Today our topic of discussion is Principles of Bag Technique.
Principles of Bag Technique
Principles of Bag Technique
- The community bag must be kept scrupulously clean ad ready for use at all times
- The community bag should be kept in clean areas without danger of being contaminated by the children or domestic animals
- Clean or boil the instruments after use and replace it safely
- Avoid unnecessary exposure while doing procedure
- Secure the bag by often cleaning and cover it properly
- The community bag placed on a clean surface or on a piece of newspaper or a plastic sheet
- Remove the soap, towel and nail brush and wash the hands well
- Open the bag and remove only the needed articles and close the bag
- Carry out the procedure placing soiled swabs inside a newspaper bag for disposal by burning or any other suitable method
- Fold used paper or plastic sheet with exposed side innermost and keep it in the outside pocket of the bag
- Write brief note of the observation, procedure done or instructions given
- Check the bag daily, washing hands before opening it and make necessary replacements.
Articles used in Community Bag (Fig. 31.4)
- Outside pocket: Newspaper, stationeries, family folders, flash cards and waste paper bag.
- Side flap: Tablets containers should have paracetamol, septran, multivitamin or B-complex, anti-inflammatory, etc. solutions antiseptic, savlon, betadine, Benedict’s solution, acetic acid, methylated spirit and eye drops or ointment.
- Lower compartment: Urine analysis kit, specimen bottle, kidney tray, test tubes, test tube holder, spirit lamp and match box. The hand washing items-soap, towel, nail brush, small mackintosh or plastic sheet and plastic aprons.
- Physical assessment instruments: Fetoscope, inch tape, shakir tape and spring balance to check weight.
- Sterile compartment: Instruments-artery forceps, thumb forceps, small towel and scissors. A pair of disposable glove or paper gloves.
- Miscellaneous articles: Mucous suckers, tallquist paper for checking hemoglobin and small catheter.
Steps of Procedure with Community Bag
- Select a work area according to the convenient of the family
- Place the bag in a mat in a veranda on newspaper
- Unbutton the bag of lower compartment
- Remove hand washing equipment and wash hands properly
- Remove apron from the bag and put it on
- Remove the need items from the outside compartment
- Give nursing care based on the plan
- When procedure is over, wash hands with soap and water
- Place the articles to the bag after cleaning
- Fold used newspaper with used side inside
- Close the bag Record your procedures and observation and instructions given.
Home Health Nursing Procedures
The community health nurse primary responsibility to meet health needs of the family, it is necessary to provide nursing care on a selective basis and to demonstrate the care to some responsible members of the family. It is recognized that nurses working in the community health field have been trained in many different hospitals and schools; they were taught procedures have changed community.
Principles to be Observed
Resources usage: Standard procedures should be followed as far as possible utilizing materials and equipment found in the home
Demonstration: Demonstration of nursing care in the home is most effective method of teaching
Standing orders: Medical instructions in the form of standing instructions or individual instructions must be available before administering medicine or treatment.
Prevent spread of disease: The health worker must know to check the disease at its sources. medical asepsis and the habit of thorough cleanliness .The practice of at all time is basic to all procedures
Respect the families: Practice as far as possible custom and habits is sacred to the family. Habit changes are slow and come with knowledge and action which the nurse may initiate and/or participate in through individual
Economical use: Supplies and equipment economically, always consider the high cost of fuel, the hardship in getting water and the family economics
Teaching: The community health nurse should teach the patient and responsible member of the family, teach with proper demonstration and also encourage to do return demonstration
Record keeping: Adequate records and reports are an integral part of every good nursing service. Records should be maintained up to date
Prevention of accidents: Write name of the drug and instructions for taking using the language of the people. Inform the family to keep all drugs locked in their cupboards and out of reach of children.
Health promotion: Safe water, latrines, drainage, cooking arrangements, bathing, absence or presence of animals within the compound or in the house is of major importance in the promotion of health.
Nutritional observation: Observation and action relative to the nutritional status of the family is a primary responsibility of the nurse.
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