Bag technique Community health nurisng

1. PRESENTED BY,
MR. KAILASH NAGAR
ASSIST. PROF.
DEPT. OF COMMUNITY HEALTH NSG.
DINSHA PATEL COLLEGE OF NURSING, NADIAD

4. The bag should be made up of canvas,
leather, or light metal, rexin.
The bag can be carried by the hand or on
the shoulder.

5. DEFINITION
 Bag technique
a tool by which the nurse, during her visit
will enable her to perform a nursing procedure
with ease and deftness, to save time and effort,
with the end view of rendering effective nursing
care to clients.

6. DEFINITION
•The Community health bag is designed to
carry equipment and material needed
during a visit to the home, school or
factory. Equipment and material are
needed to make tests and to demonstrate
patient care such as eye irrigation,
application of ointments ,medications.
• (TNAI)

7. The overall objective of using
community health bag in a
systematic method is “to be able
to carry out nursing procedures in
the family with improvised
equipments articles available at
home, maintaining scientific and
nursing principles which can also
be practiced by the family in her
absence”.

8.  Toprevent carrying of infection from one
patient to another and from one place to
another by keeping bag and its contents as
clean as possible.
 Todemonstrate the principles of
cleanliness to patients and family
members by using the bag in orderly way.
 Tocarry out selected procedure,
demonstrations, teaching and follow up
services for patients and family members

9. 1. The use of the bag technique should
minimize if not totally prevent the spread
of infection from individuals to families,
hence, to the community.
2. Bag technique should save time and
effort on the part of the nurse in the
performance of nursing procedures.
3. Bag technique should not overshadow
concern for the patient rather should
show the effectiveness of total care given
to an individual or family.

10. Prevention of contamination
Protection of the caregiver
Make articles readily accessible
Make follow-up care
Cleanliness: The bag and its contents are all designed
for efficiency and cleanliness.
The hand must be washed with soap and water each
time before touching the bag. The nurse must avoid
touching dirty or contaminated things after or in
between time of washing.

11. The bag should be kept in clean and without danger of
being contaminated and the children or pet animals.
Avoid unnecessary exposure while done procedure.
Secure the bag by often cleaning and should be covered
properly when it is not in use.

12. SPECIAL CONSIDERATIONS IN THE USE OF
THE BAG
 1. The bag should contain all necessary articles,
supplies and equipment which may be used to
answer emergency needs.
2.The bag and it’s contents should be cleaned as
often as possible, supplies replaced and ready
for use at anytime.
3.The bag and it’s contents should be well
protected from contact with any article in the
home of the patients. Consider the bag and it’s
contents clean and/or sterile while any article
belonging to the patients as dirty and
contaminated

13. The public health bag is used by public
health nurse to-
Provide antenatal, intranatal and
postnatal care to mother and child.
Perform certain diagnostic procedures
such as Hb testing, urine testing for
early detection of high risk cases and
provide timely treatment.

14. Demonstarte certain Procedures to
family members or community such
as preparing oral dehydration
solution (ORS),baby bath,application
of benzyl benzoate in cases of
scabies.
Provide emergency and first aid
services (+) in case of accidents and
minor ailments.
Provide and demonstrate care in
case of communicable diseases such
as chickenpox.

15. Provide follow up services in
chronic illness such as
diabetes,paraplegia or
amputation.
Access the need of individual
and families and give health
education in care of
malnutrition,environmental
hazards,home accidents and
immunization etc

16. 4.The arrangement of the contents of the bag should
be the one most convenient to the user to facilitate
the efficiency and avoid confusion
5.Hand washing is done as frequently as the
situation calls for, helps in minimizing or avoiding
contamination of the bag and its contents.
6.The bag when used for a communicable case
should be thoroughly cleaned and disinfected
before keeping and re-using.

17. Equip the bag with the following
article
• 1.Front pocket: Nail brush, nail cutter, towel,
soap case and soap
• 2.Right side pocket: Newspaper or plastic
sheet, inch tap,fetoscope
• 3. Left side pocket: Stationeries, family
folder, waste paper bag.

