on 11/6/04 5:53 pm, Nazmiye Bury at [log in to unmask] wrote:
> Donna,
> We don't have a procedure for this in our OH Dept - have you tried your
> local GP surgeries? If you're in the NHS you could try your local policies
> files - I'm sure you'd find this there. It may be under lone working policy.
> Regards
> Naz
>
> -----Original Message-----
> From: Donna Dixon [mailto:[log in to unmask]]
> Sent: 11 June 2004 14:54
> To: [log in to unmask]
> Subject: Home visits
>
> Hi Folks
> I appreciate and am aware that home visits are not a routine function of
> OH and do not wish to start a debate on this issue. However, I would be
> grateful if any of you out there could share any of your home visits
> procedures with me or know of any health visitors/district nurses/GP's who
> follow a specific procedure for home visits.
>
> As an OH provider, we are asked on occasions to undertake home visits, and
> are in the process or reviewing our procedure, taking into account both
> staff safety and client need.
>
> I look forward to hearing from you as always
>
> Regards
>
> Donna
>
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A number of years ago I was asked to undertake a home visit in order to
assist an employee who we had been told was terminally ill and was
requesting retirement on the grounds of poor health. At that point we had
never seen her in the OH department and we were told she was too ill to come
in to see us. It was not our practice to undertake such visits but due to
the unusual nature of the request from her manager who had advised us of her
"terminal illnesss" I reluctantly agreed to this request. I then gained the
agreement of the client, a woman in her mid 20's and her mother, with whom
she lived, to undertake this visit and made an appointment at a mutually
convenient time.
The lady's mother opened the door to the client's home and asked me in to
the sitting room. At that stage I sensed all was not as I had been led to
believe. The client was not terminally ill but was psychotic, had recently
been a patient on a locked psychiatric ward and was still under the care of
psychiatrist and a community psychiatric nurse.
The whole family were very odd and it is not an experience I care to repeat
as I felt very unsafe in that house. I made sure I was positined between the
door and the rest of the family and left at the earliest opportunity. I do
not advocate such visits but if you must do them be aware of health and
safety issues such as these and consider whether it is appropriate that they
are undertaken by a lone practitioner.
Anne Harriss
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