LEVEL 2 NURSING SKILLS LABORATORY MANUAL

JMJ Marist Bothers

Notre Dame of Marbel University BAG TECHNIQUE
College of Arts and Sciences Procedure Guide No.1
Nursing Department

DEFINITION. A tool by which the nurse doing her home visit can perform a nursing procedure
with ease and deftness, saving time and effort with view of effective nursing call.

PRINCIPLES IN THE USE OF THE BAG:

a. The bag should contain all necessary articles, supplies and equipment which may be
used to answer emergency needs.
b. The bag and its contents should be cleaned as often as possible, supplies replaced and
ready for use at any time.
c. The bag and its contents should be well protected from contact with any article in the
home of patients. Consider the bag and its contents clean and or sterile while any
articles belonging to the patient as dirty and contaminated.
d. The arrangement of the content of the bag should be the one most convenient to the
user to facilitate efficiency and avoid confusion.
e. Handwashing as frequent as the situation calls for helps minimize or avoid
contamination of the bag and its contents.
f. The bag when used for a communicable care should be thoroughly cleaned and
disinfected before keeping and re-using.

PRINCIPLES OF BAG TECHNIQUE

a. The use of the bag technique should minimize if not totally prevent the spread of
infection from individual to families to the community.
b. Bag technique should save time and effort on the part of the nurse in the performance
of nursing procedure.
c. Bag technique should not overshadow concern for the patient but rather show her
effectiveness in providing total care to an individual or family.
d. Bag technique can be performed in a variety of ways depending upon agency policies,
actual home situation, etc., as long as the principles of avoid transfer of infection is
carried out.

EQUIPMENT

▪ Paper lining ▪ 1 pair of sterile gloves

▪ Extra paper for making waste bag ▪ Baby’s scale
▪ Linen / Plastic lining ▪ Alcohol lamp
▪ Apron ▪ 2 test tubes
▪ Hand towel ▪ Test tube holder
▪ Soap ▪ Test tube brush
▪ 2 Thermometers (oral and rectal) ▪ 3 pcs. Medicine droppers
▪ 2 pairs of scissors (surgical and ▪ Tissue Paper
bandage) ▪ Match
▪ 2 pairs of forceps (curved and ▪ Kidney basin
straight) ▪ Medicine Glass
▪ Disposable syringes with needles ▪ Tongue depressor
(g23 and g25) ▪ Acetic Acid Solution
▪ Hypodermic Needles (g19, g22, g23, ▪ Denatured Alcohol
g25) ▪ Alcohol 70%
▪ 3 pcs. Sterile gauze 4x4 ▪ Benedict Solution
▪ Cotton balls (dry and with alcohol) ▪ Betadine
▪ Micropore plaster ▪ Spirit of Ammonia
▪ Tape measure
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 LEVEL 2 NURSING SKILLS LABORATORY MANUAL

*Sphygmomanometer and Stethoscope are carried separately

a. Urine Test for Albumin

▪ Acetic acid
▪ Medicine Dropper (2)
▪ Test tube
▪ Test Tube holder
▪ Match
▪ Kidney basin
▪ Alcohol lamp
▪ Urine Specimen (20-30cc)

b. Urine Test for Sugar

▪ Test tube
▪ Medicine Dropper (2)
▪ Test Tube holder
▪ Medicine glass
▪ Match
▪ Kidney basin
▪ Alcohol lamp
▪ Benedict solution
▪ Urine Specimen (20-30cc)

Note: Urine specimen should be collected early in the morning before breakfast after external
douche.

