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BAG TECHNIQUE I. Procedure 1.

Upon arrival at the patient s home, place the bag on the table lined with clean paper. The clean side must be out and the folded part touching the table. Ask for a basin of drinking water if tap water is not available. Open the bag and take out the towel and soap. Wash hands using soap and water, wipe to dry. Take out the apron from the right side out. Put out all the necessary articles needed for the specific care. Close the bag and put it in one corner of the working area. Proceed in performing the necessary nursing care and treatment. After giving the treatment, clean all things that were used and perform hand washing. Open the bag and return all things that were used in their proper places after cleaning them. Remove apron, folding it away from the person, the soiled side in and the clean side out. Place it in the bag. Fold the lining, place it inside the bag and close the bag. Take the record and have a talk with the mother. Write down all the necessary data that were gathered, observations, nursing care and treatment rendered. Give instructions for care of patients in the absence of the nurse. Make appointment for the next visit (either home/clinic) taking note of the date and time.

V.

Implementation 1. 2. A thirty-minute lecture on defining, differentiating, and discussing the bag technique and its principles, the PHN bag and its contents. Evacuate all instruments from the bag one at a time. Hold and display instruments/equipment/paraphernalia and indicate their names with functions. Allow students to have a feel of the contents of the PHN bag, by letting them pass around the contents of the bag. Return all contents of the bag using the following sequence: rear, center, front, top.

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VI.

Other considerations or unexpected situations and interventions: 1. 2. 3. The bag should contain all necessary articles, supplies and equipment which may be used to answer emergency needs. The bag and its contents should be cleaned as often as possible, supplies replaced and ready for use at any time. The bag and its contents should be well protected from contact with any article in the home of the patients. Consider the bag and its contents clean and /or sterile while any article belonging to the patient as dirty and contaminated. The arrangement of the contents of the bag should be the one most convenient to the user to facilitate the efficiency and avoid confusion. Hand washing is done as frequently as the situation calls for, helps in minimizing or avoiding contamination of the bag and its contents. The bag when used for a communicable case should be thoroughly cleaned and disinfected before keeping and re-using.

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II.

Equipment 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. Extra paper for making waste bag Plastic/linen lining Paper lining 1 pair of sterile gloves Thermometer (oral/rectal) 2 test tubes 2 test tube holders 2 hand towels Soap in a soap dish Cotton balls Baby scale Tape measure Sterile dressing Micropore plaster 2 pairs of scissors (surgical an bandage) 2 pairs of forceps (curved and straight) Cord clamp Disposable syringes with needles (g. 23 and 25) Hypodermic needles (g. 19, 20, 23, 25) Alcohol lamp 70% alcohol Betadine Hydrogen peroxide Zephiran (Benzalkonium) Ophthalmic ointment Spirit of ammonia Benedicts solution Acetic Acid

HEAT AND ACETIC ACID TEST

I.

Procedure 1. 2. Apply 5 mL of the urine sample into a test tube. Boil the upper portion of the test tube. Any cloudiness produced by this may arise from either the presence of carbonates and phosphates (which may be normal) or from the presence of proteins. Add 3-5 drops of 10% acetic acid to the tube: if the cloudiness vanishes, carbonates and phosphates were the cause; if the cloudiness persists (or becomes apparent only after the acid is added), proteins are present. Compare the tube against the diagrammatic result interpretation chart and record the result.

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Equipment 1. 2. 3. 4. 5. 6. Clean Gloves Apron/lab gown 1 test tube 1 test tube holders Alcohol lamp 10% Acetic Acid

III.

Assessment parameters 1. Assess patient s general condition, vital signs and signs and symptoms of local or systemic disease states. Assess client s past and present history Assess patient s physical activities prior to urine testing. Assess patient s intake of food and drugs which may contribute to subtle or marked change color and odor of urine. Assess urine color, appearance and odor before and after the procedure. Evaluate client s need for immediate and urgent referral.

III.

Assessment parameters 1. 2. 3. Identify contents of the PHN bag and their specific uses. Classify contents according to placement inside PHN bag. Trace the correct sequence of the bag technique with corresponding rationale. 2. 3. 4. 5. 6. IV.

IV.

Outcome identification 1. The nurse will be able to identify contents of the PHN bag and their specific uses. 2. The nurse will be able to classify contents according to placement inside PHN bag. 3. The nurse will be able to trace the correct sequence of the bag technique. 4. The nurse will be able to enumerate the corresponding principles of the bag technique with each step.

