BAG TECHNIQUE

BAG TECHNIQUE

Definition:

Bag Technique

The bag technique is a tool making use of a public health bag through which the nurse, during
his/her visit can perform nursing procedure easily and skillfully, saving time and effort, with goal
of rendering effective nursing care to clients.
Public Health Bag
The Public Health Bag contains basic items and medicine supplies needed for giving health
care. It is an essential and necessary equipment of the public health nurse which she has to
bring along during home visits. The public health bag contains basic articles and medicine
supplies needed for giving care
Rationale
To render effective nursing care to clients and members of the family during home visit.
Principles
1. The proper use and observance of the bag technique will minimize, if not prevent the
spread of any infection.
2. The bag technique should save time and effort on the part of the public health nurse in
the performance of nursing procedures.
3. Bag technique should not overshadow concern for the client, rather should show the
effectiveness of total care given to the client and/or his/her family
4. The bag technique can be performed in a variety of ways depending on agency policies
and actual community or home situation, or as long as principles of avoiding transfer of
infection are always followed.
Special Consideration
1. The bag should contain all needed articles, supplies and equipment which may be
used to respond to emergency call
2. The bag and its content should be cleaned after use an supplies replenished and
ready for use anytime.
3. The bag and its content should be well protected from contact with any article in
client’s home. The bag and its content are considered as clean and sterile while any
article belonging to the client are considered as dirty and contaminated.
4. The arrangement of contents of the bag should be the one most convenient to the
public health nurse in order to facilitate efficiency and avoid confusion.
5. Handwashing is done as frequently as possible as the situation calls for, helps in
minimizing or avoiding contamination of the bag and its contents.
6. When used for a communicable case, the bag and its contents should be thoroughly
cleaned and disinfected before storage and reuse.
Contents of the Bag

 Paper lining
 Extra paper for making bag for waste (paper bag)
 Plastic/linen lining
 Apron
 Hand towel in plastic bag
 Soap in soap dish
 Digital thermometer in case (oral and rectal)
 2 pairs of scissors (surgical and bandage)
 2 pairs of forceps (curve and straight)
 syringes (5ml and 3ml)
 Hypodermic needles (G19, 22, 23, 25)
 Sterile dressings (OS)
 Sterile cord clamp/tie
 Adhesive plaster
 Dressing (OS, cotton ball)
 Alcohol lamp
 Tape measure
 Baby scale
 1 pair of rubber gloves
 2 test tubes
 Test tube holders
 Medicine
 betadine
 70% alcohol
 ophthalmic ointment (antibiotic)
 zephiran solution
 hydrogen peroxide
 spirit of ammonia
 acetic acid
 benedict solution
Steps of the Procedure
Action Rationale
1. Upon arriving at the client’s home, - To protect the bag from

place the bag on the table or any flat contamination.
surface lined with paper lining. clean side
out (folded part touching the table) Put
bag’s handles or strap beneath the bag.
2. Ask for a basin of water and a glass of - To be used for handwashing

water if faucet is not available. Place - To protect the work field from
these outside the work area. getting wet.
3. Open the bag, take the linen/plastic - To make a non-contaminated work

lining and spread over work field or area. field or area.
The paper lining, clean side out (folded
part out).
4. Take out the hand towel, soap dish - To prepare for handwashing.
and apron and place them at one corner
of the work area (within the confines of
the linen/plastic lining).
5. Do handwashing. Wipe dry with towel. - Handwashing prevents possible

Leave the plastic wrappers of the towel in infection or transmission of
soap dish in the bag. pathogenic microorganisms from
care provider to the client and vice
versa.
6. Put on apron right side out and wrong - To protect the nurse’s uniform.
side with crease touching the body, Keeping the creases creates
sliding the head into the neck strap. aesthetic appearance.
Neatly tie the straps at the back.
7. Put out things most needed for the - To make them readily accessible.
specific case (e.g. thermometer, kidney
basin, cotton ball, waste paper bag) and
place at one corner of the work area.
8. Place the waste paper bag outside of - To prevent contamination of clean

work area. area.
9. Close the bag. - To give comfort and security,

maintain personal hygiene and
hasten recover.
10. Proceed to the specific nursing care - To prevent contamination of bag

or treatment. and contents.
11. After completing nursing care or - To protect care giver and prevent
treatment, clean and disinfect the things the spread of infection to others.
used with alcohol.
12. Do handwashing again.
13. Open the bag and put back all

articles in their proper places.
14. Remove apron folding away from the

body, with soiled side-folded inwards,
and the clean side out. Place it in the
bag.
15. Fold the linen/plastic lining, clean;

place it in the bag and close the bag. - To be used as reference for future
follow-up visit.
16. Make post-visit conference on
matters relevant to health care, taking
anecdotal notes preparatory to final - For follow-up care.
reporting.
17. Make an appointment for the next

visit (either home or clinic), taking note of
the date, time and purpose.
After Care
1. Before keeping all items/articles in the bag, clean and disinfect each with alcohol.
2. Get the bag from the table, fold the paper lining (and insert), and place in between the flaps
and cover the bag.
Evaluation and Documentation
1. Record all relevant findings about the client and members of the family.
2. Take note of environmental factors which affect the client’s/family’s health.
3. Include quality of nurse – patient relationship.
4. Assess effectiveness of nursing care provided.

BAG TECHNIQUE - NCM 104B RLE by Juvy Lagcao, MN

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Public Health Bag

Contents of the Bag

1. Upon arriving at the client’s home, - To protect the bag from

2. Ask for a basin of water and a glass of - To be used for handwashing

3. Open the bag, take the linen/plastic - To make a non-contaminated work

5. Do handwashing. Wipe dry with towel. - Handwashing prevents possible

8. Place the waste paper bag outside of - To prevent contamination of clean

9. Close the bag. - To give comfort and security,

10. Proceed to the specific nursing care - To prevent contamination of bag

12. Do handwashing again.

13. Open the bag and put back all

14. Remove apron folding away from the

15. Fold the linen/plastic lining, clean;

17. Make an appointment for the next

Evaluation and Documentation

2. Take note of environmental factors which affect the client’s/family’s health.

3. Include quality of nurse – patient relationship.

4. Assess effectiveness of nursing care provided.

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