Bag Technique

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BAG

TECHNIQUE
Definition
•Bag Technique – a tool making use of
public health bag through which the
nurse, during his/her home visit, can
perform nursing procedures with
ease and deftness, saving time and
effort with the end in view of
rendering effective nursing care.
Public Health Bag
•Public health bag – is an essential
and indispensable equipment of the
public health nurse which he/she has
to carry along when he/she goes out
home visiting. It contains basic
medications and articles which are
necessary for giving care.
Principles:
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.
Principles:
3.Bag technique should not overshadow
concern for the patient rather should show
the effectiveness of total care given to an
individual or family.
4.Bag technique can be performed in a
variety of ways depending upon agency
policies, actual home situation, etc., as long
as principles of avoiding transfer of infection
is carried out.
Special consideration in the use
of bag
1.The bag should contain all necessary
articles, supplies and equipment
which may be used to answer
emergency needs.
2.The bag and its contents should be
cleaned as often as possible, supplies
replaced and ready for use at any
time.
Special consideration in the use
of bag
3.The bag and its 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 patient as dirty and
contaminated.

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
Special consideration in the use
of bag
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.
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]
• Syringes [5 ml and 2 ml]
Contents of the
bag
• Hypodermic needles g. 19, 22, 23, 25
• Sterile dressings [OS, C.B]
• Sterile Cord Tie
• Adhesive Plaster
• Dressing [OS, cotton ball]
• Alcohol lamp
• Tape Measure
• Baby’s scale
• 1 pair of rubber gloves
• 2 test tubes
• Test tube holder
Contents of the
bag
• Medicines
• betadine
• 70% alcohol
• ophthalmic ointment (antibiotic)
• zephiran solution
• hydrogen peroxide
• spirit of ammonia
• acetic acid
• benedict’s solution
•Note: Blood Pressure
Apparatus and
Stethoscope are
carried separately.
Actions Rationale

To protect the bag


1. Upon arriving at the client’s home,
place the bag on the table or any flat
from contamination.
surface lined with paper lining, clean
side out (folded part touching the
table). Put the bag’s handles or strap
beneath the bag.
2. Ask for a basin of water and a glass To be used for handwashing.
of water if faucet is not available. To protect the work field from
Place these outside the work area being wet
Actions Rationale

3. Open the bag, take the To make a non-


linen/plastic lining and spread
over work field or area. The contaminated work field
paper lining, clean side out or area.
(folded part out).
4. Take out hand towel, soap dish and
apron and the place them at one
To prepare for
corner of the work area (within the handwashing.
confines of the linen/plastic lining).
Actions Rationale

5. Do handwashing. Wipe, dry Handwashing prevents


with towel. Leave the plastic possible infection from one
wrappers of the towel in a soap care provider to the client.
dish in the bag
6. Put on apron right side out and To protect the nurses’
wrong side with crease touching the
body, sliding the head into the neck uniform. Keeping the crease
strap. Neatly tie the straps at the creates aesthetic appearance.
back.
Actions Rationale

7. Put out things most needed for the


specific case (e.g.) thermometer,
To make them readily
kidney basin, cotton ball, waste paper accessible.
bag) and place at one corner of the
work area.
8. Place waste paper bag To prevent contamination of
outside of work area. clean area.
Actions Rationale

9. Close the bag. To give comfort and


security, maintain personal
hygiene and hasten
recovery.
10. Proceed to the specific To prevent contamination
nursing care or treatment. of bag and contents.
Actions Rationale

11. After completing To protect caregiver and


nursing care or treatment, prevent spread of
clean and alcoholize the infection to others
things used.
12. Do handwashing
again.
Actions Rationale

13. Open the bag and


put back all articles in
their proper places.
14. Remove apron folding away
from the body, with soiled
sidefolded inwards, and the
clean side out. Place it in the bag
Actions Rationale

15. Fold the linen/plastic


lining, clean; place it in the
bag and close the bag.
16. Make post-visit conference To be used as reference for
on matters relevant to health future visit.
care, taking anecdotal notes
preparatory to final reporting.
Actions Rationale

17. Make appointment For follow-up care.


for the next visit (either
home or clinic), taking
note of the date, time
and purpose.
After care
1.Before keeping all articles in the
bag, clean and alcoholize them.
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 clients/family health.
3.Include quality of nurse-patient
relationship.
4.Assess effectiveness of nursing care
provided
Reference:
Community Health
Nursing Services in the
Philippines, Department
of Health
•THANK YOU!

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