GANGASHEEL SCHOOL OF NURSING
Manpuriya janki Prasad Bisalpur Road, Bareilly, U.P
CHECKLIST FOR COMMUNITY PROCEDURE
1. Hand washing
Yes 1 Marks
No 0 Marks
Marks below 6-Not effective
Marks above -6 Effective
s.no Steps of the procedure Yes No Remarks
1. Place the community bag on newspaper
2. Remove watch, bangles, rings in a safe place or place it in the
pocket
3. Open unsterile compartment and remove hand washing set
4. Place newspaper and keep hand washing things near the
washing area
5. Turn on the tap or ask family member to pour water
6. Scrub for 2-3 minutes with nail brush, wash soap and hands with
water
7. Hold hands up to prevent water from coming back down
8. Dry hands with hand towel
2. COMMUNITY BAG
s.no Steps of the procedure
Yes No Remaks
1. Select a work area according to the convenient of the family
2. Place the bag in a mat in a veranda on newspaper
3. Unbutton the bag of lower compartment
4. Remove hand washing equipment and wash hands properly
5. Remove apron from the bag and put it on
6. Remove the need items from the outside compartment
7. Give nursing care based on the plan
8. When procedure is over, wash hands with soap and water
9. Place the articles to the bag after cleaning
10. Fold used newspaper with used side inside
11. Close the bag
12. Record your procedures and observation and instructions given
3. MEASUREMENT OF HEIGHT AND WEIGHT
s.no. Steps of the procedure Yes No Remarks
1. Place the scales and measuring in a well-lighted and ventilated
area
2. Place a clean paper or clean plastic on the scale
3. Look at the record and note the last recorded weight
4. Place the child flat on weighing scale
5. Record the present weight and remove the baby gently
6. Record immediately on the chart
7. Height can be measured by place the tape measure or measuring
rod on a table or firm surface and place the infant alongside the
measure. Hold the head and heel firmly and read the measure
4. TEMPERATURE TECHNIQUE
S.no Steps of the Procedure Yes No Remarks
1. Use bag technique as per standard precautions
2. Remove the thermometer swab up to bulb and read
3. Place the thermometer at proper site
4. Rinse the thermometer thoroughly under cool running water after
reading
5. Replace it in the community bag and wash hands
6. Record it in the TPR sheet
5. UNDER FIVE ASSESSMENTS
S.no Steps of the Procedure Yes No Remarks
1. Wash hands and warm
2. Keep ready with the articles such as inch tape, shakir tape,
nutrition cups
3. Explain the procedure to the parent or the group
4. Weight the infant using weight balance or Bar scale
weighing machine or path weighing machine
5. Check the height by using inch tape, use infantometer, if the
child’s age is below 2 years
6. Record the height and weight in the chart inform to their
parents
7. Measure the chest and head circumference and record
8. Anthropometry should be entered in health record
9. General physical examination can be done by the nurse to
rule out any abnormalities
10. Rule out any refracting errors among children by using
5. BABY BATH
S.no Steps of the Procedure Yes No Remarks
1 Wash hands thoroughly and wear apron
2 Bring the baby to the bath table
3 Undress the baby and wrap in the big towel
4 First wipe the eyes from medial to lateral side, use separate
swabs for each eye
5 If the crust is seen in nostrils, use a lubricated swab to clean
nose, rotate it and clean all sides
6 Clean the inside ears with rolled wisp of cotton
7 Obscene baby’s mouth for thrush, if present applies gentian
violet
8 Hold the baby securely by sliding your hand until the baby’s
head is well supported in your palm
9 Hold the baby’s head over the basin, wet it, apply soap,
rinse it with water and dry it thoroughly
10 Discard the water and take fresh water to keep the water
clean and at correct temperature
11 Unwrap the body, apply soap all over the body, giving
special attention to the neck, arms, axillae, grains fingers
and toes
12 The baby is held firmly and submerged gradually into the
water in the tub to rinse the soap completely
13 Take the baby from the water and dry him by patting gently
