Bag Techniq Procedures
Bag Techniq Procedures
Bag Techniq Procedures
INTRODUCTION:
Every skilled professional worker needs tools. The nurse’s bag is the vehicle for carrying the
tools needed during a home visit to the antenatal, postnatal, infant, preschool and school child as
well as to the person suffering from tuberculosis or other diseases and for an emergency delivery
case. You need your bag wherever and whenever to serve.
The community health bag is designed to carry equipment and material needed during a
visit to the home, school or factory.
THE BAG:
The bag should be made of canvas, leather or light metal.
It should be such that it can be carried by the hand or on the shoulder.
The should have outside pocket for keeping a notebook, tape measure, newspaper
or plastic sheet, towel, soap in a soap dish and a nail brush.
Test tube, test tube stand, test tube holder, spirit lamp match box, dropper, urosticks,
measuring glass.
Sterile articles- In deep tray, artery forceps, thumb forceps, scissor, gallipots, cotton
swabs, gauze piece, gauze pad, bandage, adhesive tape, disposable gloves, disposable
syringe and needle, clean scissor.
Solution- Chlorexdine, spirit, savlon, Betadine, Benedict solution, Nitric acid, Acetic
acid, & Hydrogen Peroxide.
PROCEDURE:-
1. Select a work area where the bag may be set up without danger of being contaminated
by children and domestic animals. In the village, where home facilities are limited, the
family may bring a charpoy in the courtyard or on the veranda for the nurse to use as
a working area.
2. Hold the bag in such a way that flaps of bag should be inner side and zip side should be
outside.
3. Open the zip, remove newspaper and spread newspaper on a flat surface to create a
clean area and place bag on corner of newspaper and flap should be inner side.
4. Remove hand washing materials plastic sheet, kidney tray, waste paper bag, flash card
and arrange properly on newspaper and unbutton the bag.
5. Select wash area and spread small newspaper on water proof bag and arrange soap
with soap dish, nail brush and towel on it.
6. Wash hands under poured or tap water and dry with clean inner side of towel.
7. Remove all necessary articles for procedure and arrange on plastic sheet.
8. Close the bag securely, to prevent contamination during procedure.
9. Carry out procedure according the need of family.
10. When procedure is over, wash hands with soap under water.
11. Replace articles to the bag- Use spirit swabs and wipe outside of used bottles and
steel articles must be washed with soap and water. Then last clean the plastic sheet
with soapy, wet and dry swab which prepared during hand washing and kept at corner
of plastic sheet. Clean from centre to periphery.
12. Again do the hand washing and replace the hand washing material in outer pocket.
13. Button the bag and keep on shoulder. Fold used paper with used side will be outside
and to outside pocket. Close outer pocket.
14. Record the procedure and report the finding to the family
REFERENCES:
1. TNAI ‘Community Health Nursing Manual TNAI’ New Delhi.
2. Community health nursing, B T Basvantappa, forward M K Vasundhara, Jaypee
brothers, 2nd edition.
3. Parks textbook of preventive and social medicine, K Park ,19th edition M/S Banarsidas
Bhanot Publisher
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INTRODUCTION:
Vital signs are a basic component of physiological and psychological health of a client. Body
temperature, pulse, respiration, and blood pressure are the sign of life.
PURPOSE:
ARTICLES:
ARTICLES PURPOSE
PROCEDURE
REFERENCES:
1. Stephen’s ‘Principles and practice of nursing ,nursing arts and procedure, Sr Nancy-
volume I, N R brother publication, page-124to 134.
2. Fundamental of nursing procedure. Manual for general nursing and midwifery course. C
P Thresymma, Jaypee brothers page 195to 215.
3. Madhuri Inamdar ‘Nursing Arts,’ ‘Principle and Practice Part I, Vora medical
publication.
4. Fundamental of nursing- TNAI procedure manual
5. Fundamental of nursing, B T Basvantappa.
6. Fundamentals of Nursing by Potter and Perry. 6th edition 2005, Reed Elvester India
private limited, New Delhi.
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ESTIMATION OF HAEMOGLOBIN
AIM:
To determine the amount of haemoglobin in terms of percentage and in grams percentage.
