BAG TECHNIQUE

Name: ______________________________________ Grade: _________________________________

Year & Section: ____________________________________________ Date: _______________________

DEFINITION:

Bag Technique is a tool making use of a 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 care.

PURPOSE:

To render effective nursing care to clients and/or members of the family during home visit.

EQUIPMENT NEEDED:
Paper Lining
Sterile Cord tie
Extra paper for making bag for waste materials (paper bag)
Adhesive Plaster
Plastic/linen lining Apron
Dressing (OS, Cotton ball) Alcohol lamp
Hand towel in plastic bag
Tape measure
Soap in a soap dish
Baby’s scale
Thermometers in case (one oral and rectal)
1 pair of rubber gloves 2 test tubes
Pairs of scissors
Test tube holder Syringes (5m and 2ml)
(1 surgical and 1 bandage)
Hypodermic needles G19, 22, 23, and 25
Sterile dressings (OS and cotton balls)
2 pairs of forceps (curved and straight)

Medicines: Legend:
 Betadine 1 – Excellent
 70% Alcohol 2 – Very Satisfactory
 Zephiran Solution  Hydrogen peroxide
 Spirit of ammonia 3 – Satisfactory
 Acetic acid 4 – Needs Improvement
 Benedict’s solution (antibiotic)  Ophthalmic ointment 5 – Poor

Note: Blood pressure apparatus and stethoscope are carried separately.

PROCEDURE RATIONALE 1 2 3 4 5
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 bag’s handles or strap
beneath the bag.
2. Ask for a basin of water if faucet is not
available. Place these outside the work area.
3. Open the bag, take the linen/plastic lining
and spread over work field or area. The paper
lining, clean side out (folder part out).
3. Open the bag, take the linen/plastic lining
and spread over work field or area. The paper
lining, clean side out (folder part out).
5. Do handwashing. Wipe and dry with towel.
Leave the plastic wrappers of the towel in in
soap dish in the bag.
6. Put on apron right side out and wrong side
with cease touching the body, sliding the head
into the neck strap. Neatly tie the straps at the
back.
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.
8. Place waste paper bag outside of work area.
9. Close the bag.
10. Proceed to the specific nursing care or
treatment (e.g., TPR taking, Urinalysis, or
wound dressing).
11. After completing nursing care or
treatment, clean and alcoholize the things
used.
12. Do hand washing again.
13. Open the bag and put back all articles in
their proper places.
14. Remove apron folding away from the
body, with soiled side folded inwards, and the
clean side out. Place it in the bag.
15. Fold the linen/plastic lining. If 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.
17. Make appointment for the next visit
(either home or clinic).
POST-PROCEDURE ACTIVITY
18. After care of materials
19. Get the bag from the table, fold the paper
lining and place in between the flaps of the
bag. Close bag.
20. Record all relevant findings about client
and family. Take note of environmental
factors which affect their health. Include
quality of nurse-patient relationship and
nursing care provided.
ATTITUDE OF THE STUDENT:
21. Accept constructive suggestions and
criticisms.
 22. Assumes accountability.
Source:
Pañares-Reyala, Jean, Community Health
Nursing Services in the Philippines, 9th
edition. Manila: Community Health Nursing
Section, national League of Philippine
Government Nurses, Inc., 2000, pp.54-58).

Scoring:

1x ___________ = _________

2x ___________ = _________

3x ___________ = _________

4x ___________ = _________

5x ___________ = _________

Total divided by no. of items = __________

Comments:

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

__________________________________ _______________________________
Student’s Signature over Printed Name Clinical Instructor’s Signature
and Date over Printed Name

______________________________ _____________________________
Date Signed Date Signed

WOUND CARE
Name: ______________________________________ Grade: _________________________________

Year & Section: ____________________________________________ Date: _______________________

DEFINITION:

The application of dry material such as absorbent gauze to protect or cover the wound or
lesions.

PURPOSE:

To protect the healing wound from trauma or bacterial invasion.

