{"id":21532,"date":"2020-02-07T12:46:31","date_gmt":"2020-02-07T12:46:31","guid":{"rendered":"https:\/\/www.process.st\/templates\/home-visit-checklist\/"},"modified":"2024-02-29T01:20:03","modified_gmt":"2024-02-29T01:20:03","slug":"home-visit-checklist","status":"publish","type":"post","link":"https:\/\/www.process.st\/templates\/home-visit-checklist\/","title":{"rendered":"Home Visit Checklist"},"content":{"rendered":"<section id=\"introduction\">\n<h2>Introduction:<\/h2>\n<div class=\"image-content\">\n<figure>\n   <a href=\"https:\/\/www.process.st\/templates\/wp-content\/uploads\/2024\/02\/td5Ic9GU9RPeH72sO7lJcw.png\" alt=\"Introduction:\" target=\"_blank\" rel=\"noopener\"> <img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.process.st\/templates\/wp-content\/uploads\/2024\/02\/td5Ic9GU9RPeH72sO7lJcw.png\"> <\/a><\/figure>\n<\/div>\n<div class=\"text-content\">\n<p>When a healthcare professional conducts a <strong>home visit to assess the medical condition of a patient<\/strong> and provide patient care, they need to make sure that they leave no stone unturned when it comes to collecting information regarding the <strong>patient's health as well as building a kind, trusting relationship<\/strong> and ensuring they are <strong>residing in a safe and secure environment.<\/strong><\/p>\n<p>It requires technical skills, good judgement, and relationship building skills.&nbsp;<\/p>\n<p>By conducting the visit with a <strong>clear, comprehensive checklist in hand<\/strong>, a healthcare professional can make sure they are gathering all necessary information to make an <strong>accurate evaluation<\/strong> and <strong>free up time to focus on building a trusting relationship<\/strong> with the patient.&nbsp;<\/p>\n<p>This checklist will enable you to <strong>quickly and easily evaluate<\/strong> the patients:<\/p>\n<ul>\n<li>Impairments and immobility<\/li>\n<li>Nutrition<\/li>\n<li>Relationship with other people<\/li>\n<li>Medication<\/li>\n<li>Physical condition<\/li>\n<li>Home environment<\/li>\n<li>Home safety<\/li>\n<\/ul>\n<p>Let's get started.&nbsp;<\/p>\n<p>In case you're wondering what <a href=\"https:\/\/www.process.st\/\" rel=\"nofollow noopener\" target=\"_blank\">Process Street<\/a> is all about...<\/p>\n<p>Process Street is <strong>superpowered checklists<\/strong>. By using our software to document your processes, you are instantly creating an actionable workflow in which tasks can be assigned to team members, automated, and monitored in real-time to ensure they are being executed as intended, each and every time.<\/p>\n<p>The point is to <strong>minimize human error, increase accountability<\/strong>, and <strong>provide employees with all of the tools and information necessary<\/strong> to complete their tasks as effectively as possible.<\/p>\n<\/div>\n<\/section>\n<section id=\"record-basic-details\">\n<h2>Record basic details<\/h2>\n<div class=\"text-field-content form-field-content\">\n<div class=\"form-group\">\n   <label> Name of patient <\/label><br \/>\n<input type=\"text\" placeholder=\"Something will be typed here...\" disabled=\"\" class=\"form-control\"><\/div>\n<\/div>\n<div class=\"text-field-content form-field-content\">\n<div class=\"form-group\">\n   <label> Name of hospital staff member conducting the visit <\/label><br \/>\n<input type=\"text\" placeholder=\"Something will be typed here...\" disabled=\"\" class=\"form-control\"><\/div>\n<\/div>\n<div class=\"date-field-content form-field-content\">\n<div class=\"form-group\">\n   <label> Date of home visit <\/label><\/p>\n<div class=\"date-container\">\n    <button type=\"button\" disabled=\"\" class=\"btn btn-default\"> <i class=\"fa fa-calendar btn-icon\"><\/i> Date will be set here <\/button><\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"introduce-yourself\">\n<h2>Introduce yourself<\/h2>\n<div class=\"text-content\">\n<p>Introduce yourself to the patient!&nbsp;<\/p>\n<p>In addition to your name, <strong>state your institution and describe the reason you are there.<\/strong>&nbsp;<\/p>\n<p class=\"style-warning\">Remember to <strong>always be polite and friendly.