ll-Bag technique

State the materials / PURPOSE

 Paper lining  Disposable syringes with  Test tube holder
 Extra paper for making bag needles (G23 and G25)  Medicines:
for waste materials (paper  Hypodermic needles (G19, 22,  *Betadine
bag) 23, 25)
 Plastic linen/lining  Sterile dressings (OS)  *Spirit of ammonia
 Apron  Sterile cord tie
 Hand towel in plastic bag  Adhesive plaster  *70% alcohol
 Soap in a soap dish  Dressing (OS, cotton ball)
 Thermometers in case (one  Alcohol lamp  *Acetic acid
oral and rectal)  Tape measure  *Ophthalmic ointment
 2 pairs of scissors (1 surgical  Baby’s scale (antibiotic)
and 1 bandage)  1 pair of rubber gloves  *Benedict’s solution
 2 pairs of forceps (curved and  2 test tubes  *Zephiran solution
straight)  *Hydrogen peroxide

What is?
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.
 Baby weighing scale Cord clam
*FLAP Test tubes and test tube holder
Receptacle *TOP CENTER Last Part:
Paper lining Soap in a soap dish
Paper waste bag in pocket of bag Hand towel (2pcs) 1. Handwash
2. Document the
Apron
procedures/Relevant findings
*FRONT OF THE BAG Kidney basin 3. Discuss when will be the next
visit
Oral and rectal thermometer
Gloves *RIGHT SIDE OF THE BAG
Medicine dropper
*BACK OF THE BAG Surgical scissors
70% alcohol Curved and straight forceps
Ammonia Sterile OS
Betadine Tape measure
Hydrogen peroxide Bandage (roller)
Benedict’s solution Syringes and needles
Cotton applicator
*CENTER OF THE BAG Sterile cotton balls
Medicine glass Adhesive plaster

Handwashing
1. Defines Handwashing
It is an act of cleaning the hands with
water and soap / or alcohol for the
purpose of removing soil or
microorganisms to prevent cross
contaminations.
2. State the purposes
To cleanse hands from
contamination of pathogens (like
bacteria and viruses) or chemicals
that can cause disease from patient
to nurse and nurse to patient.
3. Enumerate special
considerations.
1. Remove all jewelry
2. Inspect hand and nails if:
 free of cuts and
wounds
 Nails must not extend
past the fingertips
3. 90-degree angle elbow
4. When washing with water: 6. State the principles/rationale
(Surgical) From Hands to behind a specific action.
elbow or Greater to lesser
To avoid Contamination:
(Clean/ Aseptic) Elbow to
Hands or Lesser to Greater  Keep hands above the elbow
5. Do not move arms back and and Away from scrub attire
forth the water, just to one and non – sterile surfaces
side, and don’t go back.
6. Allow water to sink off from
your arm. (Do not shake and
wave hands to remove water) 5 MOMENTS
7. Dry with a sterile towel 1. Before touching the patient
2. Before doing the aseptic
procedure
4. Identify materials/equipment 3. After exposure to anybody
needed. fluid
4. After touching the patient
Types of Handwashing
5. After touching the
1. Alcohol-based rub– Material: surroundings
Alcohol
2. Surgical Hand Hygiene /
Antisepsis– (Greater to
Lesser) Materials: Orange
tape, Brush, povidone-Iodine,
Paper towel/ Sterile towel,
Nail pick
3. Antiseptic Handwash –
(Lesser to Greater) Material:
Water, Soap, Paper
towel/Sterile towel
 Considerations:
It should not have folds because it
may cause irritation and breakage.

Gloving Technique
2 types of Sterile Gloving
 Open Glove Technique
Definition:  Close Glove Technique
Sterile or fitted coverings for the
hands, usually with a separate sheath
for each finger and thumb. Clean
gloves are worn to protect the health
care personnel from urine, stool,
blood, saliva, and drainage from
wounds and lesions of patients.
 Wore when there is contact
with sterile instruments or a
patient’s sterile part.

Purpose:
 To provide a barrier that
prevents the transfer of
microorganisms to surgical
sites.
 To protect the nurse from the
patient’s blood and exudates
during the procedure.
 time of day, in women, the stage of Is the number of breaths a person
the menstrual cycle. takes per minute. Measured when a
person is in rest. By counting how
Normal: 97.8 F (36.5 C) – 99 F (37.2
Vital Signs many times the chest rises.
C)
Definition: Considerations:
Pulse Rate:
Also called cardinal signs, these are  When checking respiration, it
This is the measurement of the heart
the indicators of health status, as is important to note if the
rate or the number of times the
these indicate the effectiveness of person has any difficulty in
heartbeats per minute. As the heart
circulatory, respiratory, neural, and breathing.
pushes blood through, the arteries
endocrine body functions. expand and contract with the flow of Normal: 12-16 breaths per minute
Measurement of the body’s most blood.
basic functions. Taking a pulse not only measures the
Blood Pressure:
1. Body Temperature heart rate but also indicates the
2. Pulse Rate Heart rhythm and Strength of the Hypotension: occurs when blood
3. Respiration Rate (Rate of pulse. pressure drops below the normal
Breathing) range. 90/60 mm Hg or below.
Normal: Adult 60-100 beats per
4. Blood Pressure minute Hypertension: also called high blood
5. Pain
pressure, is blood pressure that is
Child ?? beats per minute
higher than normal.
Tachycardia – a faster than normal
Purpose: Categories:
heart rate. Heart rate over 100 beats
per minute. Normal:
Systolic less than 120
Body Temperature: Bradycardia - a slower than normal
Diastolic less than 80 (120/80)
heart rate. Heart rates fewer than 60
Varies depending on gender, recent times a minute.
activity, food and fluid consumptions, Elevated:
Respiration Rate: Systolic of 120 to 129
Diastolic less than 80
 Pain:
Stage 1:
Whatever the experiencing person
Systolic is 130 to 139
says it is and exists in parts.
Diastolic between 80 to 89
Self-report is the most reliable
Stage 2: indication of pain.
Systolic is 140 or higher
The patient is asked to tell the
Diastolic is 90 or higher
intensity of pain in range 1-10.
Considerations: 1 is the lowest and 10 as the highest.
Before measuring blood pressure
according to American Heart
Association:
 Don’t smoke or drink coffee
30 minutes before taking BP
 Go to the bathroom before
taking BP
 Relax 5 minutes
 Sit with back supported
 Keep feet on the floor
uncrossed
 Take multiple readings (One
minute apart)

