Bag Technique - 786813718

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Bag Technique

Prepared by:
Jessica bD. Bentayen RN-MAN
PUBLIC HEALTH BAG

 an essential & indispensable equipment


for the public health nurse which he/she
has to carry along during her/ his home
visits.
 It contains basic medications which are
needed for giving care.
BAG TECHNIQUE

 a tool by which the nurse during her home


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.
 
Rationale

 To render effective nursing care to clients


and/or members of the family during home
visit.
PURPOSE
 To describe the procedure for maintaining
a clean nursing bag and preventing cross-
contamination.
Principles of Bag Technique

1. Performing the bag technique will


minimize, if not prevent the spread of
any infection.
2. It saves time and effort in the
performance of nursing procedure.
3. The bag technique should show the
effectiveness of total care given to an
individual or family.
4. 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.
Important points

1. The bag should contain all the


necessary articles, supplies and
equipments that will be used to answer
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. Consider the bag and
its contents clean and sterile while articles
that belong to the patients as dirty and
contaminated.
4. The arrangement of the contents of the
bag should be the one most convenient to
the user, to facilitate efficiency and avoid
confusion.
5. Hand hygiene 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.
Contents of the Bag

Paper lining
Extra paper for making bag for waste
materials (paper bag)
Plastic linen/lining
Apron
Hand towel in plastic bag
Soap in soap dish
Thermometers in case [one oral and
rectal]
2 pairs of scissors [1 surgical and 1
bandage]
2 pairs of forceps [ curved and straight]
Disposable Syringes g. 23 &25
Hypodermic needles g. 19, 22, 23, 25
Sterile dressings
Cotton balls ( dry and with alcohol)
Cord Clamp
Micropore plaster
Tape Measure
1 pair of sterile gloves
Baby’s scale
Alcohol lamp
2 test tubes
Test tube holders
Solutions of :

- betadine - hydrogen peroxide


- 70% alcohol - spirit of ammonia
–ophthalmic ointment -acetic acid
- zephiran solution - benedict’s solution

Note: Blood Pressure Apparatus and


Stethoscope are carried separately.
Institutional Arrangement

Bottom to top
1.Sterile gloves
2.Clean white apron in plastic; add one extra
apron for use to replace first after
attending a morbid case.
3.Sterile Instruments:
- 1 Kelly forceps, 1 myoscissor
- Optional: Thumb/ Tissue Forcep
4. Sterile Pack
- Top dressing, cotton balls, cotton tip
applicator, cord ties or clamps, tongue
depressor, plaster ( all in plastic bag)
5. Kidney basin placed upside down
6. Clean white apron with case
7. Hand Towel
8. Towel Lining
9. Paper Lining
Inner pocket ( Left to Right)
1.Liquid Soap
2.70% Alcohol
3.Spirit of Ammonia
4.Sulfosalicylic acid 10%/acetic acid 5%
5.Lysol
6.Betadine
7.Hydrogen peroxide
Front Pocket

1. Cornucopia
2. Small paper lining
3. Bandage Scissor
4. Weighing scale
5. Tape measure
Left Pocket
1. Thermometer
Right Pocket
1.Glass slides
2.Test tubes
3.Test tube holder
4.Medicine dropper
Top Cover of the Bag
1. Name of Families to be visited
(prioritize case to be visited, clean case first)
2. Addresses
Inside Flap Cover
1. Family Records
2. Forms

When walking, hold the bag with the


opening towards the body.
R: facilitate opening of the bag.
Bag Technique Procedure

1. Introduces self to the client and states the


purpose of the visit.
Rationale: Helps minimize anxiety and
prepare the client for what to expect.
2. Holds the bag with the non-dominant arm
and retrieves the paper lining from the bag
using the dominant hand.
3. Sets the paper lining on a table or any flat
surface with the clean side out (outer folds
touching the surface/table) using the
dominant hand.
Rationale: to protect the bag from getting
contaminated.
4. Positions the bag on top of the paper
lining while securing the bag’s handles or
strap beneath the bag.
5. Obtains and sets-up a basin of water
( when faucet is not available outside the
working area)
Rationale: To be used for handwashing
6. Opens the bag, retrieves the towel lining
and spreads it over the working area clean
side out (outer folds touching the
table/surface and inner folds up).
Rationale: To make a non-contaminated
work field or area.
7. Retrieves the hand towel, soap and apron
from the bag and places them at one
corner within the confines of the paper
lining.
Rationale: To prepare for hand washing.
8. Leaves towel and soap wrappers inside
the bag.
9. Dries hands with the hand towel.
Rationale: Prevents chapping
10. Performs proper handwashing
Rationale: To prevent infection from the care
provider to the client.
11. Put the hand towel and soap back in the
same corner of the working area.
12. Retrieves materials needed for the
specific case from the bag (e.g.
thermometer, cotton balls, paper bag) and
sets these items at the working area within
the confines of the towel lining.
Rationale: to have them readily accessible.
13. Dons the apron right side out sliding the
head into the neck strap then neatly tying
the apron strap at the back.
Rationale: to protect the nurse’s uniform.
14. Places the waste disposal bag outside
the working area.
Rationale: to prevent contamination of the
clean area.
15. Closes the bag and put it in one corner
of the working area.
Rationale: to prevent contamination of bag
and contents
16. Performs the specific nursing care or
treatment.
Rationale: to give comfort and security and
hasten recovery.
others.
17. When care or treatment is completed, cleans
and alcoholizes materials used.
Rationale: To prevent spread of infection to
18. Performs proper hand washing.
Rationale: To prevent transmission of organisms.
19. Dries hands with hand towel. Places the towel
and soap back at the same corner of the
working area.
Rationale: Drying hands prevents chapping
18. Performs proper hand washing.
Rationale: To prevent transmission of
organisms.
19. Dries hands with hand towel. Places the
towel and soap back at the same corner of
the working area.
Rationale: Drying hands prevents chapping
20. Opens the bag and returns the materials
in the bag, properly arranging these
respective designated places.
Rationale: To keep it organized.
21. Folds the hand towel ( soiled side folded
inwards)
22. Places the hand towel and soap inside
the bag.
23. Folds the towel lining (soiled side folded
inwards).
24. Returns the towel lining in the bag.
25. Removes apron folding it away from the
body (soiled side folded inwards).
Rationale: prevents transmission of
microorganisms.
26.Places the apron inside the bag.
27. Closes the bag.
28. Carries the bag on the non-dominant
arm.
29. Folds the paper lining (clean side folded
inwards) using the dominant hand.
30. Inserts the paper lining (clean side
folded inwards) using the dominant hand.
31. Provides the client with information
relevant to health care and schedules the
next appointment (Home or clinic) noting
the date, time and purpose of the next
visit.
Rationale: for follow-up care.

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