&nbsp;<\/strong>Listen carefully and don't interrupt them. <strong>Developing a positive interpersonal relationship is essential<\/strong> to working well together and helping them achieve their goals&nbsp;<\/p>\n<\/div>\n<\/section>\n<section id=\"impairmentsimmobility\">\n<h2>Impairments\/immobility:<\/h2>\n<\/section>\n<section id=\"determine-if-there-is-indication-of-cognitive-impairment\">\n<h2>Determine if there is indication of cognitive impairment<\/h2>\n<div class=\"text-content\">\n<p>This can be a <strong>difficult thing to determine early on<\/strong>, so just <strong>focus on the word \"indication\"<\/strong> and take some notes in the section below to <strong>describe your observations<\/strong> regarding the patients cognitive ability.&nbsp;<\/p>\n<\/div>\n<div class=\"textarea-field-content form-field-content\">\n<div class=\"form-group\">\n   <label> Indication of cognitive impairement <\/label><br \/>\n<textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled=\"\" class=\"form-control\"><\/textarea><\/div>\n<\/div>\n<\/section>\n<section id=\"determine-if-there-is-any-sensory-impairment\">\n<h2>Determine if there is any sensory impairment<\/h2>\n<div class=\"text-content\">\n<p>Observe the patient and your interactions with them to determine if they have any <strong>sensory impairments. <\/strong><\/p>\n<p>Of course, you can also <strong>politely ask them<\/strong>.&nbsp;<\/p>\n<p>Select the impairments below<\/p>\n<\/div>\n<div class=\"multi-choice-content form-field-content\">\n<div class=\"form-group\">\n   <label> Sensory impairments <\/label><br \/>\n<select disabled=\"\" class=\"form-control\"><option value=\"\">Multiple options can be selected from this list<\/option><\/select><\/div>\n<ul class=\"items\">\n<li class=\"item\">\n<div class=\"step-number-container\">\n<div class=\"step-number\">\n       1<\/div>\n<\/div>\n<div class=\"step-checkbox-container\">\n<div class=\"step-checkbox\"><\/div>\n<\/div>\n<div class=\"item-name-static\">\n      Hearing<\/div>\n<\/li>\n<li class=\"item\">\n<div class=\"step-number-container\">\n<div class=\"step-number\">\n       2<\/div>\n<\/div>\n<div class=\"step-checkbox-container\">\n<div class=\"step-checkbox\"><\/div>\n<\/div>\n<div class=\"item-name-static\">\n      Vision<\/div>\n<\/li>\n<li class=\"item\">\n<div class=\"step-number-container\">\n<div class=\"step-number\">\n       3<\/div>\n<\/div>\n<div class=\"step-checkbox-container\">\n<div class=\"step-checkbox\"><\/div>\n<\/div>\n<div class=\"item-name-static\">\n      Smell<\/div>\n<\/li>\n<li class=\"item\">\n<div class=\"step-number-container\">\n<div class=\"step-number\">\n       4<\/div>\n<\/div>\n<div class=\"step-checkbox-container\">\n<div class=\"step-checkbox\"><\/div>\n<\/div>\n<div class=\"item-name-static\">\n      Taste<\/div>\n<\/li>\n<li class=\"item\">\n<div class=\"step-number-container\">\n<div class=\"step-number\">\n       5<\/div>\n<\/div>\n<div class=\"step-checkbox-container\">\n<div class=\"step-checkbox\"><\/div>\n<\/div>\n<div class=\"item-name-static\">\n      Touch<\/div>\n<\/li>\n<li class=\"item\">\n<div class=\"step-number-container\">\n<div class=\"step-number\">\n       6<\/div>\n<\/div>\n<div class=\"step-checkbox-container\">\n<div class=\"step-checkbox\"><\/div>\n<\/div>\n<div class=\"item-name-static\">\n      No impairments<\/div>\n<\/li>\n<\/ul>\n<\/div>\n<div class=\"select-field-content form-field-content\">\n<div class=\"form-group\">\n   <label> Severity of impairment <\/label><br \/>\n<select disabled=\"\" class=\"form-control\"><option value=\"An option will be selected here\">An option will be selected here<\/option><\/select><\/div>\n<\/div>\n<\/section>\n<section id=\"determine-if-the-patient-has-any-issues-with-balance\">\n<h2>Determine if the patient has any issues with balance<\/h2>\n<div class=\"text-content\">\n<p>A good method to test the patience's balance is the <a href=\"https:\/\/www.physio-pedia.com\/Romberg_Test\" rel=\"nofollow noopener\" target=\"_blank\">Romberg Test.&nbsp;<\/a><\/p>\n<p>The test is performed as follows:<\/p>\n<ol>\n<li>The patient is asked to <strong>remove their shoes and stand with their two feet together<\/strong>. The arms are held next to the body or crossed in front of the body.<\/li>\n<li>The clinician asks the patient to <strong>first stand quietly with eyes open, and subsequently with eyes closed<\/strong>. The patient tries to maintain their balance.&nbsp;<\/li>\n<li>The Romberg test is scored by counting the seconds the patient is able to stand with <strong>eyes closed.<\/strong><\/li>\n<\/ol>\n<p class=\"style-danger\">For safety, it is <strong>essential that the observer stand close to the patient<\/strong> to prevent potential injury if the patient were to fall.