Bag Technique

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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
• - 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.
Rationale

• To render effective
nursing care to clients
and /or members of the
family during home
visit.
Principles
• The use of the bag
technique should minimize
if not totally prevent the
spread of infection from
individuals to families,
hence, to the community.
Principles
• Bag technique should
save time and effort on
the part of the nurse in
the performance of
nursing procedures.
Principles
• Bag technique should not
overshadow concern for the
patient rather should show the
effectiveness of total care given
to an individual or family.
Principles
• 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 Considerations 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 it’s 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.
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]
Contents of the Bag
• Syringes [5 ml and 2 ml]
• Hypodermic needles g. 19, 22, 23, 25
• Sterile dressings [OS, C.B]
• Sterile Cord Tie
• Adhesive Plaster
• Dressing [OS, cotton ball]
Contents of the Bag
• Alcohol lamp
• Tape Measure
• Baby’s scale
• 1 pair of rubber gloves
• 2 test tubes
• Test tube holder
• Medicines
– betadine
– 70% alcohol
– ophthalmic ointment (antibiotic)
– zephiran solution
– hydrogen peroxide
– spirit of ammonia
– acetic acid
– benedict’s solution
STEPS/PROCEDURES
Safe and Quality Nursing Care
• Put the bag’s
• 1. Upon arriving at
handles or strap
the client’s home,
beneath the bag.
place the bag on the
table or any flat
surface lined with • To protect the
paper lining, clean bag from
side out (folded part contamination.
touching the table).
• 2. Ask for a • To be used for
basin of water handwashing.
and a glass of To protect the
water if faucet work field from
is not available. being wet.
Place these
outside the
work area.
• 3. Open the bag,
take the • To make a non-
linen/plastic lining contaminated
and spread over work field or
work field or area.
area.
The paper lining,
clean side out
(folded part out).
• 4. Take out hand
towel, soap dish • To prepare for
and apron and the
place them at one handwashing.
corner of the work
area (within the
confines of the
linen/plastic
lining).
• 5. Do
handwashing. • Handwashing
Wipe, dry with prevents possible
towel. Leave the infection from
plastic wrappers one care provider
of the towel in a to the client.
soap dish in the
bag.
• 6. Put on apron
right side out and • To protect the
wrong side with nurses’ uniform.
crease touching
Keeping the
the body, sliding
crease creates
the head into the
neck strap. Neatly
aesthetic
tie the straps at appearance.
the back.
• 7. Put out things
most needed for the • To make them
specific case (e.g.) readily
thermometer,
accessible.
kidney basin, cotton
ball, waste paper
bag) and place at
one corner of the
work area.
• 8. Place waste • To prevent
paper bag outside contamination of
clean area.
of work area.
• To give comfort and
security, maintain
• 9. Close the bag. personal hygiene
and hasten recovery.
• 10. Proceed to the • To prevent
specific nursing contamination of
care or treatment. bag and contents.

• 11. After • To protect


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

• 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.
• 15. Fold the
linen/plastic lining,
clean; place it in the
bag and close the bag. • To be used as
• 16. Make post-visit
reference for
conference on matters
future visit.
relevant to health
care, taking anecdotal
notes preparatory to
final reporting.
• 17. Make
appointment for • For follow-up
the next visit care.
(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
• 3. Record all relevant findings
about the client and members of
the family.
• 4. Take note of environmental
factors which affect the
clients/family health.
• 5. Include quality of nurse-patient
relationship.
• 6. Assess effectiveness of nursing care
provided.
• Reference:
• Community Health Nursing Services
in the Philippines, DOH

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