Scribd Logo
Upload

Welcome to Scribd!

    • 23 views

    Bag Technique Checklist-1

    Uploaded by

    Kathrina Mendoza Hembrador
    The document is a checklist for performing bag technique, which involves properly assembling and organizing medical supplies and equipment in a bag to carry out home visits or treatments. The checklist outlines 19 steps for preparing supplies, setting up a clean work area using the bag and its contents, performing nursing procedures, cleaning up, and documenting the visit. It includes lists of required equipment, medicines, and supplies and boxes to check off completion of each step.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Bag Technique Checklist-1

    Uploaded by

    Kathrina Mendoza Hembrador
    23 views4 pages
    The document is a checklist for performing bag technique, which involves properly assembling and organizing medical supplies and equipment in a bag to carry out home visits or treatments. The checklist outlines 19 steps for preparing supplies, setting up a clean work area using the bag and its contents, performing nursing procedures, cleaning up, and documenting the visit. It includes lists of required equipment, medicines, and supplies and boxes to check off completion of each step.

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document is a checklist for performing bag technique, which involves properly assembling and organizing medical supplies and equipment in a bag to carry out home visits or treatments. The checklist outlines 19 steps for preparing supplies, setting up a clean work area using the bag and its contents, performing nursing procedures, cleaning up, and documenting the visit. It includes lists of required equipment, medicines, and supplies and boxes to check off completion of each step.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    23 views4 pages

    Bag Technique Checklist-1

    Uploaded by

    Kathrina Mendoza Hembrador
    The document is a checklist for performing bag technique, which involves properly assembling and organizing medical supplies and equipment in a bag to carry out home visits or treatments. The checklist outlines 19 steps for preparing supplies, setting up a clean work area using the bag and its contents, performing nursing procedures, cleaning up, and documenting the visit. It includes lists of required equipment, medicines, and supplies and boxes to check off completion of each step.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 4

    BAG TECHNIQUE CHECKLIST

    Name:_____________________________________ Date:_________________

    PREPARATION: Assemble all equipment and supplies.


    YES NO
    1. Paper Lining
    2. Linen/ Plastic lining
    3. paper bag (waste bag)
    4. Apron
    5. Two (2) hand towels
    6. Bar soap in a Soap dish (or liquid soap in pump bottle)
    7. Thermometer (digital)
    8. Two (2) pairs of scissors (surgical and bandage scissors)
    9. Two (2) pairs of forceps (curved and straight)
    10. Two (2) Disposable Syringes (5ml and 2ml) with needles
    11. Four (4) Hypodermic Needles (G19, 22, 23, 25)
    12. Sterile Dressings (OS)
    13. Cotton balls in two covered containers (dry and with
    alcohol)
    14. Cord clamp
    15. Plaster (Micropore)
    16. Tape measure
    17. Baby’s scale
    18. One (1) pair of sterile gloves
    19. Two (2) test tubes
    20. Test tube holder
    21. Alcohol lamp (with denatured alcohol) and lighter/ match
    Medicines and Solutions
    1. Betadine
    2. Zephiran solution
    3. Spirit of Ammonia
    4. Acetic acid
    5. Hydrogen peroxide
    6. Ophthalmic ointment
    7. Benedict’s solution
    8. Alcohol- 70%
    Carried separately (not placed in the PHN bag): Sphygmomanometer and umbrella

    Performed
    PROCEDURE Yes No Mastered Comments
    1. Explain procedure to the client.
    2. Take the paper lining from the top of
    the bag. Open the paper lining, clean
    side out (folded part touching the
    table), and place on the table or any
    flat surface.
    3. Place the bag on the upper left hand
    corner of the paper lining. Put the
    bag’s handles or straps beneath the
    bag.
    4. Ask for a basin of water and glass of
    water if faucet is not available. Place
    these outside the work area.
    5. Open the bag, take out the linen/
    plastic lining and spread over the
    work area with the clean side out
    (folded part out).
    6. Take out the hand towel, soap dish
    and apron. Place them at one corner
    of the work area (within the confines
    of the linen/ plastic lining).
    7. Do handwashing. Wipe dry with the
    towel. Leave the plastic wrappers of
    the towel in a soap dish in the bag.
    8. Put on the apron 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.
    9. Put out things most needed for the
    specific case (e.g. thermometer,
    kidney basin, cotton balls, waste
    paper bag) and place at one corner of
    the work area.
    10. Get the waste paper bag and place
    this outside the work area.
    11. Close the bag before starting to
    perform any procedure.
    12. Proceed to specific nursing care or
    treatment.
    13. After completing the nursing care or
    treatment, clean and alcoholize the
    things used including plastic lining.
    Disinfect using cotton balls with
    alcohol.
    14. Do handwashing again.
    15. Open the bag and put back all the
    articles inside in their proper places.
    16. Remove the apron, folding away from
    the body with the soiled side folded
    inwards and the clean side out. Place
    it in the bag.
    17. Dispose of the waste bag. Get the
    bag from the table, fold the paper
    lining and insert/place in between the
    flaps of the bag. Close the bag.
    18. Make post visit conference on
    matters relevant to health care, taking
    anecdotal notes preparatory to final
    reporting.
    19. Make appointment for the next visit
    (either home or clinic), taking note of
    date, time and purpose.

    Grade Recommendations
    Signature of the Student: ____________________ Date: ________________

    Name and Signature of Faculty: ______________________ Date: _______________

    You might also like