Outcome identification 1. 2. 3. 4. The nurse will obtain 5ml of fresh and clean-catch urine. The nurse will be able to perform the procedure safely and correctly. The nurse with the client will be able to correctly identify results needing special and immediate attention and refer client urgently. The patient will be free from injury and his/her home will be safe from fire.

or any full meal. If not breathing. o Repeated or prolonged exposure to the substance can produce target organs damage. Other considerations or unexpected situations and interventions. permeator). of eye contact (irritant). and injuries of the head. b. administer oxygen. indicates some change. A teaching demonstration using actual urine sample. Neurotic Albuminuria 3. WARNING: It may be hazardous to the person providing aid to give mouth-to-mouth resuscitation when the inhaled material is toxic. grows less on lying down. Wash clothing before reuse.html b. Loosen tight clothing such as a collar. which permits the escape of the normal constituents. remove to fresh air. Albuminuria Following Exertion y due to congestion of the kidneys. and appears after severe or prolonged exertion. and disappears after a few hours of rest. of ingestion. Epileptic seizures. lead. in the epithelium of the glomeruli or the capillaries of the tuft. especially where digestion is faulty or where severe exertion takes place immediately after a meal. The quantity is usually small. of inhalation. and severe mental strain. in all probability. however slight and transient. due to some change in the epithelium of the glomeruli. belt or waistband. Special Considerations in Albuminuria The presence of albumin in the urine. perform mouth-to-mouth resuscitation. rowing. Cold water may be used. characterized by coughing. or shortness of breath. occasionally. give artificial respiration. mercury. Potential Acute Health Effects: o Very hazardous in case of skin contact (irritant). mouth and respiratory tract. y Dietetic Albuminuria y occurs after the ingestion of certain articles of food. of eye contact (corrosive). immediately flush eyes with plenty of water for at least 15 minutes. Cold water may be used. watering. o Inhalation of the spray mist may produce severe irritation of respiratory tract. Get medical attention immediately. notably eggs. Potential Chronic Health Effects: o Hazardous in case of skin contact (irritant). Serious Inhalation: o Evacuate the victim to a safe area as soon as possible. The Blood Changes y seen in syphilis. to return again when the same conditions again appear. scaling. y y regular rise and fall in the quantity of albumin during the twenty-four hours. there is no structural change . Skin o Inflammation is characterized by itching.com/eclectic/thomas/albumi nuria. Cover the irritated skin with an emollient. a. give rise to albuminuria. source: http://www. Serious Skin Contact: o Wash with a disinfectant soap and cover the contaminated skin with an anti-bacterial cream. Get medical attention immediately. when not due to nephritis. 2. caused by the toxins of the fever. skin. o Repeated or prolonged contact with spray mist may produce chronic eye irritation and severe skin irritation. If breathing is difficult. of ingestion. severe anemia and puerperal eclampsia. Implementation a. If breathing is difficult. hysteria. Safety Considerations 1. apoplexy. Skin Contact: o In case of contact. Thoroughly clean shoes before reuse. Seek immediate medical attention. teeth. Seek immediate medical attention. gradually increases during the day. o The substance may be toxic to kidneys. o Inflammation of the eye is characterized by redness. give oxygen. tie. o Liquid or spray mist may produce tissue damage particularly on mucous membranes of eyes. and although there is a cloudy swelling.V.henriettesherbal. or any of the various contests where prolonged strength is required. immediately flush skin with plenty of water for at least 15 minutes while removing contaminated clothing and shoes. If the victim is not breathing. Febrile Albuminuria y y various febrile and inflammatory diseases may give rise to slight albuminuria. o Repeated or prolonged exposure to spray mist may produce respiratory tract irritation leading to frequent attacks of bronchial infection First Aid Measures: Eye Contact: o In case of contact. VI. cheese. reddening. It is often found in the urine of athletes after contests of running. Inhalation: o If inhaled. serum-albumin and serumglobulin. infectious or corrosive. choking. tetanus. also give rise to it. and the character and quality of the food taken. albumin appears shortly after rising in the morning. of inhalation. to reappear the following morning quantity varies according to the mental or physical exertion of the patient. Paroxysmal or Cyclic Albuminuria. and itching. and disappears during the night. Skin contact may produce burns. o Hazardous in case of skin contact (corrosive. c. blistering. Perform the steps cited in Section I. o Mutagenic for mammalian somatic cells. or. Discuss and differentiate expected normal findings and abnormal finding using comparative tables and illustrations (see Appendix A). y is that form which follows periods of great emotional excitement. and arsenic poisoning. Mutagenic for bacteria and/or yeast. mucous membranes. and pastry. from the vessels into the renal tubules. Get medical attention immediately.