PROCEDURE

PROCEDURE RATIONALE
PREPARATION
1. Identify the name and address of the
patient to be visited.
2. Observes the rules of courtesy upon
arrival.
3. Introduce self and identify correct patient
To build rapport.
/ family.
4. Explains the procedure to the patient. To increase cooperation and alleviate
anxiety.
5. Obtains informed consent.
6. Take newspaper lining from top of the Paper lining serves as protection of the bag
bag. and its contents.
7. Places paper lining clean side out and
folded part touching the flat surface.
8. Places the bag correctly. Tucks handles Bag should be placed on a table, a chair, or
below the bag. flat surface 6 feet away from the bedside. To
prevent contamination. For easy access of
equipment inside the bag.
9. Takes out towel and soap. In preparation for handwashing.
10. Closes the bag. To prevent contamination.
11. Does proper handwashing. To prevent spread of microorganisms.
12. Dries hands properly.
13. Takes out apron from the bag and puts it
To protect the nurse’s uniform.
on observing proper technique.
14. Places the linen lining over the paper
lining.

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 LEVEL 2 NURSING SKILLS LABORATORY MANUAL

15. Puts out and arranges equipment for the To have needed equipment readily
procedure. accessible.
16. Places waste receptacle outside of paper
To prevent contamination.
lining.
17. Closes the bag.
18. Performs necessary procedure. To give comfort and security and to hasten
recovery.
URINE ALBUMIN TEST
19. Lights the alcohol lamp. To be ready to heat the specimen.
20. Wear clean gloves. To protect hands from contamination with
organic matter and transfer of
microorganisms.
21. Fills test tube with 2/3 or ¾ full of urine.
22. Places used dropper for urine in the To prevent contamination of the working
waste receptacle. area.
23. Heats upper portion only of the test tube To be able to compare results with the
with urine and take note of the bottom part of the test tube.
cloudiness. Albumin being a protein, coagulates when
heated.
24. Adds 5 drops of acetic acid if cloudiness
appears.
25. Reheat urine to note or disappearance of
cloudiness.
26. Interprets results correctly. Interpretation:
Slight Cloudiness +2
Thick cloudiness +3
Egg White Cloudiness +4

Note: Positive test for Albumin implies

27. Informs patient of the result.
URINE SUGAR TEST
28. Measures 5cc of Benedict’s solution.
29. Pours Benedict’s solution in the test
tube.
30. Boils the Benedict’s solution.
31. Places used dropper in the waste
receptacle.
32. Add 8 drops of urine.
33. Places used dropper in the waste
receptacle.
34. Reheats the mixture.
35. Interprets the results correctly.
presence of Pregnancy Induced
Hypertension
Proper amount of the solution is needed in
order to gain accurate result.
To prevent contamination of the working
area.
Accurate measurement equates to accurate
result.
Proper disposal reduces the spread of
microorganisms.
Interpretation:
No changes in color – Negative
Greenish-Blue – traces
Yellowish-Green - +3
Yellowish-yellow or brick red - +4

Note: Presence of sugar in the urine

indicates diabetes mellitus. Refer the patient
to the physician.
36. Informs patient of the result.

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 LEVEL 2 NURSING SKILLS LABORATORY MANUAL

AFTER CARE
37. Disposes urine in the toilet or designated Proper disposal prevents spread of
sluice. microorganisms.
38. Disposes specimen container.
39. Washes the test tube, test tube holder
and droppers (used in acetic acid and
To prevent contamination of PHN articles.
benedict solution) with soap and water.
Drain and place on the work area.
40. Disinfects the kidney basin, test tube,
tube holder, and droppers with 3 pieces
of cotton ball with alcohol. Discard the 2
cotton balls.
41. Disinfects the lamp with one cotton ball
with alcohol.
42. Discards waste receptacle.
43. Remove gloves. To prevent transfer of microorganisms.
44. Does thorough handwashing.
45. Dries the hands.
46. Returns all the materials in their proper To ensure accessibility of the equipment for
places in the bag. next usage.
47. Folds linen lining contaminated part
To prevent contamination.
inside.
48. Removes apron, folding contaminated
part in. Places inside the bag.
49. Closes the bag.
50. Record pertinent observation. For reference to the next visit.
51. Give appropriate health teachings. To increase patient’s or family’s level of
awareness, thus, increasing cooperation.
52. Make an appointment for the next visit. To render follow-up care.
53. Hold bag with one hand, and with the
other hand picking up the paper lining by To prevent contamination.
its center fold and discard.