 Record date, time, and blood

pressure
 Take bp the same time every
day

Leopolds Maneuver
Definition:
The Leopold maneuvers are used to
palpate the gravid uterus
systematically. This method of
abdominal palpation is of low cost,
easy to perform, and non-invasive.
It is used to determine the position,
presentation, and engagement of the
fetus in utero.
Maneuvers:
Considerations:
 Rub hands to become warm
 Empty bladder of the patients
 NPO overnight
Position:
 Dorsal Recumbent (To relax
abdomen)
2ND MANEUVER
Kapag nagmemeasure ng fundic UMBILICAL GRIP
height from symphysis pubis
OTO DETERMINE THE PLANE/BACK
hangang fundus hindi xiphoid
OF FETUS, AND TO LOCATE THE FHT
process sabi ni mam joan, mali yung
JCI dun. SOFT, HARD AND RESISTANT
3RD MANEUVER
Pwede daw mameasure ang Fundic PAWLIKS GRIP
height kahit walang tape measure.
TO DETERMINE THE ENGAGEMENT
Bartolome methodsdsds ewan ko di
OF THE HEAD OF THE FETUS
ko na tanda. Sana di itanong di ko
mahanap sa net e 4TH MANEUVER
PELVIC GRIP
THE ATTITUDE OF THE FETUS
BROW
1ST MANEUVER
FUNDAL GRIP
TO DETERMINE THE POSITION OF
THE FETUS
BREECH OR CEPHALIC
(BALOTABLE MASS, AND ROUND)
Body Mechanics
Instruments Used:

Vaginal Speculum - is a
medical device that allows
physicians and health providers
to better view a woman's cervix
and vagina during pelvic exams.
Vaginal Retractor - aids in the
visualization of the interior of
the vagina during gynecological
and obstetrical procedures and
examinations.
Stitch Scissor - allow
cutting/segregation of tissues
and cutting of sutures during
ophthalmic procedures.
Needle holder - also called
needle driver, is a surgical
instrument, similar to a
hemostat, used by doctors and
surgeons to hold a suturing
needle for closing wounds
during suturing and surgical
procedures.
Mayo scissor - Mayo scissor is
used to cut thick tissues such as
those found in the uterus,
muscles, breast, and foot.
Sponge holder- Sponge Holder
is commonly used to hold a
swab, which can be used to
clean and prep the skin
Kelly Forcep Curve- Kelly
Hemostatic Forceps are
primarily used for clamping
large blood vessels or
manipulating heavy
tissue/straight
Kelly Forcep Straight - (also
called mosquito forceps when
they are smaller) are a general
purpose EMS and surgical tool
used to grasp very small objects
when are too large.
Bandage scissor - This helps in
cutting bandages without
gouging the skin.
Thumb Forcep - are used for
grasping, holding or
manipulating body tissue. They
are non-ratchet style. For
example, you could use thumb
forceps to hold or move tissue
during surgery or to move
dressings.
Tissue Forcep - Tissue forceps
are used in surgical procedures
for grasping tissue
Episiotomy scissors - The
midwife or obstetrician may
decide to make a surgical cut to
the perineum with scissors or a
scalpel to make the baby's birth
easier and prevent severe tears
that can be difficult to repair.
Maternity Pad - Special
maternity pads can help absorb
the heavier bleeding while still
keeping you comfortable and
secure while you recover from
delivery.
Perineal Care:
Definition:
Cleaning the genital area to prevent
infection and odor and improve
comfort
Routine aprt of complete bed bath,
but also as needed between baths
especially for incontinence, diarrhea,
and skin irritation or discharge
Purpose:
 Clean vulva and Perineum
 Promote healing
 Prevent infection
 Make woman comfortable
 Stimulate micturition
 Observe condition of
Perineum
People needs:
 Post Partum
 Bed read
 Contains stool and urinary
When Performing:
 Provide privacy and dignity,
drape.
 Standard precaustions. Clean
front to back
 Clean catheter from meatus
out
 Retract and clean foreskin of
uncircumcised mae
 Separate labia of female
 Provide comfort with warm
water, being gentle, and
rinsing well.
 Know when to change gloves,
water, and wash cloths.
 Dry Sterile Towel
Forceps

Disposable/
Sterile Gloves

Warm water
Antiseptic Solution / Betadine

Kidney
Urinal
Basin/dish
Bed pan

Cotton
balls/sponges