6. CORD CARE
S.no Steps of the procedure Yes No Remarks
1 Wash hands thoroughly with soap and water
2 Assess the cord for signs of infection and skin color
3 Pour the antimicrobial agent in small bowl
4 Clean the cord from central to the periphery
5 Repeat the procedure until it is cleaned
6 Discard the cotton swab in a paper bag
7. INJECTION TECHNIQUE
S.no. Steps of the procedure Yes No Remarks
1. Wash hands thoroughly
2. Inform the patient about her procedure
3. Follow the rule of right
4. Take out the needed articles from the bag
5. Sterile technique to be followed
6. Select the injected site depends up on the age and condition of
patient
7. One person, one needle and one syringe principle to be followed
8. Cleanse the site of injection with spirit
9. Cleanse the rubber caps, and ampoule necks with spirit
10 Hold puncture side tight, insert needle withdraw piston to
ascertain position of needle in relation to vein
11. Observe the person for reaction before and after giving the
injection
12. Wash hands and record the medication, time, quantity and name
of the injection
13. Replace the articles after cleaning
8. ORAL REHYDRATION THERAPY
S.NO Steps of the procedure Yes No Remarks
1. Pour one liter of clean water into a clean vessel
2. Open a packet of ORS and pour all the contents into the vessel
3. Stir with a clean spoon till it completely dissolve
4. Take some solution in a clean glass
5. Feed the child frequently with small doses of the solution
9. EYE IRRIGATION
S .no Steps of the procedure Yes No Remarks
1. Wash hands to prevent cross infection
2. Clean eyelids and eyelashes from the inner to the counter corner
of the eye by using wet swabs
3. Irrigate the eye using solution which is at body
temperature
4. Ask the patient to close his eyes and allow a small amount
of the fluid to run over eye lid. Separate eye lids gently
with thumb and fore finger of the left thumb
5. Keep the nozzle of the irrigator about 2 cm above the eyes
and allow the fluid to run into the conjunctival sac. The
flow should run from the inner cantus to the outer cantus,
so that the infection will not enter into the nasolacrinal
duct
6. Ask the patient to look up while irrigating the inner part of
the lower lid and to look down while the inner part of the
upper lid is irrigated
7. Irrigate the eye until the outflow is clean
8. Wipe the eyes for the effect of irrigation
9. Instill eye drops or ointments according to order and make
the patient comfortable
10.PREPARATION OF SPUTUM SMEAR
S.no Steps of the procedure Yes No Remarks
1. A 24 hours sample is better if not overnight sputum in a clean
container
2. Select a new unscratched slide using a broomstick
3. Spread sputum on the slide using a broomstick
4. Allow the slide to air dry for 15-30 seconds
5. Fix the slide by passing it over the flame of spirit lamp
6. The slide may be wrapped in clean paper and sent to the
primary health center along with the request
11. PREPARING BLOOD SMEAR
S.no Steps of the procedure Yes No Remarks
1. Explain the steps of procedure
2 Make the patient to sit or place in a lying position
3. Wipe his finger with spirit swab
4. Press the fingertip and gently prick with a sterile needle
5. Allow a drop of blood to fall on the slide and quickly make the
smear evenly by the edge of the second slide
6. Allow a drop of blood to fall on the slide and quickly make the
smear evenly by the edge of the second slide
7. Send the slide with a requisition to the laboratory for
examination under microscope
12. URINE TESTING
S.no Steps of the procedure Yes No Remarks
1. Unbutton the community bag lower compartment remove hand
washing and urine test articles, arrange the equipment in a
convenient place, wash hands and collect fresh sample of urine
from the individual
2. Sugar test: take 5 ml of Benedict’s solution in a test tube;
boil it to see color change. If not add 8 drops of urine with
dropper shake well and boil it again. The result may be
recorded to the color as blue, green, yellow orange and
red. Blue indicates absence of sugar, green 1%, yellow
2%, orange 3% and Brick red 5%