18. • 4.Uper compartment: (sterile chamber) Artery forceps,
thumb forceps, small bowel and scissors, medication
box, clinical and rectal thermometer, sterile dressings in
a bowel, a pair of disposable gloves, antiseptic
container,savlon,betadine,benedict’s solution, acetic
acid, ethylated spirit and eye drop or eye ointments,
tallquist paper (for checking hemoglobin),
• 5. Lower compartment: Urine analysis kit should
contain the following such as specimen bottle, kidney
tray, test tube, test tube holder, match box, spirit lamp,
and brush etc.

19. Outer pocket: is used for
keeping a dairy to
maintain records, clean
paper bags and a square
piece of newspaper or
plastic sheet to keep the
bag on.
The other one is used
for keeping things for
hand washing

33.  These are used for keeping
solutions and medicines for
internal and external use, simple
instruments for dressing, articles
for certain procedures such as
temperature taking, urine testing,
antenatal examination and few
additional things for health
teaching

55. PROCEDURE:
• Rationale
•Toprevent children or do-
domestic animal getting in
the way
•Tocreate a clean area
Steps
1. Select a work area
country yard or the
verandah
2. Spread a news-
paper or plastics
square on a flat
surface area

56. 3. Make newspaper bag To discard the
waste
To avoid cross
infection
To do procedure
4. Loosen the buttons
of the bag
5.Remove hand wash-
ing materials and
wash poured water
6. Take out necessary
articles for the proce-
dure and place on the
clean area w/out touch-
ing the outside of the
bag

57. To avoid cross
infection.
To disinfect the
articles
7. Give nursing services
as indicated
8. After the procedure,
wash the hand with
soap and water.
9. Return the article to
the bag, use cotton
swab moistened with
spirit and wipe out-
side of used bottles.
All other instrument
used during the visit
must be boiled for 5mins.
Before replacing into the bag.

58. To discard it
To disposal
10. Fold the used paper bag
and keep it outside the
pocket. Close bag.
11. Give the waste paper bag
to the family members.
12. Write on what was observed
what was done, instruction
given, plan for next visit.

59. PROCEDUR
E: 1. Open the bag, take the linen or plastic lining and
spread over work field. The paper lining clean side
out (folded part out).
 2.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 straps
beneath the bag.
 3. Take out hand towel, soap dish, and apron and
place them at one corner of the work area (within
the confines of the plastic lining).
 4. Place waste bag outside of work area.

60.  5. Ask for a basin of water if faucet is not available.
Place these outside the work area.
 6. Do hand washing. Wipe, dry with towel. Leave
the plastic wrappers of the towel in soap dish in the
bag.
 7. Put on right side out and wrong side with crease
touching the body, sliding the head into the neck
strap, neatly tie the straps at the back.
 8. Put out the things most needed for the specific
case ( ex. Thermometer, kidney basin, cotton ball,
waste paper) and place at one corner of the work
area.

61.  9. Proceed to the specific nursing care or treatment.
 10. After completing nursing care or treatment,
clean and alcoholize the things used.

62.  Record all relevant findings about
the client and members of the
family.
 Take note of environmental factors
which affect the clients/family health.
 Include quality of nurse-
patient relationship.
 Assess effectiveness of nursing
care provided.

63. In order to keep your bag ready for use at any
time,observe some of the following
instructions.
Clean the bag daily,protect from excessive heat
or rain to reserve it in a good condition.
Replace the drugs,dressing and linen daily in
the bag.
Empty all the contents,wash the bag with soap
and water once in a week or more frequently
depending on how much it has been used and
dry it the sun.

64. Wash the non-expendable articles such
as instruments,linen and utensils with
soap and water and boil them.
Repalce cotton or plastic bags
containing swabs and dressing with
sterile one.
Check gloves,catheters,thermometer
and glass articles,replace if spoilt or
broken.
Repack the bag in an orderly way;keep
articles in their usual places to make
them easily traceble.