<\/p>\n<\/div>\n<div class=\"text-field-content form-field-content\">\n<div class=\"form-group\">\n   <label> How many seconds was the patient able to stand with their eyes closed? <\/label><br \/>\n<input type=\"text\" placeholder=\"Something will be typed here...\" disabled=\"\" class=\"form-control\"><\/div>\n<\/div>\n<div class=\"select-field-content form-field-content\">\n<div class=\"form-group\">\n   <label> Does the patient have issues with balance? <\/label><br \/>\n<select disabled=\"\" class=\"form-control\"><option value=\"An option will be selected here\">An option will be selected here<\/option><\/select><\/div>\n<\/div>\n<\/section>\n<section id=\"nutrition\">\n<h2>Nutrition:<\/h2>\n<\/section>\n<section id=\"determine-eating-habits\">\n<h2>Determine eating habits<\/h2>\n<div class=\"text-content\">\n<p>Ask the patient about <strong>what they eat on a day to day basis.<\/strong>&nbsp;<\/p>\n<p>Find out the following and enter the information in the text form field below.<\/p>\n<\/div>\n<div class=\"multi-select-content form-field-content\">\n<ul class=\"items\">\n<li class=\"item\">\n<div class=\"step-number-container\">\n<div class=\"step-number\">\n       1<\/div>\n<\/div>\n<div class=\"step-checkbox-container\">\n<div class=\"step-checkbox\"><\/div>\n<\/div>\n<div class=\"item-name-static\">\n      What a regular day of eating looks like<\/div>\n<\/li>\n<li class=\"item\">\n<div class=\"step-number-container\">\n<div class=\"step-number\">\n       2<\/div>\n<\/div>\n<div class=\"step-checkbox-container\">\n<div class=\"step-checkbox\"><\/div>\n<\/div>\n<div class=\"item-name-static\">\n      Times of day that they eat<\/div>\n<\/li>\n<\/ul>\n<\/div>\n<\/section>\n<section id=\"inspect-pantry-and-refrigerator\">\n<h2>Inspect pantry and refrigerator<\/h2>\n<div class=\"image-content\">\n<figure>\n   <a href=\"https:\/\/www.process.st\/templates\/wp-content\/uploads\/2024\/02\/ruKJ0fDWb-BEoCUQ015N2w.jpg\" alt=\"Inspect pantry and refrigerator\" target=\"_blank\" rel=\"noopener\"> <img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.process.st\/templates\/wp-content\/uploads\/2024\/02\/ruKJ0fDWb-BEoCUQ015N2w.jpg\"> <\/a><\/figure>\n<\/div>\n<div class=\"text-content\">\n<p>Inspect the patient's <strong>refrigerator and pantry<\/strong>.&nbsp;<\/p>\n<p>Note dow their contents in the section below. Be sure to <strong>describe any items that you think warrant concern.&nbsp;<\/strong><\/p>\n<\/div>\n<div class=\"textarea-field-content form-field-content\">\n<div class=\"form-group\">\n   <label> Evaluation of patient's pantry and refrigerator <\/label><br \/>\n<textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled=\"\" class=\"form-control\"><\/textarea><\/div>\n<\/div>\n<\/section>\n<section id=\"determine-alcohol-presenceuse\">\n<h2>Determine alcohol presence\/use<\/h2>\n<div class=\"image-content\">\n<figure>\n   <a href=\"https:\/\/www.process.st\/templates\/wp-content\/uploads\/2024\/02\/q1B-eh0rRhffvaxMiQdKcw.jpg\" alt=\"Determine alcohol presence\/use\" target=\"_blank\" rel=\"noopener\"> <img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.process.st\/templates\/wp-content\/uploads\/2024\/02\/q1B-eh0rRhffvaxMiQdKcw.jpg\"> <\/a><\/figure>\n<\/div>\n<div class=\"text-content\">\n<p>Recording the<strong> presence of alcohol<\/strong> is an important step when conducting a home visit. Does it look like they are a heavy drinker? Be sure to <strong>note down the type and quantity<\/strong> of alcohol you identify in the home.<\/p>\n<\/div>\n<div class=\"textarea-field-content form-field-content\">\n<div class=\"form-group\">\n   <label> Presence of alcohol in the patient's home <\/label><br \/>\n<textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled=\"\" class=\"form-control\"><\/textarea><\/div>\n<\/div>\n<\/section>\n<section id=\"state-any-nutritional-concerns\">\n<h2>State any nutritional concerns<\/h2>\n<div class=\"text-content\">\n<p>Use this section to <strong>summarize your thoughts<\/strong> when it comes to the patient's diet and eating habits. Is there any cause for concern?