Bag Technique

Procedures Rationales

To assess the family and provide necessary

1. State the purpose of the procedure
nursing care to the family

2. Gather all the necessary articles To save time and effort

needed for the procedure

3. Place the bag on the table or any To protect the bag from getting contaminated
flat surface lined with paper lining
with the folded part touching the
table (clean side out)

4. Position the bag’s handle or strap To facilitate access to the bag and its contents
beneath the bag

5. Ask for a basin of water and a glass This will be used for handwashing.
of water if the faucet is not Handwashing should be done outside the work
available. Place these outside the area to prevent contamination of the bag and
work area its contents
This is where the articles are placed to maintain
6. Open the bag, take the linen/plastic their cleanliness and prevent any contamination
lining, and spread over the work
field or area (clean side out)

7. Take out hand towel, soap, apron To prepare for handwashing

and place them at one corner of
the work area

8. Perform hand hygiene Prevents the spread of microorganisms

9. Put on the apron (right side out) Protects the nurse’s uniform
sliding the head into the neck
strap and neatly tie the straps at
the back

10. Remove all items needed for a Placing the needed articles in a certain corner
specific case from the bag and of the work area makes it readily accessible
place them at one corner of the
work area

11. Place the waste paper bag Soiled articles should be properly disposed of
outside of work area in a waste paper bag to prevent contamination
12. Close the bag Prevents unnecessary exposure of the bag and
its contents

13. Proceed to the specific nursing Provides care and comfort and hastens
care or treatment recovery

14. After completing nursing care Prepares the articles for future use
or treatment, cleanse and
sanitise the materials used

15. Perform hand hygiene Deters the spread of microorganisms

16. Open the bag and put back all For organisation and easy access
articles in their proper places

17. Remove the apron folding away Prevents contamination of bag and its contents
from the body, with soiled side
folded inwards, and the clean side
out and place it inside the bag

18. Cleanse, fold and place the

plastic lining back inside the bag

19. Conduct post-visit conference Serves as reference for next visit

20. Set an appointment for the next For follow-up care
visit (either home or clinic), taking
note of the date, time, and
purpose

Perineal Care

Procedures Rationales
1. State objectives of the procedure • To remove normal perineal
secretions and odors.
• To promote client comfort.
• To promote enhanced wound
healing or restored skin integrity.
2. Perform thorough hand hygiene.
Wear gloves
3. Introduce self and verify client’s
identity (using two identifiers)
4. Explain procedure to the client
5. Assemble all equipment and
materials to be used and place
them within the work area
6. Provide privacy
7. Drape patient accordingly
8. Position client in dorsal recumbent
position
9. Place waterproof pads/bedpan
under the buttocks
10. Secure receptacle for soiled
pads/cotton balls
11. Pour warm water into perineal
area
12. Cleanse perineum using seven
stroke method three times
13. Pour warm water over the
perineum
14. Dry perineum and episiotomy
wound carefully with sterile gauze
15. Remove bedpan and dry the
patient's buttocks
16. Remove gloves. Wash hands
17. Assist client on putting a clean Prevents contamination of vagina and urethra
perineal pad
18. Reposition client
19. Assist client on putting on clean
gown
20. Dispose soiled articles
appropriately
21. Perform after care of the
materials used
Removes number of microorganisms
Patient identification validates correct patient
and correct procedure
Discussion and explanation allay anxiety and
prepares the patient for what to expect
• Organisation facilitates efficiency •
Saves time and effort.
Hygiene is personal matter
To prevent undue exposure of patient during the
procedure
To relax abdominal muscle and for proper
visualisation of area to be cleaned
Prevents bed from becoming soiled
To prevent contamination
Warm water and activity can stimulate the need
to void. Client will be more comfortable after
voiding, and voiding before cleaning perineum
is advisable
• Using separate quarters of
washcloth or new cotton balls
prevents transmission of
microorganisms from one area to
the other
• Wipe from area of least
contamination (pubis) to that of
greatest (rectum)
To wash and rinse perineum
• Dry perineum thoroughly, paying
particular attention to folds
between labia
• Moisture supports growth of many
microorganisms
To prevent growth of microorganisms and
prevent contamination
To prevent contamination
from anal area
To provide comfort to client
To prevent contamination
22. Document the client’s response to Document any unusual findings such as
procedure and other significant redness, excoriation, skin breakdown,
data discharge or drainage, and any localised areas
of tenderness