EQUIPMENT NEEDED:
Legend:
Clean examination gloves 1 – Excellent
Container for proper disposal of soiled 2 – Very Satisfactory
dressing Sterile 4x4 gauze pads 3 – Satisfactory
Betadine paint and cleanser plaster 4 – Needs Improvement
5 – Poor

PROCEDURE RATIONALE 1 2 3 4 5
1. Wash hands.
2. Prepare materials.
3. Provide privacy
4. Explain procedure to the client.
5. Wash hands.
6. Apply clean gloves.
7. /remove old, soiled dressing and place in
appropriate receptacle.
8. Apply new set of gloves.
9. Assess the appearance of the undressed
wound bed for healing.
10. Cleanse the wound with normal saline
solution.
11. Cleanse the wound with betadine
cleanser.
12. Cleanse the wound with betadine paint.
13. Remove used gloves.
14. Wash hands.
15. Apply new pair of gloves.
16. Grasping the edges, apply the new
dressing on the wound.
17. Approximate, cute, and apply plaster on
dressing.
18. Remove gloves and dispose properly.
19. Conduct client and family education about
the dressing.
 20. Do after care.
21. Wash hands.
22. Do proper documentation

Scoring:

1x ___________ = _________

2x ___________ = _________

3x ___________ = _________

4x ___________ = _________

5x ___________ = _________

Total divided by no. of items = __________

Comments:

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

__________________________________ _______________________________
Student’s Signature over Printed Name Clinical Instructor’s Signature
and Date over Printed Name

______________________________ _____________________________
Date Signed Date Signed

TESTING URINE FOR SUGAR

Name: ______________________________________ Grade: _________________________________

Year & Section: ____________________________________________ Date: _______________________

PURPOSE:

1. To check urine for presence of sugar, acetone, bacteria, and other urinary products.
2. To aid in diagnosis
3. To determine the condition of the patient.
4. To determine effectiveness of therapy.

EQUIPMENT NEEDED:
Legend:
2 test tubes Clean gloves Test tube holder
1 – Excellent
Alcohol lamp Denatured Alcohol Match or lighter
2 – Very Satisfactory
Benedict’s solution Acetic acid Small glass
3 – Satisfactory
Container for urine Colored chart 3 droppers
4 – Needs Improvement
Tissue Waste receptacle
5 – Poor

PROCEDURE RATIONALE 1 2 3 4 5
1. Assemble all equipment.
2. Wash hands.
3. Explain procedure to the patient and
explain proper collection of urine.
4. Explain procedure to the client.
5. Don clean gloves.
6. Apply clean gloves.
A. Benedict’s Test
1. Place 5 cc of Benedict’s solution in a test
tube.
2. Add 8 drops of urine.
3.Heat the button of the test tube until boiling
point.
4. Read the result and compare with the color
chart.
B. Acetic Acid Test
1. Place 5 cc of the urine and place it on a test
tube.
2. Heat the test tube on the upper half.
3. Add 3 drops of acetic acid once it boils.
4. Heat again until boiling point.
5. Read and compare the result with the color
chart.
AFTER CARE
1. Explain result to the patient.
2. Place used instrument in the pouch for
soiled instruments, place soiled articles
outside the bag.
3. Return clean equipment inside the bag.
 4.Wash hands.
5. Return clean equipment inside the bag.
6. Document findings.

Scoring:

1x ___________ = _________

2x ___________ = _________

3x ___________ = _________

4x ___________ = _________

5x ___________ = _________

Total divided by no. of items = __________

Comments:

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

__________________________________ _______________________________
Student’s Signature over Printed Name Clinical Instructor’s Signature
and Date over Printed Name

______________________________ _____________________________
Date Signed Date Signed

LEOPOLD’S MANEUVER

Name: ______________________________________ Grade: _________________________________

Year & Section: ____________________________________________ Date: _______________________

 Legend:
1 – Excellent
2 – Very Satisfactory
3 – Satisfactory
4 – Needs Improvement
5 – Poor

PROCEDURE RATIONALE 1 2 3 4 5
PREPARATION
1. Wash hands.
2. Encourage the patient to empty the bladder.
3. Compute the following:
a. OB Score
b. EDC
c. AOG
4. Physical Assessment First Maneuver
First Maneuver:
1. Position the patient
2. Stand at the side of the bed, facing the mother.
3. Palpate the uterine fundus with warm hands.
4. Determine which part of the baby’s body lies
on the upper fundus according to its:
a. Relative consistency
b. Shape
c. Mobility
Second Maneuver:
1. Place the palmar surface of both hands on
either side of the abdomen.
2. Apply gently but deep pressure in one side of
the abdomen.
3. Palpate the opposite side from the top to the
lower segment of the uterus in a slightly
circular motion.
4. Determine which side of the uterus is the long
axis of the fetus located.
5. Check the fetal heart rate
Third Maneuver:
1. Grasp the lower uterine segment with thumb
and fingers.
2. Identify the presenting part.
3. Determine the mobility of the presenting part.
Fourth Maneuver:
1. Stand to the side facing the patient’s feet.
2. Place the tips of the first three fingers on both
sides of the midline about two inches from
the inguinal ligament.
 3. Apply pressure downward and in the direction
of the birth canal.
4. Confirm the presenting part.
ATTITUDE:
1. Accepts constructive suggestions and criticisms
2. Assume responsibility of his or her actions.

