SILLIMAN UNIVERSITY COLLEGE OF NURSING

Dumaguete City

BAG TECHNIQUE & URINALYSIS

Performance Checklist

Student’s Name: _________________________________

Instructor’s Name: _______________________________

Instructor’s Signature: _____________________________ Date: _______________

STEPS 4 3 2 1 Remarks
1. Greet the client/patient.
2. Place bag on the table lined with clean paper and
tuck the handle.
1. Explain the procedure: urinalysis.
2. Provide a clean container and give proper
instruction.
3. Open the bag and take the hand washing
equipment.
4. Wash hands and wipe to dry.
5. Open the bag and Lay the cloth lining over the
paper lining.
6. Put on apron.
7. Put all the necessary equipment/supplies needed
for the care.
8. Perform the glucose, protein, specific gravity and
pH test.
a) Prepare the urine test strip.
b) Put on gloves.
c) Mix urine well.
d) Immerse the test areas of the strip & remove
immediately.
e) Run the edge of the entire length of the strip
against the rim of the container.
f) Lay the strip on a tissue paper/gauze for 1-2
seconds.
g) Read result of the test appropriately at exactly
30 seconds.
9. Explain the results of the test to the client/patient.
10.Do the necessary health teaching.
11.Discard the strip and urine properly.
12.Remove gloves and wash hands with soap and
water.
13.Open the bag and return the equipment and
unused supplies into their proper places in the bag.
Place wet/moist articles inside a plastic bag.
14.Remove apron with technique.
15.Return folded cloth lining and close the bag.
16.Lift the bag and do aftercare. Discard the paper
lining and waste receptacle.
17.Do the necessary recording.
Total Score