Nursing Department

Name of Student Score

Year/ Section/ Group Number

Bag Technique
Rate the Student’s performance by checking the appropriate box using the following criteria:

4- Excellent (Carries out procedures efficiently, systematically and independently; Personality trait
is observed at all times; exhibits strong knowledge about the corresponding core competency)
3- Satisfactory (Carries out procedures efficiently and systematically but requires minimal guidance
and supervision; Personality trait is observed most of the time; exhibits moderate knowledge about
the corresponding core competency)
2- Fair (Carries out procedures efficiently and systematically but requires close guidance and
supervision; Personality trait is seldom observed; exhibits minimal knowledge about the
corresponding core competency)
1- Poor (Carries out procedures inefficiently, unsystematically even under close guidance and
supervision; Personality trait is never observed; does not exhibit any knowledge about the
corresponding core competency)

NNCCS (2012) Beginning Nurses Role on Client Care

Responsibility No 2: Utilizes the nursing process in the interdisciplinary care of clients that empowers
the clients and promotes safe, quality care
Competency 2.2: Assesses with the client (individual, family, population group, and /or community)
one’s health status/competence.
KEY AREAS OF ASSESSMENT 4 3 2 1
RESPONSIBILITY
Safe and Quality 1. Assess for client’s willingness to participate with the
Nursing procedures of home visit.
Competency 2.3: Formulates with the client a plan of care to address the health conditions, needs,
problems and issues based on priorities.
PLANNING
Communication and 1. Explain the procedure to the client and the purpose of home
Health Education visit.
Quality Improvement 2. The bag should contain all the necessary articles, supplies
and equipment that will be used.
3. The bag and its contents should be cleaned very often, the
supplies replaced and ready for use anytime.
4. The bag and its contents should be well protected from
contact with any article in the client’s home.
5. The arrangement of the contents of the bag should be the
one most convenient to the user.

Competency 2.4: Implements safe and quality interventions with the client to address the health needs,
problems and issues.
 IMPLEMENTATION
Safe and Quality 1. Upon arriving at the client’s home, place the bag on the
Nursing Care 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.
2. Ask for a basin of water and a glass 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 (folded
part out).
Management of 4. Take out hand towel, soap dish, and apron, and then place
Resources and them at one corner of the work area (within the confines of
Environment the linen/ plastic lining).
Safe and Quality 5. Do handwashing. Wipe, dry with towel. Leave the plastic
Nursing Care wrappers of the towel in a soap dish in the bag.
Management of 6. Put on apron right side out and wrong side with crease
Resources and touching the body, sliding the head into the neck strap. Neatly
Environment tie the straps at the back.
7. Put out things most needed for the specific case (e.g.
thermometer, kidney basin, cotton balls, 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.
Safe and Quality 10. Proceed to the specific nursing care or treatment.
Nursing Care
Management of 11. After completing nursing care or treatment, clean and
Resources and alcoholize the things used.
Environment
Safe and Quality 12. Do handwashing again.
Nursing Care
Management of 13. Open the bag and put back all the articles in their proper
Resources and places.
Environment 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.
Health Education and 16. Make post-visit conference on matters relevant to health
Communication care, taking anecdotal notes preparatory to final reporting.
17. Make appointment for the next visit (either home or
clinic), taking note of the date, time and purpose.
Management of 18. Before keeping all articles in the bag, clean and alcoholize
Resources and them.
Environment 19. Get the bag form the table, fold the paper lining (and
insert), and place in between the flaps and the cover of the
bag.

Competency 2.7: Documents client’s responses /nursing care services rendered and
processes/outcomes of the nurse client working relationship
Responsibility No 3: Maintains complete, accurate and up to date recording and reporting system.
Competency 3.1: Ensures completeness, integrity, safety, accessibility and security of information.
EVALUATION
Records Management 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
Quality Improvement 3. Include quality of nurse-patient relationship.
4. Assess effectiveness of nursing care provided.

COMMENTS/ SUGGESTIONS:

Computation:

Actual Score/ Total Score x 100% = __________________

_____________________ ___________________________ _____________________

Student’s Signature Clinical Instructor’s Signature Date