BAG TECHNIQUE

BAG TECHNIQUE

OBJECTIVES:

After 8 hours of varied classroom activities, the Level 11 students will be able to:

1. define the following terms:

a. bag technique
b. plan of visit
c. home visit
d. family- nurse contact
e. public health bag
f. case load

2. give the purpose of the following:

a. bag technique
b. CHN bag
c. Home visiting

3. identify the following:

a. different types of family- nurse contact
b. case loads

4. formulate a sample plan visit

5. list the guidelines in using CHN bag

6. demonstrate beginning skills in:

a. performing bag technique
b. arranging contents of CHN












DEFINITON OF TERMS:

a. BAG TECHNIQUE
- a tool use of a public health bag through which the public health nurse, during his/ her home visit can perform nursing procedures with ease; knowing he/ she has with them their materials, it saves time & energy with the end view of rendering effective nursing care

b. PLAN OF VISIT
- an essential tool in achieving the best results in home visiting

c. 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

d. 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
e. PUBLIC HEALTH BAG
- an essential & indispensible equipment for the public health nurse which he/she has to carry along he/ she goes home visiting
- contains basic medications which are needed for giving care

f. CASE LOAD
- number & kind of families a caregiver will handle at a given time


Purpose:

a. CHN Bag

 Serves as a first aid kit
 To work efficiently and swiftly during nursing procedures
 To conserve time and energy
 To minimize or prevent the spread of infection
 To render effective nursing care to clients and/ or members of the family during home visit

b. Bag Technique

 To minimize if not to prevent the spread of infection
 To work efficiently and rapidly during techniques
 For organization purposes


c. Home Visiting

 It provides necessary health care activities
 Impart health teachings to the family for maintenance of health
 To evaluate results of the outcomes of the nursing care given
 To know the health status of an individual or a family



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 CHN BAG:

a. FRONT OF THE BAG (left to right)
- oral thermometer (facing down)
- rectal thermometer
- syringes & needles in a metal container

b. on the RIGHT SIDE OF THE BAG
- test tube & test tube holder
- medicine dropper
- match
- alcohol lamp & denatured alcohol

c. on the 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. on the 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
- soapdish & soap
- apron

f. on the TOP POCKET
- sterile gloves
- French 12 catheter
- French 8 catheter
- cord clamp
- paper waste bags
- plastic bags

g. TOP OF THE INNER COVER
- 5’- 8” paper soapdish lining
- 12 ½’ – 18 ½” paper lining
- 13 ½’– 19 ½” plastic lining
- 14’ – 20” paper lining- for the bottom
TYPES OF CASE LOAD:

1. morbid
- for the diagnosed/ undiagnosed diseases (eg. Tuberculosis)
2. antepartum
- for the pregnants
3. postpartum
-after the mother’s delivery, 6 mos. after
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






SAMPLE PLAN OF VISIT
Name of Student: Dionne M. Perez Type of Case: Case Finding
Age: 17 Visit no.: 3
Address: Banilad, Mandaue City Date of Visit: June 30, 2009

General Objectives:
After 2 weeks of home visiting, the family will be able to acquire adequate knowledge, skills, and attitudes in the promotion of health, prevention of illness and management of common diseases.

Specific Objective:
After 45 minutes of nurse-client orientation, the nurse will be able to:

1. establish rapport with the student nurse
2. explain the purpose and importance of home visit
3. observe family’s behavior and surrounding
4. identify health related problems
5. plan appropriate nursing intervention from identified health problems
6. set another contact of visit



GUIDELINES IN USING THE CHN BAG

1. Perform handwashing as frequently as possible or if the situation calls for the help to minimize or avoid contamination of bag & its contents.

2. The CHN bag should contain all the necessary articles & equipment which may be used to answer emergency needs.


3. Contents of the bags should be protected from contact of different unsterilized object.

4. The arrangement of the contents of the bag should be the most convenient to the users to facilitate efficiency & so as to avoid confusion.

5. Bag technique should be performed in different ways depending upon the policies.

6. Bag should be placed in a clean & warm temperature.

7. Avoid shaking or swaying the bag when carrying it.

8. The bag should be thoroughly cleaned & disinfected after using esp. if there is a communicable case in the area.






GENERAL PRINCIPLES:

1. MICROBIOLOGY
- CHN bag and its content should be well protected from contact with any article in the home. Do medical handwashing as frequently as the situation calls
- Utensils & other materials should be sterilized

2. TIME & ENERGY
- time & effort should be budgeted wisely so that efficient plan of procedure can be achieved

3. PHARMACOLOGY
- CHN bag contains disinfectants, such as betadine which is used in cleaning wounds

4. PSYCHOLOGY
- bag technique shouldn’t overshadow but rather should show the effectiveness of the total care given to an individual or family

5. SOCIOLOGY
- nurse & family interaction should occur always during the procedure

6. PHYSICS
- avoid swinging the bag to prevent breaking of contents