APPARATUS:
Sahli’s haemoglobin meter with a graduated dilution tube, micropipette, stirrer and N/10 HCL.
PRINCIPLES:
Sealed tubes of standardized acid haematin colour which is taken as 100%. In the central column
graduated dilution tube is developed. The micropipette is a simple pipette with 20 cu.mm. Mark.
The apparatus contains three columns in a black frame with a white background. The two lateral
columns are the
PROCEDURE:
i. The decinormal hydrochloride (N/10HCl) was taken in graduated
dilution tube up to mark ‘2’ on ‘grams percentage marking. Keep the
dilution tube in the central column.
ii. Clean the finger tip (usually ring finger of left hand) with spirit and prick
with a sharp needle.(lancer needle)
iii. Wiped off the first drop of blood and sucked the blood in the
micropipette up to the mark, 20 cu. mm.
iv. Transfer the blood into the dilution tube (simply touch the tip of
micropipette to the surface of hydrochloride acid. Do not blow .Transfer
the blood as soon as possible to prevent clotting.)
v. Stir the blood and N/10 HCl with stirrer and allowed to stand for about
five minutes.
vi. Add distilled water drop by drop in dilution tube stirring well after
addition of every drop of distilled water. Continue this until the colour of
mixture matches with the standard colour in the lateral columns.
vii. Remove the dilution tube scale its reading gives haemoglobin in
percentage and in gram percentage.
viii. Dispose the waste materials.
ix. Clean all articles and replace it to the bag.
x. Do recording and reporting.
IMPORTANT PRECAUTIONS:
i. The dilution tube, micropipette and stirrer must be clean and dry.
ii. While taking blood from finger do not squeeze the finger (Give bold prick
so that there will be sufficient oozing of blood)
iii. There should be clear column of blood in the micropipette without air
bubble.
iv. While transferring the blood, do not touch the tip of micropipette to the
sides of dilution tube.
v. While comparing the colours raise the stirrer above the level of mixture.
vi. Do not remove the stirrer until the experiment is finished.
vii. The colours should be compared preferably in day light.
viii. The average haemoglobin values in men and women are slightly different.
ix. Men - 16 G/100 ml .of blood
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REFERENCES:
1. TNAI ‘Community Health Nursing Manual TNAI’ New Delhi.
2. Parks textbook of preventive and social medicine, K Park, 19th edition M/S Banarsidas
Bhanot Publisher.
3. Text book of Anatomy Physiology and health education
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The Community Health Nurse either tests urine in clinics or she revises the testing
procedure. She takes a simple urine analysis kit in her bag and makes a urine test during home
visit when symptoms indicates the need, when the maternity patients are not attending clinic
regularly and/or when the mother shows symptoms of toxaemia or when the mother is near term.
She test urine of diabetic patients and she teaches how to test the urine for sugar.
OBJECTIVE:
PURPOSES:
COMMON INSTRUCTIONS:
ARTICLES:
ARTICLES PURPOSE
PROCEDURE:
Note: for urine testing the area should be selected area
Away from family work area.
Perform procedure of urine testing on separate paper.
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COLD TEST
Pour a small quantity of nitric acid 5% (1ml) into a clean test tube.
Allow equal of urine to trickle down the sides of the test tube. If albumin is
present, a white precipitate will be seen where two fluids meet.
Tell the patient to discard urine.
Discard the waste materials and clean all articles by following steps.
Clean all the articles under the running water.
Bring back to the procedure area.
Keep all clean articles on the mackintosh.
Keep all articles in a separate plastic cover.
Keep that plastic cover inside the bag
Do recording and reporting.
HOT TEST
Test for reaction, while urine is in specimen bottle, place a small piece of litmus paper
into the urine and note reaction.
If litmus turns blue, the urine is alkaline.
If litmus turns red, the urine the urine is neutral.
If urine is alkaline, add acetic acid to make it acidic.
Filter urine by placing funnel over the end of tube, fold filter to fit the funnel.
Pour urine from specimen bottle through the filter lined funnel into the test tube. Fill tube
2/3 full.
Light the lamp.
Tilt the test tube and boil the 1/3 top portion of the content.
