EVALUATION TOOL FOR BAG TECHNIQUE RATIONALE

Name: Sheikha A. Kamid_BSN2B_________________ Grade: _____________

AREA FOR EVALUATION RATIONALE REMARKS

SKILLS (35%)
ASSESSMENT /PLANNING
1. Determine the procedure to be
performed.
1. Find a flat surface to place your For easier and ss
bag. efficient handling of
equipment and to
avoid liquids and
glass materials from
falling over.
2. Determine all equipments To prepare equipment
needed. check of time and
determine whether it
is unavailable
3. Wash hands. To prevent infection
transmission
4. Gather equipment needed. To have them readily
accessible

T
IMPLEMENTATION
5. Pull out the paper lining and
plastic lining from the bag

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To make a non-
contaminated work
field or area
6. Put the bag in one corner of the To prevent
lined surface at your contamination and
convenience. have the equipment
readily accessible.
7. Open the bag and take out hand To prepare for hand
towel, soap dish and apron and washing.
place them at one corner of the
work area.
8. Perform handwashing. To prevent infection
from the care provider
to the client.
9. Put on apron correctly. To protect the nurse’s
uniform.
10. Pull out things needed for a To have them readily
specific procedure and place it accessible
on one corner of the working
 area.
11. Place waste paper bag outside
the work area.
12. Close the bag and proceed with
specific nursing care treatment.
a. Benedict’s Test-Urine testing
for glucose determination
i. Put 5 ml of Benedict’s solution
into the test tube.
ii. Heat over flame
iii. Drop 3-5 gtts urine and boil
iv. Leave the mixture to cool to
room temperature
v. Read and interpret result
vi. Record result
vii. Explain to the client the
significance of the findings
and give health teachings
b. Acetic Acid test for albumin
determination
To prevent
contamination of the
clean area
To prevent
contamination and
maintain personal
hygiene.
The Benedict’s test
can be used to detect
amount of glucose in
urine; which may
indicate diabetes or
disorders related to
blood sugar
regulation.
Complex
carbohydrates like
starch cannot react
positively unless they
are broken down
through heating or
ingestion; heat
moisture slowly
To allow precipitate
to form.
Results can be used to
indicate possible
complications; and
allow for health care
planning.
Health education
allows for awareness
of communicable and
non-communicable
diseases within the
community. It
empowers
communities and to
improve their health
status and care for
their well-being.
To detect abnormally
high levels of protein
 i. Fill 2/3 of test tube or 5 ml in urine which may
urine indicate renal disease.
ii. Heat the upper portion To compare
of test tube with urine coagulation forming
without shaking until on top compared and
boiling. bottom of tube
iii. If cloudness appears in Cloudness indicates
the heated portion, add 5 the presence of either
gtts one at a time of 10% proteins, phosphates
acetic acid and heat or carbonates.
again.
iv. Interpret characteristic To determine any
result. possible complication
in patient and prepare
for healthcare
planning.
v. Record result Allows for
assessment and
maintenance of health
status.
vi. Explain to the client the Health teachings
significance of the allow for
findings and give health improvements of an
teachings. individuals health
status and well-being.
14. After completing nursing care or To protect caregiver
treatment, clean and disinfect the and prevent spread of
things used with alcohol. possible infection to
others.
15. Do handwashing again and open the Hand hygiene deters
bag. Put back all articles in its proper the spread of
places. microorganisms; to
maintain cleanliness
and orderliness of the
supplies.
16. Remove the apron and place it in the To prevent spread of
bag. microorganisms
between the nurse,the
apron, and equipment
in the bag.
17. Fold the paper and plastic lining To prevent
properly and place it back in the bag contamination of
and close the bag. equipment inside the
bag
18. Make post visit conference and To used as reference
make appointment for the next visit for follow up visit and
 to provide follow-up
care.
EVALUATION
19. States outcome criteria for
evaluation.
20. Observe proper bag technique
21. Able to interpret and explain results
of procedure correctly to client.
KNOWLEDGE: (15%)
1. Gives rationale of the procedure.
2. Explains the elements and mechanics
of the procedure.
3. Knows the elements of nursing
process as applied.
4. States principles applied in the
procedure.
ATTITUDE: (10%)
1. Is well groomed.
2. Wears prescribed, neat, and clean
uniform.
3. Arrives on time for the RD.
4. Speaks to CI and client tactfully.
5. Minimizes use of energy, time, and
effort
6. Utilizes supplies efficiently.
7. Considers client’s safety, privacy, and
comfort.
8. Is well organized.
9. Keeps working area clean at all times.
10. Gives high value for aesthetics.

Comments: _______________________________________________________________
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Clinical Instructor’s signature: ____________________________________