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Clinical procedures at home

These pages explain what a nurse may assess, what information to prepare and when a clinic, doctor or hospital is more appropriate. They do not teach untrained readers to perform clinical procedures.

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Wounds and skin

Procedure

Blood Pressure Monitoring at Home

Obtain comparable home blood-pressure readings with the right cuff, rest, position, timing and symptom-led escalation plan.

Procedure

Chronic and Complex Wound Care at Home

Coordinate home nursing for a wound that is slow to heal, recurrent or clinically complex, with measurement, cause-focused care and escalation.

Procedure

Diabetic Wound Care at Home

Coordinate diabetic wound nursing with foot-risk, circulation, infection, pressure relief, glucose, footwear and specialist review,not dressing alone.

Procedure

Home Wound Assessment by a Nurse

Prepare for a nurse-led wound assessment at home, including history, whole-person risks, wound findings, documentation and escalation decisions.

Procedure

Negative-Pressure Wound Therapy Support at Home

Support prescribed negative-pressure wound therapy at home with device checks, authorised dressing care, alarm limits and escalation planning.

Procedure

PEG Site Leakage and Skin Care at Home

Assess fluid leaking around a PEG, protect the skin and recognise signs of device problems, infection or urgent abdominal complications.

Procedure

Post-Surgical Wound Care at Home

Plan home dressing care after surgery using the surgeon’s instructions, with clear checks for bleeding, infection, wound separation and follow-up.

Procedure

Pressure Injury Dressing Change at Home

Change a prescribed pressure-injury dressing while reassessing wound change, moisture, pain, offloading, repositioning and whole-person risk.

Procedure

Pressure Injury Care at Home

Build a home pressure-injury plan around staging, pressure redistribution, skin protection, nutrition, mobility, dressing care and escalation.

Procedure

Surgical Staple Removal at Home

Arrange home removal of surgical skin staples only after the treating team confirms the site, timing and wound readiness.

Procedure

Stoma Pouch Leakage and Skin Care at Home

Find the cause of repeated stoma-pouch leakage, protect peristomal skin and know when ordinary home adjustments are no longer enough.

Procedure

Suture Removal at Home

Arrange home suture removal only after the treating team confirms the wound, closure type, timing and readiness, with a clear response if healing is incomplete.

Procedure

Traumatic Wound Care at Home

Understand when an accident wound may be dressed at home, what a nurse assesses, and which changes require urgent medical review.

Procedure

Wound Debridement Review at Home

Understand when non-viable tissue needs specialist review, which debridement methods may be ordered and when circulation, infection or bleeding risk changes the setting.

Procedure

When a Wound Dressing Leaks or Becomes Saturated

Decide what to do when drainage reaches the dressing edge, leaks onto clothing or saturates earlier than expected between home visits.

Procedure

Wound Dressing at Home

Understand when a wound dressing can be managed through home nursing, what information is needed and how progress and deterioration are handled.

Procedure

Wound Infection Warning Signs at Home

Distinguish a changing wound from possible local or systemic infection and prepare useful evidence for same-day nursing or medical review.

Tubes, catheters and stomas

Procedure

Urinary Catheter Blockage or Leakage at Home

Check poor catheter drainage or bypass leakage safely, recognise urgent warning signs and prepare the right information for a home nursing visit.

Procedure

Surgical Drain Care at Home

Organise home nursing for an established surgical drain, with securement, output records, site care and clear escalation to the surgical team.

Procedure

Nasogastric Feeding-Tube Nursing at Home

Plan nasogastric tube care, feeding and authorised replacement at home using a current medical and dietetic plan, position checks and escalation rules.

Procedure

Nasogastric Tube Position Checks at Home

Know when an NG tube must not be used, what information a nurse checks at home and when position uncertainty needs medical review.

Procedure

Nasogastric Tube Replacement at Home

Prepare for an authorised NG-tube replacement at home, including the order, tube record, position confirmation and failure plan.

Procedure

PEG Tube Care at Home

Plan safe home nursing for a PEG tube, including the stoma site, feeding routine, medicines, blockage prevention and urgent tube problems.