8. If cloud forms, add five drops of 5% acetic acid and reheat.
Read the test;
Clear urine –negative
Slight turbid- +
Whitish turbid- ++
Hazy turbid- +++
(If the albumin is present refer the patient to the PHC.)
Tell the patient to discard urine.
Discard the waste materials and clean all articles by following steps.
Clean all the articles under the running water.
Bring back to the procedure area.
Keep all clean articles on the mackintosh.
Keep all articles in a separate plastic cover.
Keep that plastic cover inside the bag
Do recording and reporting.
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PURPOSE:
To test the urine for the evidence of sugar.
COMMON INSTRUCTIONS:
Specimen must be free of external contamination.
All equipments must be clean.
Make a second test when in doubt.
ARTICLES:
ARTICLES PURPOSE
PROCEDURE:
Note: for urine testing the area should be selected area
Away from family work area.
Perform procedure of urine testing on separate paper.
Give specimen bottle to the patient and explain how to collect midstream urine.
Take 5ml of Benedict solution in a test tube with measuring glass.
Boil it over the spirit lamp evenly holding (with test tube holder) the test tube away from
your body and bag. While boiling shake the test tube slowly.
Add 8 drops of urine with a dropper in to the test tube and shake well.
Boil it again.
Remove the test tube and allow it to cool.
The result may be recorded according to the colour as blue, green, yellow, orange and
red.
REFERENCES:
1. Stephen’s ‘Principles and practice of nursing, nursing arts and procedure, Sr
Nancy-volume I, N R brother publication, page-174 to 176
2. Fundamental of nursing procedure. Manual for general nursing and midwifery
course.,C P Thresymma Jaypee brothers page 195 to 215
3. Madhuri Inamdar ‘Nursing Arts,’ ‘Principle and Practice Part I, Vora medical
publication. PAGE NO 195 to 220
4. Parks textbook of preventive and social medicine, K Park ,19th edition M/S
Banarsidas Bhanot Publisher
5. Google search
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MINOR DRESSING
INTRODUCTION:
A wound is a break in the skin (the outer layer of skin is called the epidermis). Wounds are
usually caused by cuts or scrapes. Different kinds of wounds may be treated differently from one
another, depending upon how they happened and how serious they are.
Healing is a response to the injury that sets into motion a sequence of events. With the exception
of bone, all tissues heal with some scarring. The objective of proper care is to minimize the
possibility of infection and scarring. On community basis, wound care is important.
WOUND DRESSING
PURPOSES:
1. To prevent infection.
2. To prevent further damage.
3. To prevent haemorrhage.
4. To promote healing.
5. To apply medicine.
6. To prevent skin excoriation.
ARTICLES:-
A Sterile deep tray containing-
1. Scissor-1
2. Thumb forcep-1
3. Artery forcep-1
4. Galipot
5. Cotton swabs
6. Gauze pieces
7. Gauze pad
8. Gloves
B. Solution
1. Normal saline
2. Betadine
3. H2O2
C. Clean articles
1. Kidney tray
2. Macintosh
STEPS OF PROCEDURE:
1. Explain procedure to patient and make patient comfortable.
2. Spread one plastic sheet under dressing part. If, patient has previous dressing loosen it
and go for hand washing.
3. Remove the necessary articles from the bag.
4. Wear the gloves.
5. Open previous dressing by touching only at portion of dressing discard it.
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REFERENCES:
1. 1. TNAI’S,”Fundamentals of nursing A procedure manual” 1st edition, 2005, TNAI’S
Publication, New Delhi. Pg: 403.
2. Sr. Nancy,”Principles and practice of Nursing” 3rd edition, 1995, N.R. publication,
Indore. Pg: 1-15.
3. Potter and Perry,” Fundamentals of Nursing”. 6th edition 2005, Reed Elvester India
private limited, New Delhi. Pg: 1500-1521.
4. C.P. Thresymma,” Fundamentals of Nursing Procedure Manual for GNM Course.” 1 st
edition2004, Jaypee Brothers medical publishers, New Delhi. Pg: 411.
5. TNAI ‘Community Health Nursing Manual TNAI’ New Delhi, 1998.
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