BAG TECHNIQUE

A tool which the nurse, during the

home visit, can perform a nursing
procedure with ease and depth,
saving time and effort, with the end
view of rendering effective nursing
care.
Rationale:

 To render effective nursing care to

clients and/or members of the family
during home visit
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.
Plan Of Visit

•an essential tool in achieving

the best results in home
visiting
Home Visit

•a professional face to face

contact made by a public health
nurse to the patient or the family
to provide health care activities.
Family-Nurse Contact

•the within or behalf of the

particular family &the nurse in
achieving an important goal
for the success of delivering
nursing care.
Case Load

•number & kind of families a

caregiver will handle at a given
time
TYPES OF CASE LOAD:

1. MORBID- for the diagnosed/

undiagnosed diseases (eg.Tuberculosis)
2. ANTEPARTUM- for the pregnant
3. POSTPARTUM-after the mother’s delivery,
6 mos. after
TYPES OF CASE LOAD:

4. HEALTH SUPERVISION- used for children

under 6 years old & below
5. CASE FINDING- this is without the
diagnosis by doctors or physicians
6. GERIATRIC- for the olds, 65 years of
age & above
PURPOSES
A. CHN BAG
Serve as a first aid kit
To work efficiently and swiftly during nursing
procedure.
To conserve time and energy
To minimize or prevent spread of infection
To render effective care to client’s/ and/or members
of the family.
B. BAG TECHNIQUE

To minimize if not prevent spread of

infection.
To work efficiently and rapidly during
technique.
PRINCIPLES
1. The use of bag should minimize, if not totally
prevent the spread of infection from certain
individuals to families.
2. The bag should contain all necessary articles,
supplies and equipment that maybe used to meet
the needs of client and family.
3. The bag and its contents should be cleansed as
often as possible, supplies placed and ready for
use anytime.
4. The bag & its contents should be well protected
from contact with any articles in the home of the
client.
CONSIDERATIONS
1. The arrangement of the content of the bag should be one
most convenient to the nurse to facilitate efficiency and avoid
confusion.
2. Bag technique should not overshadow concern for the client
but rather should show the effectiveness of the total care
given to an individual or family.
3. The bag technique can be performed in a variety of ways,
depending upon agency policies and actual home situation.
4. Hand washing as frequently as the situation calls for helps in
minimizing or avoiding contamination of the bag and its
content.
5. The bag, when used for a communicable case, should be
thoroughly cleansed and disinfected before keeping and
reusing.
DIFFERENT TYPE OF FAMILY-
NURSE CONTACT
Home Visit

health caregiver
visits a home in
the community
Clinic Visit

clients visit the health

clinics to inquire or to
seek health center
consultation, check-ups
or treatments of health
problem visit.
Industrial Clinic Visit

nurses are hired by agencies or

companies to do a medical
assessment on their employees for pre-
employment check-up and treatment
on health problems
School Clinic Visit

it’s where students

seek
health care services
from their school- most
schools have clinic wherein
the nurse is always in contact
with the students who are
prone to accidents
CONTENTS OF BAG
 Paper lining
 Extra paper for making bag for waste material (paper
bag)
 Apron
 Hand towel
 Soap in a 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 (5ml and 2ml)
 Hypodermic needles g.19,22,23,25
 Sterile dressing
 Sterile cord tie
 Adhesive plaster
 Alcohol lamp
 Tape measure
 Baby’s scale
 1 pair of rubber gloves
 2 test tubes
 Test tube holder
Medicines:

Betadine
70% alcohol
Ophthalmic ointment
Zephiran solution
Spirit of ammonia
Acetic acid
Benedict solution
Note: Blood pressure apparatus and stethoscope are carried
separately.
ARRANGEMENT OF
CONTENTS OF BAG
a. FRONT OF THE BAG (left to right)

oral thermometer (facing

down)
rectal thermometer
syringes & needles in a metal
container
b. RIGHT SIDE OF THE BAG

test tube & test tube holder

medicine dropper
Match
alcohol lamp
denatured alcohol.
c. LEFT SIDE OF THE BAG (near
to the front)

medicine glass w/ suction inside

baby weighing scale.
d. BACK of the bag (left to right)

 Betadine
 70% alcohol
 hydrogen peroxide
 Lysol solution
 spirit of ammonia
 Benedict’s solution
e. CENTER OF THE BAG
 kidney basin
 cloth bag
 Kelly curve & Kelly straight
 Umbilical scissors Bandages
 cloth bag w/ sterile OS
 cotton balls
 cotton applicators
 hand towel
 soap dish & soap- apron.
f. TOP POCKET

 sterile gloves
 French 12 catheter
 French 8 catheter
 cord clamp-
 paper waste bags
 plastic bag.
g. TOP OF THE INNER COVER

 5’- 8” paper soap dish lining

 12 ½’
 18 ½” paper lining
 13 ½’– 19 ½” plastic lining
 14’ – 20” paper lining- for the bottom
PROCEDURE
1. Upon arriving at the client’s home, place
the bag on the table or any surface lined
with paper lining, clean side out (folded
part touching the table). Put bag’s handles
or strap beneath the bag.

Rationale: To protect bag from contamination.

2. Ask for a basin of water and a glass of
water if faucet is not available. Place
these outside the working area.

Rationale: to be used for hand washing and to protect

the work field from being wet.
 3. Open the bag and take out the towel
and soap.

Rationale: to prepare for hand washing.

4. Wash hand using soap and water. Wipe
to dry.

Rationale: To prevent infection from the care

provider to the client.
5. Put on apron right side out and wrong
side with crease touching the body, sliding
the head into the neck strap. Neatly tie the
waist at the back.

Rationale: To protect the nurse uniform.

 6. Put out most needed for the specific
case (e.g. thermometer, kidney basin,
cotton balls, waste paper bag).

Rationale: To make them readily accessible.

7. Close the bag and put it in one
corner of the working area.

Rationale: To prevent contamination.

8. Place waste paper bag outside of
work area.

Rationale: To prevent contamination of clean

area.
 9. Close the bag.

Rationale: To give comfort and security, maintain

personal hygiene and hasten recovery.
10. Proceed to specific nursing
treatment.

Rationale: To prevent contamination of

bag and contents.
11. After completing nursing care or
treatment, clean and alcoholize
thing used.

Rationale: To protect caregiver and prevent

spread of infection to others.
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, 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.

Rationale: To be used for future visit.

17. Make appointment for the next visit
(either home or clinic), taking note of
the date, time and purpose.

Rationale: For follow-up care.

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.
THANK YOU!