<\/p>\n<\/div>\n<div class=\"textarea-field-content form-field-content\">\n<div class=\"form-group\">\n   <label> Nutritional concerns for the patient <\/label><br \/>\n<textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled=\"\" class=\"form-control\"><\/textarea><\/div>\n<\/div>\n<\/section>\n<section id=\"relationship-with-other-people\">\n<h2>Relationship with other people:<\/h2>\n<\/section>\n<section id=\"determine-if-the-patient-has-a-caregiver\">\n<h2>Determine if the patient has a caregiver<\/h2>\n<div class=\"text-content\">\n<p>Ask the patient if they <strong>currently have a caregiver<\/strong> looking after them.<\/p>\n<\/div>\n<div class=\"select-field-content form-field-content\">\n<div class=\"form-group\">\n   <label> Does the patient have a caregiver <\/label><br \/>\n<select disabled=\"\" class=\"form-control\"><option value=\"An option will be selected here\">An option will be selected here<\/option><\/select><\/div>\n<\/div>\n<\/section>\n<section id=\"record-details-of-the-caregiver\">\n<h2>Record details of the caregiver<\/h2>\n<div class=\"text-field-content form-field-content\">\n<div class=\"form-group\">\n   <label> Name of caregiver <\/label><br \/>\n<input type=\"text\" placeholder=\"Something will be typed here...\" disabled=\"\" class=\"form-control\"><\/div>\n<\/div>\n<div class=\"text-field-content form-field-content\">\n<div class=\"form-group\">\n   <label> Caregiver's phone number <\/label><br \/>\n<input type=\"text\" placeholder=\"Something will be typed here...\" disabled=\"\" class=\"form-control\"><\/div>\n<\/div>\n<div class=\"text-field-content form-field-content\">\n<div class=\"form-group\">\n   <label> Hours of caregiving per day <\/label><br \/>\n<input type=\"text\" placeholder=\"Something will be typed here...\" disabled=\"\" class=\"form-control\"><\/div>\n<\/div>\n<div class=\"textarea-field-content form-field-content\">\n<div class=\"form-group\">\n   <label> Tasks of the caregiver <\/label><br \/>\n<textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled=\"\" class=\"form-control\"><\/textarea><\/div>\n<\/div>\n<\/section>\n<section id=\"determine-if-there-are-other-individuals-offering-support\">\n<h2>Determine if there are other individuals offering support<\/h2>\n<div class=\"text-content\">\n<p>Does the patient have any <strong>family members or friends<\/strong> that are currently offering support for them at home?<\/p>\n<p>If so, note down their names and relation in the section below.<\/p>\n<\/div>\n<div class=\"textarea-field-content form-field-content\">\n<div class=\"form-group\">\n   <label> Other individuals offering support (e.g. family, friends) <\/label><br \/>\n<textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled=\"\" class=\"form-control\"><\/textarea><\/div>\n<\/div>\n<\/section>\n<section id=\"medication\">\n<h2>Medication:<\/h2>\n<\/section>\n<section id=\"determine-if-the-patient-is-on-any-prescription-drugs\">\n<h2>Determine if the patient is on any prescription drugs<\/h2>\n<div class=\"image-content\">\n<figure>\n   <a href=\"https:\/\/www.process.st\/templates\/wp-content\/uploads\/2024\/02\/nxnqe6DwSHck0HGRy9NIPg.jpg\" alt=\"Determine if the patient is on any prescription drugs\" target=\"_blank\" rel=\"noopener\"> <img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.process.st\/templates\/wp-content\/uploads\/2024\/02\/nxnqe6DwSHck0HGRy9NIPg.jpg\"> <\/a><\/figure>\n<\/div>\n<div class=\"text-content\">\n<p>Ask the patient if they are currently on any <strong>prescription drugs<\/strong>. If they are state their names in the section below.&nbsp;<\/p>\n<\/div>\n<div class=\"textarea-field-content form-field-content\">\n<div class=\"form-group\">\n   <label> Prescription drugs currently being taken by the patient (name, dosage, prescribing doctor etc.) <\/label><br \/>\n<textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled=\"\" class=\"form-control\"><\/textarea><\/div>\n<\/div>\n<\/section>\n<section id=\"determine-if-the-patient-is-taking-any-nonprescription-drugs\">\n<h2>Determine if the patient is taking any non-prescription drugs<\/h2>\n<div class=\"text-content\">\n<p>Does the patient take over the counter medication like <strong>paracetamol and ibuprofen?<\/strong><\/p>\n<p>If they do, <strong>how often<\/strong> do they take these medications?<\/p>\n<p>Note down any <strong>details regarding the patient's usage of non-prescription drugs<\/strong> in the section below.