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 LEVEL 2 NURSING SKILLS LABORATORY MANUAL

Student’s Name: ______________________________________ Year and Section: ________

Clinical Instructor’s Name: _______________________________ Rating: _________________

BAG TECHNIQUE

Rating Description
5 Step completely and competently done.
3 Step not completely or satisfactorily done.
0 Step not done or missed.

PROCEDURE 5 3 0 REMARKS
KNOWLEDGE
1. State the definition of the procedure.
2. State the principles in the use of the bag
and bag technique.
3. Enumerate the equipment needed for
each urine test.
SKILLS
PREPARATION
4. Identify the name and address of the
patient to be visited.
5. Observes the rules of courtesy upon
arrival.
6. Introduce self and identify correct patient /
family.
7. Explains the procedure to the patient.
8. Obtains informed consent
9. Take newspaper lining from top of the
bag.
10. Places paper lining clean side out and
folded part touching the flat surface.
11. Places the bag correctly. Tucks handles
below the bag.
12. Takes out towel and soap.
13. Closes the bag.
14. Does proper handwashing.
15. Dries hands properly.
16. Takes out apron from the bag and puts it
on observing proper technique.
17. Places the linen lining over the paper
lining.
18. Puts out and arranges equipment for the
procedure.
19. Places waste receptacle outside of paper
lining.
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 LEVEL 2 NURSING SKILLS LABORATORY MANUAL

20. Closes the bag.

21. Performs necessary procedure.

URINE ALBUMIN TEST

22. Lights the alcohol lamp.
23. Wear clean gloves.
24. Fills test tube with 2/3 or ¾ full of urine.
25. Places used dropper for urine in the
waste receptacle.
26. Heats upper portion only of the test tube
with urine and takes note of cloudiness.
27. Adds 5 drops of acetic acid if cloudiness
appears.
28. Reheats urine to note or disappearance
of cloudiness.
29. Interprets results correctly.
30. Informs patient of the result.

URINE SUGAR TEST

31. Measures 5cc of Benedict’s solution.
32. Pours Benedict’s solution in the test tube.
33. Boils the Benedict’s solution.
34. Places used dropper in the waste
receptacle.
35. Add 8 drops of urine.
36. Places used dropper in the waste
receptacle.
37. Reheats the mixture.
38. Interprets the results correctly.
39. Informs patient of the result.

AFTERCARE
40. Disposes urine in the toilet or designated
sluice.
41. Disposes specimen container.
42. Washes the test tube, test tube holder
and droppers (used in acetic acid and
benedict solution) with soap and water.
Drain and place on the work area.
43. Disinfects the kidney basin, test tube,
tube holder, and droppers with 3 pieces of
cotton ball with alcohol. Discard the 2
cotton balls.
44. Disinfects the lamp with one cotton ball
with alcohol.
45. Discards waste receptacle.
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 LEVEL 2 NURSING SKILLS LABORATORY MANUAL

46. Remove gloves.

47. Does thorough handwashing.
48. Dries the hands.
49. Returns all the materials in their proper
places in the bag.
50. Folds linen lining contaminated part
inside.
51. Removes apron, folding contaminated
part in. Places inside the bag.
52. Closes the bag.
53. Record pertinent observation.
54. Give appropriate health teachings.
55. Make an appointment for the next visit.
56. Hold bag with one hand, and with the
other hand picking up the paper lining by
its center fold and discard.
ATTITUDE
57. Observed courtesy and tactfulness
58. Performed the procedure efficiently.
59. Appeared clean and well-groomed.
60. Accepted corrections and criticisms
counteractively.
61. Clean, organized, and systematic in the
entire procedure.
62. Maintained body mechanics all
throughout the procedure.
63. Showed calmness and confidence.

Total: ______________________
Remarks:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

_____________________________ _______________________________
Name & Signature of Student Nurse Name & Signature of Clinical Instructor
Date: _________________________ Date: __________________________