Related Learning Experiences

WEEK 1- Bag Technique

PROFESSORS: DORITHY B. INOT
IMELDA M. SEVILLA
MA. CONCEPCION DAY
PAVEL ANTIQUE
MANNY RAMOS
 BAG
TECHNIQUE
in Nursing
Bag Technique

DEFINITION:
is a tool by which the nurse,
during her visit will enable her
to perform a nursing
procedure with ease and
deftness, to save time and
effort with the end view of
rendering effective nursing
care to clients.
Public Health Bag
▪ an essential and indispensable
equipment for a public health
nurse which she has to carry
along during her home visits.

▪ It contains basic medication and

articles which are necessary for
giving care.
PURPOSE OF BAG TECHNiQUE:
▪ To prevent contamination of bag and
equipment, avoid cross infection, and
establish a clean work area.

▪ Protect patients, family members, and

healthcare workers from the spread of
infection.

▪ Demonstrate compliance with standards,

infection control principles, and standard
precautions.
Contents & Arrangement of the PHN Bag
I. Front of the bag left to right
a. Oral thermometer
b. Rectal thermometer
II. Right rear of the bag
a. 2 Test tubes (medium)
b. Test tube holder
c. Medicine dropper
d. Penlight
III. Left rear of the bag
a. Medicine glass
b. Baby’s scale or spring balance
c. Bandage scissors (7 inches)
d. Tourniquet
 IV. Back of the bag (left – right)
a. Alcohol 70%
b. Acetic acid 5%
c. Aromatic spirit of ammonia
d. Liquid soap & cotton in sterile water
for cleaning the thermometers
e. Benedict’s solution
f. Betadine solution
g. Hydrogen peroxide
h. Ophthamic ointment (antibiotic) 1
tube
i. Disinfectant solution (Chlorox, Cidex
or Zephiran)
 V. Center of the bag
a. Kelly forceps (curve & straight size 7”)
b. Sterile dressings (O.S., C.B.)
c. Roller bandage
d. Cotton applicator
e. Tape measure
f. Syringe (5 ml., 2 ml., 1 tubercullin)
g. Hypodermic needles (G 19, 22, 23, 25, 26)
h. Alcohol lamp
i. Tongue depressor
j. Surgical (Mayo) scissors
k. Adhesive plaster
l. Sterile cold tie or cord clamp (3 pieces)
 VI. Top pile center of the bag
a. Hand towel in a plastic bag
b. Soap in a soap dish
c. Apron
d. Paper lining
e. Paper waste bag in the pocket of the bag
f. Plastic/ linen lining
g. Surgical gloves (1 pair)

● Blood pressure apparatus & stethoscope are carried separately.

Additional contents for HOME DELIVERY:

a. Surgical gloves (5 pairs)

b. Rubber suction
c. Cord clamp (3 pieces)
d. Kidney basin (2 pieces)
e. Foley catheter ( Fr. 8, 16)
f. Nasogastric tube (Fr. 5, 8)
g. Instrument tray
h. Instruments
➢ Needle holder
➢ Kelly forceps (7”), Curve & Straight)
➢ Tissue forceps with teeth
➢ Mayo scissors
a. Surgical needle (round and cutting)
b. Chromic 2.0 or 3.0
c. Medicicnes:
➢ Lidocaine anesthetic
➢ Oxytocin (methergin)
➢ Vit. K injection
➢ KY jelly
d. Hot water bag (optional)
e. Ice bag (optional)
f. Breast pump (optional)
g. Nail cutter
 Special Considerations in the Use of the
Bag
▪ bag should contain all necessary articles,
supplies and equipment which may be used to
answer emergency needs.
▪ The bag contents should be 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 it’s contents clean
and /or sterile while any article belonging to
the patient as dirty and contaminated.
Special Considerations in the Use of the
Bag ▪ 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.
The following are steps in performing bag
technique and rationale for each action:
Action Rationale
Upon arrival at the patient’s To protect the bag from
home, place the bag on the getting contaminated.
table lined with a clean paper.
The clean side must be out and
the folder part, touching the
table
Ask for a basin of water or a glass To be used for hand washing.
of drinking water if tap waster is
not available.
The following are steps in performing bag
technique and rationale for each action:
Action Rationale

Open the bag and take To prepare for hand

out the towel and soap. washing.
Wash hands using soap To prevent infection from
and water, wipe to dry. the care provider to the
client.
The following are steps in performing bag
technique and rationale for each action:
ACTION RATIONALE
Take out the apron from the To protect the nurse’s
bag and put it on with the uniform.
right side
Put out all the necessary To have them readily
articles needed for the accessible
specific care.
Close the bag and put it in To prevent contamination
one corner of the working
area.
The following are steps in performing bag
technique and rationale for each action:
ACTION RATIONALE
Proceed in performing the To give comfort and security
necessary nursing care and hasten recovery
treatment.
After giving the treatment, To protect the caregiver and
clean all things that were used prevent infection
and perform hand washing.
Open the bag and return all
things that were used in their
proper places after cleaning
them.
The following are steps in performing bag
technique and rationale for each action:
ACTION RATIONALE

Remove apron, folding it Remove apron, folding it

away from the person, the
soiled side in and the clean
side out.
Fold the lining, place it inside
the bag and close the bag
away from the person, the
soiled side in and the clean
side out. Place it in the bag.
THE FOLLOWING ARE STEPS IN PERFORMING
BAG TECHNIQUE AND RATIONALE FOR EACH
ACTION:
ACTION RATIONALE
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 For follow-up care
next visit (either home or
clinic) taking note of the
date and time.
Bag Technique: CONSIDERATIONS
1. Staff is responsible for maintaining the
cleanliness and completeness of the bag.

2. As homes differ greatly, staff will need to

use judgment in selecting an appropriate
work area.

Considerations include: cleanliness of

home, adequate lighting, low traffic area,
away from direct currents from windows,
heat or air conditioning vents, safe area for
bag away from pets and children.
bag technique: CONSIDERATIONS
3. Bag must be thoroughly cleaned if
soiled and periodically as needed.

▪ Reusable equipment is cleaned with

soap and water in the presence of
bodily secretions, dried, then wiped
with alcohol and allowed to air dry.

4. Disposable equipment is used whenever

possible.
bag technique: CONSIDERATIONS

5.Patient’s equipment (e.g.

thermometer, BP unit) is used
whenever possible.

6.The inside and contents of the

bag are always considered clean.
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