&nbsp;<\/p>\n<\/div>\n<div class=\"textarea-field-content form-field-content\">\n<div class=\"form-group\">\n   <label> Non-prescription drug use <\/label><br \/>\n<textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled=\"\" class=\"form-control\"><\/textarea><\/div>\n<\/div>\n<\/section>\n<section id=\"ensure-all-medication-is-wellorganized-and-labeled-properly\">\n<h2>Ensure all medication is well-organized and labeled properly<\/h2>\n<div class=\"text-content\">\n<p>Check that all of the patient's medication is <strong>well organized, stored and labeled properly.<\/strong><\/p>\n<p class=\"style-warning\">Ensure that medication is <strong>out of reach for children.<\/strong> This is particularly important if the patient has family or friends with children that visit regularly.&nbsp;&nbsp;<\/p>\n<\/div>\n<\/section>\n<section id=\"determine-if-the-patient-is-taking-any-dietary-supplements\">\n<h2>Determine if the patient is taking any dietary supplements<\/h2>\n<div class=\"text-content\">\n<p>Ask the patient if they are <strong>currently taking any dietary supplements.&nbsp;<\/strong><\/p>\n<\/div>\n<div class=\"textarea-field-content form-field-content\">\n<div class=\"form-group\">\n   <label> Dietary supplements being taken by the patient <\/label><br \/>\n<textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled=\"\" class=\"form-control\"><\/textarea><\/div>\n<\/div>\n<\/section>\n<section id=\"determine-if-the-patient-has-any-allergies-to-medications\">\n<h2>Determine if the patient has any allergies to medications<\/h2>\n<div class=\"text-content\">\n<p>Ask the patient if they are <strong>allergic to any medication.<\/strong> If they are, state the names of the medication.&nbsp;&nbsp;<\/p>\n<\/div>\n<div class=\"textarea-field-content form-field-content\">\n<div class=\"form-group\">\n   <label> Medication that the patient is allergic to <\/label><br \/>\n<textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled=\"\" class=\"form-control\"><\/textarea><\/div>\n<\/div>\n<\/section>\n<section id=\"physical-examination\">\n<h2>Physical examination:<\/h2>\n<\/section>\n<section id=\"learn-the-patients-weight-and-height\">\n<h2>Learn the patient's weight and height<\/h2>\n<div class=\"text-content\">\n<p>Ask the patient their <strong>height and current weight.<\/strong> Record the details below.<\/p>\n<\/div>\n<div class=\"text-field-content form-field-content\">\n<div class=\"form-group\">\n   <label> Patient height <\/label><br \/>\n<input type=\"text\" placeholder=\"Something will be typed here...\" disabled=\"\" class=\"form-control\"><\/div>\n<\/div>\n<div class=\"text-field-content form-field-content\">\n<div class=\"form-group\">\n   <label> Patient weight <\/label><br \/>\n<input type=\"text\" placeholder=\"Something will be typed here...\" disabled=\"\" class=\"form-control\"><\/div>\n<\/div>\n<\/section>\n<section id=\"learn-the-patients-blood-pressure\">\n<h2>Learn the patient's blood pressure<\/h2>\n<div class=\"image-content\">\n<figure>\n   <a href=\"https:\/\/www.process.st\/templates\/wp-content\/uploads\/2024\/02\/q_70QwgJOG-zdouQRQNGNg.jpg\" alt=\"Learn the patient's blood pressure\" target=\"_blank\" rel=\"noopener\"> <img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.process.st\/templates\/wp-content\/uploads\/2024\/02\/q_70QwgJOG-zdouQRQNGNg.jpg\"> <\/a><\/figure>\n<\/div>\n<div class=\"text-content\">\n<p>Take the patient's blood pressure and <strong>record the result below&nbsp;<\/strong><\/p>\n<\/div>\n<div class=\"text-field-content form-field-content\">\n<div class=\"form-group\">\n   <label> Patient's blood pressure <\/label><br \/>\n<input type=\"text\" placeholder=\"Something will be typed here...\" disabled=\"\" class=\"form-control\"><\/div>\n<\/div>\n<\/section>\n<section id=\"describe-their-general-physical-condition\">\n<h2>Describe their general physical condition<\/h2>\n<div class=\"text-content\">\n<p>Use the section below to <strong>describe the patient's general physical condition.<\/strong><\/p>\n<\/div>\n<div class=\"textarea-field-content form-field-content\">\n<div class=\"form-group\">\n   <label> Description of the patient's general physical condition <\/label><br \/>\n<textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled=\"\" class=\"form-control\"><\/textarea><\/div>\n<\/div>\n<\/section>\n<section id=\"home-environment\">\n<h2>Home environment:<\/h2>\n<\/section>\n<section id=\"evaluate-condition-of-the-home-interior\">\n<h2>Evaluate condition of the home (interior)<\/h2>\n<div class=\"text-content\">\n<p>Evaluate the condition of the home inside and select all that apply from the list of keywords below.