Bag Technique: Home Visits

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BAG TECHNIQUE

The bag technique is a tool by which the nurse, during her visit will enable her to perform a
nursing procedure with ease and deftness, to save time and effort with the end view of
rendering effective nursing care to clients.

The public health bag is an essential and indispensable equipment of a public health nurse
which she has to carry along during her home visits. It contains basic medication and articles
which are necessary for giving care.

Principles

 Performing the bag technique will minimize, if not, prevent the spread of any infection.
 It saves time and effort in the performance of nursing procedures.

 The bag technique can be performed in a variety of ways depending on the agency’s
policy, the home situation, or as long as principles of avoiding transfer of infection is
always observed.

Purpose: CHN Bag

• Serves as a first aid kit


• To work efficiently and swiftly during nursing procedures
• To conserve time and energy
• To minimize or prevent the spread of infection
• To render effective nursing care to clients
• and/or members of the family during home visit

Contents
The following are the common contents of a Public Health Nurse bag:
 Paper lining
 Extra paper for making waste bag ( waste receptacle )
 Plastic/linen/ paper lining
 Apron
 Hand towel
 Soap in a soap dish
 Thermometers (oral and rectal)
 2 pairs of scissors (surgical and bandage)
 2 pairs of forceps (curved and straight)
 Disposable syringes with needles (g. 23 & 25)
 Hypodermic needles (g. 19, 22, 23, 25)
 Sterile dressing ( gauze pad 4x4 )
 Cotton balls
 Cord clamp
 Micropore plaster
 Tape measure
 1 pair of sterile gloves
 Baby’s scale
 Solutions of:
o Betadine
o 70% alcohol
o Hydrogen peroxide
o Spirit of ammnonia
*BP apparatus and stethoscope are carried separately and are never placed in the bag.

CONTENTS OF CHN BAG:

a. FRONT OF THE BAG (left to right) thermometer (facing down) - syringes & needles .
b. on the RIGHT SIDE OF THE BAG- medicine dropper –micropore plaster
c. on the LEFT SIDE OF THE BAG (near to the front)- medicine glass w/ suction inside-
cord clamp -baby weighing scale
d. BACK of the bag (left to right)
- betadine
- 70% alcohol
- hydrogen peroxide
- spirit of ammonia.
e. on the CENTER OF THE BAG- kidney basin-French 8 &12 catheter, Bandages, sterile OS,
cotton balls, cloth bag: Kelly curve & Kelly straight Umbilical scissors ,cotton applicators, hand
towel, soap dish & soap, apron
f. on the TOP POCKET- sterile gloves , paper waste bags, plastic bags
g. TOP OF THE INNER COVER - paper lining & plastic lining for the bottom
Points to consider
1. The bag should contain all the necessary articles, supplies and equipment that will be
used to answer the emergency needs
2. The bag and its contents should be cleaned very often, the supplies replaced and ready
for use anytime.
3. The bag and its contents should be well protected from contact with any article in the
patient’s home.
4. Consider the bag and its contents clean and sterile, while articles that belong to the
patients as dirty and contaminated.
5. The arrangement of the contents of the bag should be the one most convenient to the
user, to facilitate efficiency and avoid confusion.

Steps
The following are steps in performing bag technique and rationale for each action:
Action Rationale
Upon arrival at the patient’s home, place the To protect the bag from getting contaminated.
bag on the table lined with a clean paper. The
clean side must be out and the folded part,
touching the table
Ask for a basin of water or a glass of drinking To be used for hand washing.
water if tap water is not available.
Open the bag and take out the towel and To prepare for hand washing.
soap.
Wash hands using soap and water, wipe to To prevent infection from the care provider to
dry. the client.
Take out the apron from the bag and put it on To protect the nurse’s uniform.
with the right side
Put out all the necessary articles needed for To have them readily accessible
the specific care.
Close the bag and put it in one corner of the To prevent contamination
working area.
Proceed in performing the necessary nursing To give comfort and security and hasten
care treatment recovery
After giving the treatment, clean all things that To protect the caregiver and prevent infection
were used and perform hand washing.
Open the bag and return all things that were
used in their proper places after cleaning
them.
Remove apron, folding it away from the Remove apron, folding it away from the
person, the soiled side in and the clean side person, the soiled side in and the clean side
out. out. Place it in the bag.
Fold the lining, place it inside the bag and
close the bag
Take the record and have a talk with the
mother. Write down all the necessary data that
were gathered, observations, nursing care and
treatment rendered. Give instructions for care
of patients in the absence of the nurse.
Make appointment for the next visit (either For follow-up care
home or clinic) taking note of the date and
time.

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