Clean Gloves Apron/lab gown 1 test tube 1 test tube holders Alcohol lamp Benedict s reagent . characterized by coughing. Corrosive liquid. Seek immediate medical attention. Skin contact may produce burns. Other considerations or unexpected situations and interventions. Assess client s past and present history Assess patient s physical activities prior to urine testing. The nurse with the client will be able to correctly identify results needing special and immediate attention and refer client urgently. Ingestion y Do NOT induce vomiting unless directed to do so by medical personnel. 5. the nervous system. Get medical attention if irritation develops. Equipment 1. 6. Perform the steps cited in Section I. infectious or corrosive. Serious Inhalation y Evacuate the victim to a safe area as soon as possible. Implementation 1. 3. Assessment parameters 1.com/xMSDSBenedict_s_Reagent-9925648 III. Loosen tight clothing such as a collar. perform mouth-tomouth resuscitation. 6. Assess patient s general condition. 4. First Aid Measure. Never give anything by mouth to an unconscious person. While cooling. remove to fresh air. IV. If necessary: Neutralize the residue with a dilute solution of sodium carbonate. If breathing is difficult. Drop 8 to 10 drops of urine into the boiling Benedict's solution. Non-corrosive for skin. Spills o Dilute with water and mop up. mouth and respiratory tract.sciencelab. tie. 4. Take 5 ml (one teaspoon) of Benedict's solution in the test-tube. Non-permeator by skin. The colour of the mixture serves as a guide to the amount of sugar in the urine (Appendix C). Loosen tight clothing such as a collar. Get medical attention if symptoms appear. The nurse will obtain 5ml of fresh and clean-catch urine. give oxygen. If the victim is not breathing. Outcome identification 1. vital signs and signs and symptoms of local or systemic disease states. Cold water may be used. y y Hazardous in case of eye contact (irritant). Assess urine color. 2. y Repeated or prolonged contact with spray mist may produce chronic eye irritation and severe skin irritation.com/xMSDSAcetic_acid-9922769 BENEDICT S TEST y y y y 4. 5. Source: www. Assess patient s intake of food and drugs which may contribute to subtle or marked change color and odor of urine. the mixture changes color. Get medical attention. 3. call a physician immediately.sciencelab. If breathing is difficult. belt or waistband. heat it over alcohol lamp till the Benedict's Solution boils without overflowing. A teaching demonstration using actual urine sample. In case of contact. Skin Contact y Wash with soap and water. belt or waistband. Potential Acute Health Effects: . or absorb with an inert dry material and place in an appropriate waste disposal container. Keep away from heat. give artificial respiration. 4. 3. SPILLS y Dilute with water and mop up. mucous membranes. Discuss and differentiate expected normal findings and abnormal finding using comparative tables and illustrations (Appendix C). or shortness of breath. o Flammable liquid. Evaluate client s need for immediate and urgent referral. 2. Slightly hazardous in case of skin contact (irritant). Liquid or spray mist may produce tissue damage particularly on mucous membranes of eyes. y Repeated or prolonged exposure to the substance can produce target organs damage. After again boiling the mixture. Inhalation of the spray mist may produce severe irritation of respiratory tract. 3. Eye Contact y Check for and remove any contact lenses. The patient will be free from injury and his/her home will be safe from fire. If necessary: Neutralize the residue with a dilute solution of acetic acid. 5. immediately flush eyes with plenty of water for at least 15 minutes. y Repeated or prolonged exposure to spray mist may produce respiratory tract irritation leading to frequent attacks of bronchial infection. Keep away from sources of ignition. Potential Chronic Health Effects: y The substance is toxic to kidneys. If large quantities of this material are swallowed. appearance and odor before and after the procedure. Never give anything by mouth to an unconscious person. Procedure 1. VI.y Ingestion: o Do NOT induce vomiting unless directed to do so by medical personnel. If not breathing. of inhalation. Get medical attention. choking. 6. 2. Inhalation y If inhaled. Cover the irritated skin with an emollient. II. The nurse will be able to perform the procedure safely and correctly. 2. Cold water may be used. Loosen tight clothing such as a collar. tie. tie. I. or absorb with an inert dry material and place in an appropriate waste disposal container. 2. belt or waistband. Holding the test-tube with the holder. Source:www. WARNING: It may be hazardous to the person providing aid to give mouth-to-mouth resuscitation when the inhaled material is toxic. 4. 4. 3. administer oxygen. 3. of ingestion. lungs. let it cool down. 1. 2. V.

php . Results of the Benedicts Test BLUE Normal Negative GREEN Normal Trace (+1) YELLOW ORANGE RE D (+4) (+2) (+3) Source: http://www. Interpretation of the heat coagulation test result Negative/Trace No or mild turbidity observed. Printed letters can be clearly read through the tube. Interpretation for Benedicts Solution Table 4. Nothing can be observed through the tube. Table 1. (+1) Definite turbidity observed. Interpretation of results of the Acetic Acid test.aboutdiabetesinformation. (+2) Definite turbidity observed. Printed letters cannot be read clearly through the tube.Appendix A. Appendix B. (+3) Definite turbidity observed. (+4) Protein clots are seen in the tube. When the urine column in the tube is placed in front of a typed sheet of paper. printed letters can be clearly read through the tube.com/diabetesurinetest-benedictstest.