<\/p>\n<\/div>\n<div class=\"multi-choice-content form-field-content\">\n<div class=\"form-group\">\n   <label> Condition of the home (interior) <\/label><br \/>\n<select disabled=\"\" class=\"form-control\"><option value=\"\">Multiple options can be selected from this list<\/option><\/select><\/div>\n<ul class=\"items\">\n<li class=\"item\">\n<div class=\"step-number-container\">\n<div class=\"step-number\">\n       1<\/div>\n<\/div>\n<div class=\"step-checkbox-container\">\n<div class=\"step-checkbox\"><\/div>\n<\/div>\n<div class=\"item-name-static\">\n      Clean<\/div>\n<\/li>\n<li class=\"item\">\n<div class=\"step-number-container\">\n<div class=\"step-number\">\n       2<\/div>\n<\/div>\n<div class=\"step-checkbox-container\">\n<div class=\"step-checkbox\"><\/div>\n<\/div>\n<div class=\"item-name-static\">\n      Neat and tidy<\/div>\n<\/li>\n<li class=\"item\">\n<div class=\"step-number-container\">\n<div class=\"step-number\">\n       3<\/div>\n<\/div>\n<div class=\"step-checkbox-container\">\n<div class=\"step-checkbox\"><\/div>\n<\/div>\n<div class=\"item-name-static\">\n      Pets present<\/div>\n<\/li>\n<li class=\"item\">\n<div class=\"step-number-container\">\n<div class=\"step-number\">\n       4<\/div>\n<\/div>\n<div class=\"step-checkbox-container\">\n<div class=\"step-checkbox\"><\/div>\n<\/div>\n<div class=\"item-name-static\">\n      Working internet<\/div>\n<\/li>\n<li class=\"item\">\n<div class=\"step-number-container\">\n<div class=\"step-number\">\n       5<\/div>\n<\/div>\n<div class=\"step-checkbox-container\">\n<div class=\"step-checkbox\"><\/div>\n<\/div>\n<div class=\"item-name-static\">\n      Television<\/div>\n<\/li>\n<li class=\"item\">\n<div class=\"step-number-container\">\n<div class=\"step-number\">\n       6<\/div>\n<\/div>\n<div class=\"step-checkbox-container\">\n<div class=\"step-checkbox\"><\/div>\n<\/div>\n<div class=\"item-name-static\">\n      Books<\/div>\n<\/li>\n<li class=\"item\">\n<div class=\"step-number-container\">\n<div class=\"step-number\">\n       7<\/div>\n<\/div>\n<div class=\"step-checkbox-container\">\n<div class=\"step-checkbox\"><\/div>\n<\/div>\n<div class=\"item-name-static\">\n      Telephone<\/div>\n<\/li>\n<li class=\"item\">\n<div class=\"step-number-container\">\n<div class=\"step-number\">\n       8<\/div>\n<\/div>\n<div class=\"step-checkbox-container\">\n<div class=\"step-checkbox\"><\/div>\n<\/div>\n<div class=\"item-name-static\">\n      Memorabilia<\/div>\n<\/li>\n<\/ul>\n<\/div>\n<div class=\"textarea-field-content form-field-content\">\n<div class=\"form-group\">\n   <label> Concerns regarding the interior of the home <\/label><br \/>\n<textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled=\"\" class=\"form-control\"><\/textarea><\/div>\n<\/div>\n<\/section>\n<section id=\"evaluate-conditions-of-the-neighborhood\">\n<h2>Evaluate conditions of the neighborhood<\/h2>\n<div class=\"text-content\">\n<p>Get a feel for the neighborhood and <strong>describe its conditions<\/strong> in the section below.<\/p>\n<p>Is it a <strong>suitable environment<\/strong> for the patient?<\/p>\n<\/div>\n<div class=\"textarea-field-content form-field-content\">\n<div class=\"form-group\">\n   <label> Quick evaluation of the neigborhood <\/label><br \/>\n<textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled=\"\" class=\"form-control\"><\/textarea><\/div>\n<\/div>\n<\/section>\n<section id=\"inspect-exterior-of-home-for-safety-and-security\">\n<h2>Inspect exterior of home for safety and security<\/h2>\n<div class=\"text-content\">\n<p>Walk around and <strong>inspect the exterior of the home<\/strong>, looking out for any potential <strong>safety or security risks.&nbsp;<\/strong><\/p>\n<\/div>\n<div class=\"textarea-field-content form-field-content\">\n<div class=\"form-group\">\n   <label> Condition of the home's exterior <\/label><br \/>\n<textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled=\"\" class=\"form-control\"><\/textarea><\/div>\n<\/div>\n<\/section>\n<section id=\"home-safety\">\n<h2>Home safety:<\/h2>\n<\/section>\n<section id=\"ensure-the-patient-has-access-to-emergency-services\">\n<h2>Ensure the patient has access to emergency services<\/h2>\n<div class=\"text-content\">\n<p>It is <strong>essential<\/strong> that the patient has the ability to<strong> contact emergency services at all times.