Student nurse and family

15-20 minutes

3-5 minutes

3-5 minutes

>Saying Ako po si Hazel Imee Castor, student nurse po ng Notre Dame University. Hanggang mamaya lang po ako dito. Isang araw lang po kasi kami dito. Nandito po ako upang kamustahin at tulungan po kayo sa mga problema ninyo sa kalusugan. >Askingkamusta po kayo? May problema po ba kayo sa inyong kalusugan? Nagkasakait po ba kayo nitong mga nakaraang araw? Ano po ang karaniwang sakit ninyo? Ano po ang ginagawa ninyo upang malunasan ito? >Saying Sir/Maam aalamin ko lang po kung meron kayong lagnat, bibilangin ko lang po ang pulso at pintig ng puso ninyo. Aalamin ko rin po ang presyon ng dugo po ninyo. >Saying maraming salamat po sa inyong kooperasyon at oras. Aalis na po ako

Student nurse and family

Student nurse and family

Student nurse and family

Prepared by: ____________________________________________________ NOTRE DAME UNIVERSITY COLLEGE OF HEALTH SCIENCES

DAILY PLAN OF ACTIVITIES #1


Group No.: ___________________________ _________________ Members: ____________________________ Date: CI: ___________________________________

General Objective: ___________________________________________________________________________________________________________ Time Frame 6:45-7:15 am (30minute s) 7:15-7:30 am (15 minutes) 7:30-8:00 am (30minute s) 8:00-8:15 am Specific Objective To be able to check the paraphernalia attendance, appropriate uniforms, and giving of initial instructions To prepare for our departure To arrive at RH 10 Preparation of things and house keeping To prepare ourselves for the next activity as well as to maintain cleanliness and organization in the area To be able to familiarize selves in the community To give us energy for the rest of Occular survey Break (lunch) Morning circle Prepare things needed for RH 10 Travel time Activity Locus of Responsibility Clinical instructors Clinical instructors and student nurses Clinical instructors and student nurses Clinical instructors and student nurses Clinical instructors and student nurses Clinical instructors and student nurses Clinical instructors Evaluation

(15minute s) 8:1510:15 am( 2 hours) 10:1511:00 am(45 minutes) 11:0012:00 nn (1 hour) 12:nn12:30 pm (30minute s) 12:301:30 pm (1 hour)

the activities later Conduct a home visit, establish rapport with our assigned families and gather initial assessment To evaluate the activities done and to verbalize feelings and concerns towards the whole day activity To fix our things and getting prepared to leave

Home visit ARAS After care and leaving

and student nurses Clinical instructors and student nurses Clinical instructors and student nurses

Prepared by: ____________________________________________________

NOTRE DAME UNIVERSITY COLLEGE OF HEALTH SCIENCES

RESOURCE UNIT # ____


Group Number: ___________________________ _________________________________ Title: __________________________________________ Date: CI: _________________________________

General Objective: _____________________________________________________________________________________________________________ Time Allotment Specific Objective Content Activity Reference Evaluation

Prepared by: ___________________________________________________

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