Procedure

PEG Tube Blockage at Home

Respond safely when a PEG tube will not flush or feed, preserve the device and arrange timely review for medicines, hydration and nutrition.

Procedure

If a PEG Tube Is Pulled or Comes Out

Act promptly after suspected PEG movement or complete dislodgement, protect the tract and avoid unsafe feeding or blind reinsertion.

Procedure

Stoma Appliance Change at Home

Change a colostomy or ileostomy appliance using current stoma measurements, skin assessment, output planning and a leak-resistant fit.

Procedure

Stoma Care at Home

Get practical home nursing support for a colostomy, ileostomy or urinary stoma, including appliance fit, skin care, output checks and family training.

Procedure

Reduced Stoma Output and Obstruction Warning Signs

Know what to record when stoma output slows or stops, which symptoms need urgent assessment and what not to attempt at home.

Procedure

Suprapubic Catheter Blockage at Home

Assess absent suprapubic-catheter drainage, check the external system safely and know when pain, swelling or illness needs urgent review.

Procedure

Suprapubic Catheter Replacement at Home

Prepare an authorised suprapubic-catheter change with tract-maturity evidence, exact device details and an urgent failure pathway.

Procedure

Suprapubic Catheter Site Leakage and Skin Care

Assess moisture, discharge and skin injury around a suprapubic catheter without confusing ordinary site care with blockage or infection treatment.

Procedure

Suprapubic Catheter Care at Home

Plan home nursing for an established suprapubic catheter, including site care, drainage, blockage recognition, authorised changes and urgent escalation.

Procedure

If a Surgical Drain Is Pulled or Comes Out

Protect the site, preserve useful device information and obtain the right surgical review when a drain is partly or completely displaced.

Procedure

When a Surgical Drain Has No Output at Home

Assess unexpectedly absent surgical-drain output, check the external system safely and know when swelling, pain or illness needs urgent review.

Procedure

Preparing for Surgical Drain Removal Review

Prepare the output trend, wound findings and written surgical authorisation needed before a drain-removal decision or home procedure.

Procedure

Tracheostomy Stoma and Skin Care at Home

Assess and protect tracheostomy stoma skin while keeping the airway secure, with device-specific cleaning, dressing and tie-change limits.

Procedure

Tracheostomy Tube Change at Home

Plan an authorised tracheostomy tube change around tract maturity, exact tube specifications, airway assessment, trained assistance and rescue equipment.

Procedure

Urinary Catheter Replacement at Home

Plan an authorised urethral-catheter change at home with the correct device record, infection precautions and who to contact if the situation changes.

Procedure

Urinary Catheter Care and Replacement at Home

Arrange urethral catheter care, troubleshooting and authorised replacement at home with a verified indication, device record and escalation pathway.

Procedure

Urostomy Care at Home

Arrange urostomy nursing around urine flow, stoma appearance, pouch fit, skin protection, hydration instructions and infection or obstruction warning signs.

Respiratory and medical devices

Procedure

Central Line Dressing Change at Home

Prepare an authorised central-line dressing change with the correct kit, aseptic sequence, device measurements and immediate complication plan.

Procedure

IV Infusion Monitoring at Home

Prepare a prescribed home IV infusion with the exact order, suitable access, observations and a clear response to pump, line or patient changes.

Procedure

Nebuliser Treatment Monitoring at Home

Prepare and monitor a prescribed nebuliser dose with the right medicine, equipment, breathing assessment, cleaning method and escalation threshold.

Procedure

Oral suction support at home

Decide when prescribed oral suction may help clear pooled secretions, how to protect mouth tissues and when airway difficulty needs escalation.

Procedure

Oxygen Concentrator Power Failure at Home

Prepare a patient-specific response to oxygen-concentrator power loss, alarms and equipment failure without changing prescribed oxygen flow.

Procedure

Oxygen and Respiratory Device Support at Home

Coordinate nursing around prescribed home oxygen, CPAP, BiPAP or other respiratory equipment without changing medical settings or delaying urgent care.