&nbsp;<\/strong><\/p>\n<p><strong>If the patient's physical condition is very poor<\/strong> and there is a risk that they would be unable to access a telephone if they were to fall or hurt themselves, the appropriate measures should be taken.<\/p>\n<p class=\"style-info\">Home health patients should have <strong>individualized emergency response plans<\/strong> to address the emergencies they are most likely to experience, and the appropriate response. This document should <strong>list emergency contacts including telephone numbers, and be located in an obvious and readily accessible location<\/strong> (e.g. close to a telephone)<\/p>\n<\/div>\n<\/section>\n<section id=\"ensure-stairs-carpets-and-electrical-cords-are-hazardfree\">\n<h2>Ensure stairs, carpets and electrical cords are hazard-free<\/h2>\n<div class=\"text-content\">\n<p>Inspect areas of the home where<strong> tripping, slipping and other hazards<\/strong> are potentially present.<\/p>\n<p>The most common areas that should be inspected carefully and cleared of any hazards are:<\/p>\n<\/div>\n<div class=\"multi-select-content form-field-content\">\n<ul class=\"items\">\n<li class=\"item\">\n<div class=\"step-number-container\">\n<div class=\"step-number\">\n       1<\/div>\n<\/div>\n<div class=\"step-checkbox-container\">\n<div class=\"step-checkbox\"><\/div>\n<\/div>\n<div class=\"item-name-static\">\n      Stairs<\/div>\n<\/li>\n<li class=\"item\">\n<div class=\"step-number-container\">\n<div class=\"step-number\">\n       2<\/div>\n<\/div>\n<div class=\"step-checkbox-container\">\n<div class=\"step-checkbox\"><\/div>\n<\/div>\n<div class=\"item-name-static\">\n      Carpets<\/div>\n<\/li>\n<li class=\"item\">\n<div class=\"step-number-container\">\n<div class=\"step-number\">\n       3<\/div>\n<\/div>\n<div class=\"step-checkbox-container\">\n<div class=\"step-checkbox\"><\/div>\n<\/div>\n<div class=\"item-name-static\">\n      Electrical cords<\/div>\n<\/li>\n<li class=\"item\">\n<div class=\"step-number-container\">\n<div class=\"step-number\">\n       4<\/div>\n<\/div>\n<div class=\"step-checkbox-container\">\n<div class=\"step-checkbox\"><\/div>\n<\/div>\n<div class=\"item-name-static\">\n      Bathroom(s)<\/div>\n<\/li>\n<li class=\"item\">\n<div class=\"step-number-container\">\n<div class=\"step-number\">\n       5<\/div>\n<\/div>\n<div class=\"step-checkbox-container\">\n<div class=\"step-checkbox\"><\/div>\n<\/div>\n<div class=\"item-name-static\">\n      Tables, chairs and other furniture<\/div>\n<\/li>\n<\/ul>\n<\/div>\n<\/section>\n<section id=\"determine-if-any-adaptations-to-the-home-are-needed\">\n<h2>Determine if any adaptations to the home are needed<\/h2>\n<div class=\"text-content\">\n<p>If there are any <strong>adaptations that you have determined as being necessary<\/strong> for the patient (e.g. handrails on the stairs, in the bathroom), note them down in the section below so they can be <strong>addressed after the visit<\/strong>.&nbsp;<\/p>\n<\/div>\n<div class=\"textarea-field-content form-field-content\">\n<div class=\"form-group\">\n   <label> Adaptations needed for the patient's home <\/label><br \/>\n<textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled=\"\" class=\"form-control\"><\/textarea><\/div>\n<\/div>\n<\/section>\n<section id=\"ensure-a-telephone-is-available-at-all-times\">\n<h2>Ensure a telephone is available at all times<\/h2>\n<div class=\"text-content\">\n<p>Before concluding the visit, <strong>make sure that the patient has access to a working telephone at all times.<\/strong><\/p>\n<p>The importance of this cannot be overstated.<\/p>\n<p class=\"style-warning\">In <strong>addition to a mobile phone<\/strong>, there should be a <strong>home phone fixed in a familiar, easy to reach location.<\/strong><\/p>\n<\/div>\n<\/section>\n<section id=\"completion\">\n<h2>Completion:<\/h2>\n<\/section>\n<section id=\"add-any-commentsrecommendations\">\n<h2>Add any comments\/recommendations<\/h2>\n<div class=\"text-content\">\n<p>As a final step, note down any <strong>final comments and\/or recommendations you have on the patient's status<\/strong> and how you think their <strong>care should be managed<\/strong> in the future.