Scoring:

1x ___________ = _________

2x ___________ = _________

3x ___________ = _________

4x ___________ = _________

5x ___________ = _________

Total divided by no. of items = __________

Comments:

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

__________________________________ _______________________________
Student’s Signature over Printed Name Clinical Instructor’s Signature
and Date over Printed Name

______________________________ _____________________________
Date Signed Date Signed

NGT FEEDING

Name: ______________________________________ Grade: _________________________________

Year & Section: ____________________________________________ Date: _______________________

DEFINITION:

Enteral feeding is a method of supplying nutrients directly into the gastrointestinal tract.

EQUIPMENT NEEDED:
NGT Medicine Cup Legend:
Asepto Syringe Tissue/Towel 1 – Excellent
Stethoscope Kidney Basin 2 – Very Satisfactory
Clean Gloves Plaster 3 – Satisfactory
Glass of Warm Water Prepared Formula 4 – Needs Improvement
Calibrated Glass 5 – Poor

PROCEDURE RATIONALE 1 2 3 4 5
ASSESSMENT
Prior to NGT feeding ensure that the tube is
located in the stomach. Coughing, vomiting
and movement can move the tube out of the
correct position. The position of the tube must
be checked:
 Prior to each feed
 Before each medication
 Before putting anything down the tube
 If the patient has vomited
Perform the following observations and obtain
a gastric aspirate to establish tube position.
 ensure taping is secure
 Observe and document the position
marker on NGT/OGT – compare to initial
measurements.
 Observe Patient for any signs of
respiratory distress
Procedure:
1. Wash hands.
2. Prepare materials.
3. Provide privacy
4. Explain procedure to the client.
5. Wash hands.
6. Apply clean gloves.
8. Measure the correct amount of formula and
warm it to the desired temperature.
9. Elevate the patient’s bed to a high- or semi-
Fowler’s position
10. Place protective sheet under tubing to
protect bedding and clothes.
11. Remove cap or plug from the feeding
tube.
12. Check tube patency and placement
 observing mark on NG tube
 pH testing
 Use the asepto syringe to inject 10-15 mL
of air while auscultating with
stethoscope listen for bubbling or
gurgling sound.
 Aspirate stomach contents. Note amount
of residual withdrawn and inject gastric
fluid back into tube. DO NOT discard this
fluid. If residual is greater than 100 mL or
twice the hourly rate of feeding, call
physician. DO NOT administer feeding.
13. Clamp the tube and attach the tube to the
asepto syringe.
14. Flush with 50ml-60 ml water or as
recommended
15. Pour the formula into the asepto syringe
and unclamp the tube.
16. Allow the formula to flow in by gravity.
17. During the feeding, keep the bottom of
the syringe no higher than 6 inches above the
patient’s stomach.
18. Continue adding formula into the syringe
until the prescribed amount is given.
19. If there are medications to be given, do
not mix the medication into the feeding, take
note if the medication is to be given before or
after the feeding, crushed the medication and
mix it with water in the medicine cup, pour
the medication into the asepto syringe.
20. When the syringe is empty, flush the tube
with the prescribed amount of warm water.
21. Clamp the tube.
22. Leave patient in high- or semi-Fowler's
position for at least 30 minutes and observe
after for vomiting or any other unusualities.
23. Discard soiled supplies in appropriate
containers
24. After care of materials. Cleanse reusable
equipment and rinse. Allow to airdry and wrap
in clean towel to be used at next feeding.
25. Proper Documentation:
a. Verification of proper tube placement.
b. Amount of aspirated stomach
content.
c. Feeding solution and amount.
 d. Medications administered.
e. Amount of water administered.
f. Patient's response to procedure.
g. Instructions given to
patient/caregiver.
h. Communication with physician, when
necessary.
ATTITUDE:
26. Accept constructive suggestions and
criticisms.
27. Assumes accountability.

Scoring:

1x ___________ = _________

2x ___________ = _________

3x ___________ = _________

4x ___________ = _________

5x ___________ = _________

Total divided by no. of items = __________

Comments:

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

__________________________________ _______________________________
Student’s Signature over Printed Name Clinical Instructor’s Signature
and Date over Printed Name

______________________________ _____________________________
Date Signed Date Signed