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Tagum Doctors College, Inc.

Tagum City
College of Nursing

BAG TECHNIQUE

BAG TECHNIQUE is a tool by which the nurse during her home visit can perform a
nursing procedure with ease and deftness, saving time
and effort with view of effective nursing care.

CHN Bag it is an essential and indispensable equipment of the Community Health
Nurse which she has to carry along with her when she goes out home
visiting.

Principles to Consider 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 its contents should be cleaned as often as possible, supplies
replaced and ready for use at any time.
3. The bag and its contents should be well protected from contact with any article
in the home of patients. Consider the bag and its contents clean and/or sterile
while any particles belonging to the patients as dirty and contaminated.
4. The arrangement of contents of the bag should be the most convenient to the
user to facilitate efficiency and avoid confusion.
5. Hand washing as frequently as the situation calls for helps minimize or avoid
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.

Principle of Bag Technique:

1. The use of the bag technique should minimize if not totally prevent of infection
from individual to families 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 but rather show
her effectiveness in providing total care to an individual or family.
4. Bag technique can be performed in a variety of ways depending upon agency
policies, actual home situations, etc. as long as the principles of avoiding transfer
of infection is carried out.

Contents of the Bag:
Liquids:


1. Small plastic and paper wrappers a. Denatured alcohol

2. Small bar of soap b. Alcohol 70%
3. Paper lining c. Soap sud solution
4. Small washcloth d. Sterile water
5. Waste receptacle (small box) e. Hydrogen peroxide
6. Apron f. Benedicts solution
7. Towel lining g. Acetic Acid
8. Match h. Spirit of Ammonia
9. 2 Test tubes
10. 2 droppers
11. 2 test tube holders
12. 2 pack of sterile cotton balls
13. Kidney basin
14. Medicine glass
15. Disposable needles G.22, 23, 24
16. Disposable syringe 5ml, 2 ml
17. Thermometer (rectal/oral)
18. Sterile cord dressing pack
19. Wrapped tongue depressor
20. Plaster
21. Pack of sterile OS #2
22. Referral forms

PROCEDURE:

Action Rationale

1. Place the bag on a flat surface (table, Paper lining serves as protection
for the bag
chair, or floor) lined with a paper lining. and its content.
2. Ask for water to wash your hands or ask Handwashing prevents the
spread of micro-
where you can do it. organisms.
3. Open the bag and take out the double
wrapped soap and wash cloth. Close the bag.
4. Wash hands with soap and water ( under
running water or using pouring method)
and wipe them dry. Placed used wash cloth
between the double wrappers.
5. Explain the specific nursing procedure to be
done.
6. Put on things such as thermometer, apron All equipments are placed in a
paper lining to


dressing, instruments, etc. to be used for prevent contamination.
the specific nursing care and arrange them
on the spread towel lining. The spread towel
lining should not exceed the paper lining.
Close the bag again.
7. Put on the apron, then place the waste Apron is a protection for the
nurse who will
receptacle outside the paper lining. perform the procedure.
8. Proceed on the specific nursing care or tret-
ment.
9. Clean the things used. Place dry equipment Maintaining cleanliness is needed
at all times.
on top of the first layer wrapper. Wash hands
with soap and water the dry.
10. Re-wrap the soap dish. Disinfect all equipment
used with ROH.
11. Open the bag and return all things used in
their proper order. Fold apron and towel with
exposed side inside. Close the bag.
12. Sit down and have a talk with the mother or
person in-charge of the patient. Then record
your observation, the temperature, the treat-
ment done, and the specific instructions given.
Make appointment for the next visit.
13. See the waste receptacle with its contents is Proper disposal is necessary to
prevent conta-
properly disposed of before leaving the home. mination.
(note: use this opportunity to check sanitation
of immediate environment or waste and
garbage disposal, drainage, etc.)
14. Pick up the paper lining by its center fold and
discard.


URINE TEST FOR ALBUMIN

Urine specimen should be collected early in the morning before breakfast and
after external douche. This is done because bacterial counts are highest in this voiding.

Purpose: To test for any presence of albumin in the urine.

PROCEDURE:

Action Rationale



1. Fill the test tube 2/3 or full of urine
and place it in the kidney basin.
2. Light the alcohol lamp.
3. Heat upper portion only of the test tube with To be able to compare results
with the bottom
urine. part of the test tubes.
4. After the urine boils, compare the heated
portion with the lower portion of the test tube.
The result is negative if there is no cloudiness.
5. If there is cloudiness after boiling, add 5 drops Acetic acid confirms the presence
of albumin in
of acetic acid to the urine over the waste the urine.
receptacle.
6. Reboil the urine.
7. If cloudiness disappears after boiling, the urine
is negative for albumin and the cloudiness is
only due to the presence of phosphates.
8. If cloudiness remains after boiling, it is Albumin being a protein,
coagulates when
positive for albumin. heated.
9. Place used dropper in waste receptacle. Proper disposal reduces the
spread of
microorganisms.
10. Do after care.

Interpretation:
Characteristics TRACES
Slight cloudiness +2
Thick cloudiness/moderate +3
Egg white cloudiness +4

Note: A positive tests for albumin implies presence of pregnancy-induced hypertension
(PIH).


URINE TEST FOR SUGAR

PROCEDURE:

Action Rationale

1. Measure 5ml of Benedicts solution in a Proper amount of the solution is
needed in


medicine glass. Order to gain accurate result.
2. Pour inside the test tube over the waste
receptacle.
3. Light the alcohol lamp.
4. Heat the solution until it boils.
5. Once it boils, add 8 drops of urine and boil
the mixture for 5 minutes shaking at the
same time.
6. After 5 minutes observe for any change in Changes in color indicates
presence of sugar in
color. urine.

Interpretation:

Blue - negative
Greenish-blue - traces
Yellow-green - +3
Orange-yellow or brick red - +4

Note: Presence of sugar in the urine may indicate diabetes mellitus. Refer the patient to
the physician.



PLEASE REPRODUCE THE CHECKLIST FROM YOUR CLASSMATES.

THANKS AND GOOD LUCK!