&nbsp;<\/p>\n<\/div>\n<div class=\"textarea-field-content form-field-content\">\n<div class=\"form-group\">\n   <label> Final comments\/recommendations <\/label><br \/>\n<textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled=\"\" class=\"form-control\"><\/textarea><\/div>\n<\/div>\n<\/section>\n<section id=\"sources\">\n<h2>Sources:<\/h2>\n<div class=\"text-content\">\n<ul>\n<li><a href=\"http:\/\/healthcareathome.ca\/nsm\/en\/Getting-Care\/Patient-and-Caregiver-Resources\/safe-at-home\/preparing-for-a-home-visit\" rel=\"nofollow noopener\" target=\"_blank\">Home and Community Care - Preparing for a Home Visit<\/a><\/li>\n<li><a href=\"https:\/\/keystone.health\/medical-house-call-benefits\" rel=\"nofollow noopener\" target=\"_blank\">Keystone Health - The Benefits of Medical House Calls for the Elderly<\/a><\/li>\n<li><a href=\"https:\/\/safetyculture.com\/checklists\/home-visit\/\" rel=\"nofollow noopener\" target=\"_blank\">Safety Culture - Fulfilling Home Visits<\/a><\/li>\n<li><a href=\"https:\/\/www.physio-pedia.com\/Romberg_Test\" rel=\"nofollow noopener\" target=\"_blank\">Physiopedia - Romberg Test<\/a><\/li>\n<li><a href=\"https:\/\/academic.oup.com\/eurpub\/article\/27\/suppl_3\/ckx187.073\/4556044\" rel=\"nofollow noopener\" target=\"_blank\">European Journal of Public Health - The Advantages of Home Visits Compared to Providing Care in a Clinic Setting<\/a><\/li>\n<\/ul>\n<\/div>\n<\/section>\n<section id=\"related-checklists\">\n<h2>Related checklists:<\/h2>\n<div class=\"text-content\">\n<ul>\n<li><a href=\"https:\/\/www.process.st\/templates\/hospital-housekeeping-checklist\/\" rel=\"nofollow noopener\" target=\"_blank\">Hospital Housekeeping Checklist<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/terminal-room-cleaning-checklist\/\" rel=\"nofollow noopener\" target=\"_blank\">Terminal Room Cleaning Checklist<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/hospital-safety-inspection-checklist\/\" rel=\"nofollow noopener\" target=\"_blank\">Hospital Safety Inspection Checklist<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/patient-satisfaction-survey-checklist\/\" rel=\"nofollow noopener\" target=\"_blank\">Patient Satisfaction Survey Checklist<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/hipaa-compliance-checklist\/\" rel=\"nofollow noopener\" target=\"_blank\">HIPAA Compliance Checklist<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/mental-health-risk-assessment-checklist\/\" rel=\"nofollow noopener\" target=\"_blank\">Mental Health Risk Assessment Checklist<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/who-surgical-safety-checklist\/\" rel=\"nofollow noopener\" target=\"_blank\">WHO Surgical Safety Checklist<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/general-infection-control-checklist\/\" rel=\"nofollow noopener\" target=\"_blank\">General Infection Control Checklist<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/patient-intake-checklist-for-a-medical-clinic\/\" rel=\"nofollow noopener\" target=\"_blank\">Patient Intake Checklist for a Medical Clinic<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/electrical-inspection-checklist-hospitals-and-health-care\/\" rel=\"nofollow noopener\" target=\"_blank\">Electrical Inspection Checklist for Hospitals<\/a><\/li>\n<\/ul>\n<\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>Introduction: When a healthcare professional conducts a home visit to assess the medical condition of a patient and provide patient care, they need to make sure that they leave no stone unturned when it comes to collecting information regarding the patient's health as well as building a kind, trusting relationship and ensuring they are residing [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":21533,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"ep_exclude_from_search":false,"cover_icon_emoji":"","cover_icon_url":"","tasks_count":"39","template_description":"Run this checklist when conducting a home visit for a particular patient in order to assess their medical condition","template_id":"spVPogcWy52JGgaAH-9KQg","task_0":"Introduction:","task_slug_0":"introduction","task_1":"Record basic details","task_slug_1":"record-basic-details","task_2":"Introduce yourself","task_slug_2":"introduce-yourself","task_3":"Impairments\/immobility:","task_slug_3":"impairmentsimmobility","task_4":"Determine if there is indication of cognitive impairment","task_slug_4":"determine-if-there-is-indication-of-cognitive-impairment","task_5":"Determine if there is any sensory 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