BAG Technique: John Paul N. Reganit, MSN, LPT, RN Clinical Instructor

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BAG

TECHNIQUE
JOHN PAUL N. REGANIT, MSN, LPT, RN
CLINICAL INSTRUCTOR
BAG TECHNIQUE
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.
BAG TECHNIQUE
RATIONALE
To render effective nursing care to clients and /or members of the family during
home visit.
BAG TECHNIQUE
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.
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.
BAG TECHNIQUE
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 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.
BAG TECHNIQUE
SPECIAL CONSIDERATIONS IN THE USE OF THE BAG
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.
BAG TECHNIQUE
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]
BAG TECHNIQUE
CONTENTS OF THE BAG
• Sterile Dressings [OS, C.B]
• Sterile Cord Tie
• Adhesive Plasterdressing [OS, Cotton Ball]
• Alcohol Lamp
• Tape Measure
• Baby’s Scale
• 1 Pair Of Rubber Gloves
• 2 Test Tubes
• Test Tube Holder
• Medicines
• Betadine
BAG TECHNIQUE
CONTENTS OF THE BAG
• 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.
BAG TECHNIQUE
STEPS AND PROCEDURES
ACTIONS RATIONALE
1. Upon arriving at the client’s home, • To protect the bag from
place the bag on the table or any flat contamination.
surface lined with paper lining, clean
side out (folded part touching the
table). Put the bag’s handles or strap
beneath the bag.
BAG TECHNIQUE
STEPS AND PROCEDURES
ACTIONS RATIONALE
2. Ask for a basin of water and a glass • To be used for handwashing.
of water if faucet is not available. Place • To protect the work field from
these outside the work area. being wet.
3. Open the bag, take the linen/plastic • To make a non-contaminated
lining and spread over work field or work field or area.
area. The paper lining, clean side out
(folded part out).
BAG TECHNIQUE
STEPS AND PROCEDURES
ACTIONS RATIONALE
4. Take out hand towel, soap dish and • To prepare for handwashing.
apron and the place them at one
corner of the work area (within the
confines of the linen/plastic lining).

5. Do handwashing. Wipe, dry with • Handwashing prevents


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

7. Put out things most needed for the • To make them readily
specific case (e.g.) thermometer, accessible.
kidney basin, cotton ball, waste paper
bag) and place at one corner of the
work area.
BAG TECHNIQUE
STEPS AND PROCEDURES
ACTIONS RATIONALE

8. Place waste paper bag outside of • To prevent contamination of


work area. clean area.

9. Close the bag. • To give comfort and security,


maintain personal hygiene and
hasten recovery.

10. Proceed to the specific nursing • To prevent contamination of bag


care or treatment. and contents.
BAG TECHNIQUE
STEPS AND PROCEDURES
ACTIONS RATIONALE
11. After completing nursing care or • To protect caregiver and
treatment, clean and alcoholize the prevent spread of infection to
things used. others.
12. Do handwashing again.

13. Open the bag and put back all


articles in their proper places.
BAG TECHNIQUE
STEPS AND PROCEDURES
ACTIONS RATIONALE
14. Remove apron folding away from To protect the bag from contamination.
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.
BAG TECHNIQUE
STEPS AND PROCEDURES
ACTIONS RATIONALE

16. Make post-visit conference on To be used as reference for future visit.


matters relevant to health care, taking
anecdotal notes preparatory to final
reporting.

17. Make appointment for the next visit For follow-up care
(either home or clinic), taking note of
the date, time and purpose.
BAG TECHNIQUE
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.
BAG TECHNIQUE
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, DOH

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