Bag Technique

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BAG TECHNIQUE

PROCEDURE
The bag can be made up of canvas, leather,
or light metal, rexin.

The bag can be carried by the hand or on the


shoulder.
DEFINITION

 Bag technique 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.
DEFINITION

The Community health bag is designed to


carry equipment and material needed
during a visit to the home, school or factory.
Equipment and material are needed to
make tests and to demonstrate patient care
such as eye irrigation, application of
ointments ,medications.
(TNAI)
The overall objective of using
community health bag in a
systematic method is “to be able
to carry out nursing procedures in
the family with improvised
equipments articles available at
home, maintaining scientific and
nursing principles which can also
be practiced by the family in her
absence”.
 To prevent carrying of infection from one
patient to another and from one place to
another by keeping bag and its contents as
clean as possible.
 To demonstrate the principles of
cleanliness to patients and family
members by using the bag in orderly way.
 To carry out selected procedure,
demonstrations, teaching and follow up
services for patients and family members
1. The use of the bag technique should
minimize if not totally prevent the spread
of infection from individuals to families,
hence, to the community.
2. Bag technique should save time and
effort on the part of the nurse in the
performance of nursing procedures.

3. Bag technique should not overshadow


concern for the patient rather should
show the effectiveness of total care given
to an individual or family.
Prevention of contamination
Protection of the caregiver
Make articles readily accessible
Make follow-up care
Cleanliness: The bag and its contents are all designed
for efficiency and cleanliness.
The hand must be washed with soap and water each
time before touching the bag. The nurse must avoid
touching dirty or contaminated things after or in
between time of washing.
The bag should be kept in clean and without danger
of being contaminated and the children or pet animals.
Avoid unnecessary exposure while done procedure.
Secure the bag by often cleaning and should be
covered properly when it is not in use.
SPECIAL CONSIDERATIONS IN THE USE OF
THE BAG
 1.
The bag should contain all necessary articles,
supplies and equipment which may be used to
answer emergency needs.

2.The bag and it’s contents should be cleaned as


often as possible, supplies replaced and ready
for use at anytime.
3.The bag and it’s contents should be well
protected from contact with any article in the
home of the patients. Consider the bag and it’s
contents clean and/or sterile while any article
belonging to the patients as dirty and
contaminated
The public health bag is used by public
health nurse to-
 Provide antenatal, intranatal and
postnatal care to mother and child.

 Perform certain diagnostic procedures


such as Hb testing, urine testing for
early detection of high risk cases and
provide timely treatment.
 Demonstarte certain Procedures to
family members or community such
as preparing oral dehydration
solution (ORS),baby bath,application
of benzyl benzoate in cases of
scabies.
 Provide emergency and first aid
services (+) in case of accidents and
minor ailments.
 Provide and demonstrate care in
case of communicable diseases such
as chickenpox.
Provide follow up services in
chronic illness such as
diabetes,paraplegia or
amputation.
Access the need of individual
and families and give health
education in care of
malnutrition,environmental
hazards,home accidents and
immunization etc
4.The arrangement of the contents of the bag should
be the one most convenient to the user to facilitate
the efficiency and avoid confusion

5.Hand washing is done as frequently as the


situation calls for, helps in minimizing or avoiding
contamination of the bag and its contents.

6.The bag when used for a communicable case


should be thoroughly cleaned and disinfected
before keeping and re-using.
Equip the bag with the following article

1.Front pocket: Nail brush, nail cutter, towel,


soap case and soap
2.Right side pocket: Newspaper or plastic sheet,
inch tap,fetoscope
3. Left side pocket: Stationeries, family folder,
waste paper bag.
4.Uper compartment: (sterile chamber) Artery forceps,
thumb forceps, small bowel and scissors, medication
box, clinical and rectal thermometer, sterile dressings
in a bowel, a pair of disposable gloves, antiseptic
container,savlon,betadine,benedict’s solution, acetic
acid, ethylated spirit and eye drop or eye ointments,
tallquist paper (for checking hemoglobin),

5. Lower compartment: Urine analysis kit should


contain the following such as specimen bottle, kidney
tray, test tube, test tube holder, match box, spirit lamp,
and brush etc.
Outer pocket: is used for
keeping a dairy to
maintain records, clean
paper bags and a square
piece of newspaper or
plastic sheet to keep the
bag on.
The other one is used
for keeping things for
hand washing
 These are used for keeping
solutions and medicines for
internal and external use, simple
instruments for dressing, articles
for certain procedures such as
temperature taking, urine testing,
antenatal examination and few
additional things for health
teaching
PROCEDURE:
Steps Rationale

1. Select a work area To prevent


country yard or the children or do-
verandah domestic animal
getting in the
way

2. Spread a news- To create a clean


paper or plastics area
square on a flat
surface area
3. Make newspaper bag To discard the
waste
4. Loosen the buttons
of the bag
5.Remove hand wash- To avoid cross
ing materials and infection
wash poured water
6. Take out necessary To do procedure
articles for the proce-
dure and place on the
clean area w/out touch-
ing the outside of the
bag
7. Give nursing services
as indicated
8. After the procedure, To avoid cross
wash the hand with infection.
soap and water.
9. Return the article to To disinfect the
the bag, use cotton articles
swab moistened with
spirit and wipe out-
side of used bottles.
All other instrument
used during the visit
must be boiled for 5mins.
Before replacing into the bag.
10. Fold the used paper bag To discard it
and keep it outside the
pocket. Close bag.
11. Give the waste paper bag To disposal
to the family members.
12. Write on what was observed
what was done, instruction
given, plan for next visit.
PROCEDURE:
 1. Open the bag, take the linen or plastic lining and
spread over work field. The paper lining clean side
out (folded part out).

 2.Place the bag on the table or any flat surface


lined with paper lining, clean side out (folded part
touching the table). Put bag’s handles or straps
beneath the bag.

 3. Take out hand towel, soap dish, and apron and


place them at one corner of the work area (within
the confines of the plastic lining).

 4. Place waste bag outside of work area.


 5. Ask for a basin of water if faucet is not available.
Place these outside the work area.

 6. Do hand washing. Wipe, dry with towel. Leave


the plastic wrappers of the towel in soap dish in the
bag.

 7. Put on right side out and wrong side with crease


touching the body, sliding the head into the neck
strap, neatly tie the straps at the back.

 8. Put out the things most needed for the specific


case ( ex. Thermometer, kidney basin, cotton ball,
waste paper) and place at one corner of the work
area.
 9. Proceed to the specific nursing care or treatment.

 10. After completing nursing care or treatment,


clean and alcoholize the things used.
 Record all relevant findings about
the client and members of the
family.
 Take note of environmental factors
which affect the clients/family health.
 Include quality of nurse-
patient relationship.
 Assess effectiveness of nursing
care provided.
In order to keep your bag ready for use at any
time,observe some of the following
instructions.
 Clean the bag daily,protect from excessive heat
or rain to reserve it in a good condition.
 Replace the drugs,dressing and linen daily in
the bag.
 Empty all the contents,wash the bag with soap
and water once in a week or more frequently
depending on how much it has been used and
dry it the sun.
Wash the non-expendable articles such
as instruments,linen and utensils with
soap and water and boil them.
Repalce cotton or plastic bags
containing swabs and dressing with
sterile one.
Check gloves,catheters,thermometer
and glass articles,replace if spoilt or
broken.
Repack the bag in an orderly way;keep
articles in their usual places to make
them easily traceble.

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