Procedure

Peripheral IV Cannula Care at Home

Know what a home nurse checks around a peripheral IV cannula, how the line is protected and which changes mean an infusion should stop.

Procedure

PICC Line Care at Home

Arrange PICC care around the exact device, tip-use confirmation, dressing and connector plan, arm assessment and failed-access pathway.

Procedure

Subcutaneous Infusion Care at Home

Arrange a prescribed intermittent or continuous subcutaneous infusion with site selection, device checks, symptom monitoring and medicine reconciliation.

Procedure

Tracheostomy Blockage Warning Signs at Home

Recognise possible tracheostomy obstruction, follow the patient-specific emergency sequence and prepare essential information for nursing support.

Procedure

Tracheostomy Humidification at Home

Choose and monitor prescribed tracheostomy humidification by secretion pattern, oxygen setup, device fit, hydration plan and airway risk.

Procedure

When Tracheostomy Suction Is Needed at Home

Use patient-specific signs,not a rigid timetable,to decide when prescribed tracheostomy suction is needed and when to stop and escalate.

Procedure

Tracheostomy and Suction Care at Home

Plan with suitable experience home nursing for an established tracheostomy, including airway observation, stoma care, suction, equipment checks and emergency readiness.

Medicines, monitoring and specimens

Procedure

Anticoagulant Injection Support at Home

Arrange prescribed anticoagulant injections at home with dose verification, bleeding checks, site rotation and missed-dose escalation.

Procedure

Blood Glucose Monitoring at Home

Plan reliable home glucose checks around meals, medicines, symptoms and a written response range rather than collecting isolated numbers.

Procedure

Bowel Output Monitoring at Home

Track stool frequency, form, continence, symptoms and bowel-treatment response in a record that helps families and clinicians make safer decisions.

Procedure

Enema Administration at Home

Arrange a prescribed home enema after assessing constipation severity, contraindications, product, positioning, evacuation support and non-response limits.

Procedure

Enteral Feeding Pump Support at Home

Set up a prescribed feeding-pump routine at home, troubleshoot interruptions and train family members without changing the nutrition order.

Procedure

Family Training for Complex Home Care

Turn hospital instructions into assessed, task-specific family skills with return demonstration, written limits, backup arrangements and review dates.

Procedure

High-Output Ileostomy Nursing at Home

Monitor unexpectedly high ileostomy output, dehydration warning signs and the prescribed fluid, medicine and escalation plan at home.

Procedure

IV Antibiotic Administration at Home

Prepare prescribed home IV antibiotics with dose reconciliation, access checks, timed observations, laboratory ownership and reaction planning.

Procedure

Injection and Medication Support at Home

Arrange prescribed medication support at home with order verification, medicine reconciliation, administration checks, monitoring and safe disposal.

Procedure

Insulin Injection Support at Home

Arrange nurse support for a current insulin prescription, safe injection technique, glucose records and patient-specific low-glucose action planning.

Procedure

Home Medication Record and Missed-Dose Plan

Create one reconciled home medication record and patient-specific instructions for missed, late, refused, vomited or uncertain doses.

Procedure

Palliative Comfort Nursing at Home

Coordinate comfort-focused nursing at home through an agreed palliative plan covering symptoms, medicines, mouth and skin care, devices, family support and escalation.

Procedure

Pulse Oximetry Monitoring at Home

Use pulse-oximeter readings alongside breathing, circulation, baseline and the prescribed oxygen plan, with checks for unreliable signals.

Procedure

Rectal Suppository Administration at Home

Prepare prescribed rectal suppository care with indication checks, bowel assessment, privacy, positioning and a response plan for pain, bleeding or no result.

Procedure

Breathing Rate Assessment at Home

Observe breathing rate, rhythm, effort and function accurately at home, and report change in a way that supports clinical decisions.

Procedure

Urine Specimen Collection at Home

Collect a labelled urine specimen using the ordered method, clean equipment, correct catheter port technique, timing and transport plan.

Procedure

Vital-Sign and Symptom Monitoring at Home

Use nurse-led home monitoring when there is a clinical question, an individual baseline, defined measurements and a clear action plan,not for reassurance alone.

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