Checklist-Bag Technique

BAG TECHNIQUE
Definition
Bag technique-a tool making use of public health bag through which the nurse, during his/her
home visit, can perform nursing procedures with ease and deftness, saving time and effort with
the end in view of rendering effective nursing care.
Public health bag – is an essential and indispensable equipment of the public health nurse which
he/she has to carry along when he/she goes out home visiting. It contains basic medications and
articles which are necessary for giving care.
Rationale
To render effective nursing care to clients and /or members of the family during home visit.
Principles
1. The use of the bag technique should minimize if not totally prevent the spread of
infection from individuals to families, hence, to the community.
2. Bag technique should save time and effort on the part of the nurse in the performance of
nursing procedures.
3. Bag technique should not overshadow concern for the patient rather should show the
effectiveness of total care given to an individual or family.
4. Bag technique can be performed in a variety of ways depending upon agency policies,
actual home situation, etc., as long as principles of avoiding transfer of infection is carried
out.
Special Considerations in the Use of the Bag
1. The bag should contain all necessary articles, supplies and equipment which may be used
to answer emergency needs.
2. The bag and its contents should be cleaned as often as possible, supplies replaced and
ready for use at any time.
3. 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.
4. The arrangement of the contents of the bag should be the one most convenient to the user
to facilitate the efficiency and avoid confusion.
5. Hand washing is done as frequently as the situation calls for, helps in minimizing or
avoiding contamination of the bag and its contents.
6. The bag when used for a communicable case should be thoroughly cleaned and
disinfected before keeping and re-using.
Contents of the Bag
 Paper lining
 Extra paper for making bag for waste materials (paper bag)
 Plastic linen/lining
 Apron
 Hand towel in plastic bag
 Soap in soap dish
 Thermometers in case [one oral and rectal]
 2 pairs of scissors [1 surgical and 1 bandage]
 2 pairs of forceps [ curved and straight]
 Syringes [5 ml and 2 ml]
 Hypodermic needles g. 19, 22, 23, 25
 Sterile dressings [OS, C.B]
 Sterile Cord Tie
 Adhesive Plaster
 Dressing [OS, cotton ball]
 Alcohol lamp
 Tape Measure
 Baby’s scale
 1 pair of rubber gloves
 2 test tubes
 Test tube holder
 Medicines
 betadine
 70% alcohol
 ophthalmic ointment (antibiotic)
 zephiran solution
 hydrogen peroxide
 spirit of ammonia
 acetic acid
 benedict’s solution
Note: Blood Pressure Apparatus and Stethoscope are carried separately.
Steps/Procedures
Actions Rationale
1. Upon arriving at the client’s home,

place the bag on the table or any flat
surface lined with paper lining, clean side
out (folded part touching the table). Put
the bag’s handles or strap beneath the
bag. To protect the bag from contamination.
2. Ask for a basin of water and a glass of

water if faucet is not available. Place To be used for handwashing.
these outside the work area. To protect the work field from being wet.
3. Open the bag, take the linen/plastic

lining and spread over work field or area.
The paper lining, clean side out (folded
part out). To make a non-contaminated work field or area.
4. Take out hand towel, soap dish and To prepare for handwashing.
apron and the place them at one corner of
the work area (within the confines of the
linen/plastic lining).
5. Do handwashing. Wipe, dry with

towel. Leave the plastic wrappers of the Handwashing prevents possible infection from one
towel in a soap dish in the bag. care provider to the client.
6. Put on apron right side out and wrong

side with crease touching the body,
sliding the head into the neck strap. To protect the nurses’ uniform. Keeping the crease
Neatly tie the straps at the back. creates aesthetic appearance.
7. Put out things most needed for the

specific case (e.g.) thermometer, kidney
basin, cotton ball, waste paper bag) and
place at one corner of the work area. To make them readily accessible.
8. Place waste paper bag outside of work

area. To prevent contamination of clean area.
To give comfort and security, maintain personal

9. Close the bag. hygiene and hasten recovery.
10. Proceed to the specific nursing care or

treatment. To prevent contamination of bag and contents.
11. After completing nursing care or

treatment, clean and alcoholize the things To protect caregiver and prevent spread of infection to
used. others.
12. Do handwashing again.
13. Open the bag and put back all articles

in their proper places.
14. Remove apron folding away from the

body, with soiled sidefolded inwards, and
the clean side out. Place it in the bag.
15. Fold the linen/plastic lining, clean;

place it in the bag and close the bag.
16. Make post-visit conference on matters

relevant to health care, taking anecdotal
notes preparatory to final reporting. To be used as reference for future visit.
17. Make appointment for the next visit For follow-up care.
(either home or clinic), taking note of the
date, time and purpose.
After Care
1. Before keeping all articles in the bag, clean and alcoholize them.
2. Get the bag from the table, fold the paper lining ( and insert), and place in between the
flaps and cover the bag.
Evaluation and Documentation
1. Record all relevant findings about the client and members of the family.
2. Take note of environmental factors which affect the clients/family health.
3. Include quality of nurse-patient relationship.
4. Assess effectiveness of nursing care provided.
Reference:
Community Health Nursing Services in the Philippines, DOH

Checklist-Bag Technique

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BAG TECHNIQUE

1. Upon arriving at the client’s home,

2. Ask for a basin of water and a glass of

3. Open the bag, take the linen/plastic

5. Do handwashing. Wipe, dry with

6. Put on apron right side out and wrong

7. Put out things most needed for the

8. Place waste paper bag outside of work

To give comfort and security, maintain personal

10. Proceed to the specific nursing care or

11. After completing nursing care or

12. Do handwashing again.

13. Open the bag and put back all articles

14. Remove apron folding away from the

15. Fold the linen/plastic lining, clean;

16. Make post-visit conference on matters

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