Bag Technique.docx

BAG TECHNIQUE Procedure Checklist

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Procedures Assemble the equipment. Make sure all the contents of the bag are properly arranged. Upon arrival, greet the client, introduce yourself and explain the purpose of your visit. Place the bag on the table lined with a clean paper. The clean side must be out and the folded part, touching the table. Rationale: to protect the bag rom getting contaminated. Ask for a basin of water or a glass of drinking water if tap water is not available. Rationale: To be used for hand washing Open the bag and take out the towel and soap. Rationale: to prepare for hand washing. Wash hands using soap and water, wipe to dry. Rationale: To prevent the spread the infection from care provider to the client. Take out the apron from the bag and put it on with the right side out. Rationale: to protect the nurse’s uniform. Put out all the necessary articles needed for the specific care. Rationale: to have them readily available. Close the bag and put it in one corner of the working area. Rationale: To prevent contamination. Proceed in performing the necessary nursing care treatment. After giving the treatment, cleans all the things that were used and perform hand washing. Rationale: To prevent contamination and spread of infection. Open the bag and return all things that were used in their proper places after cleaning them. Remove apron, folding it away from the person,

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the soiled side in and the clean side out. Place it in the bag. 14. Fold the lining, place it inside the bag and close the bag. 15. Take the record and have a talk with the mother. Write down all the necessary data that were gathered, observations, nursing care and treatment rendered. Rationale: For reference in the next visit. 16. Make appointment for the next visit (either home or clinic) taking note of the date and time. Rationale: For follow up care.

BENEDICT’S TEST & ACETIC TEST Procedure Checklist

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Procedures Assemble equipment Paper lining Waste bag Plastic or linen lining Apron Hand towel soap in a soap dish Cotton ball 1 pair of clean gloves alcohol lamp (2) 10 mL test tube (2) droppers Test tube holder Urine specimen Benedict’s solution Acetic acid Introduce yourself, verify the client’s identity and explain to the client what you are going to do, why it is necessary and how the client can cooperate. Perform hand hygiene and observe other appropriate infection control procedures. Provide for client privacy. Instruct the client to  Wash her perineum with soap and water.  Collect fresh midstream urine into small clean bottle (specimen bottle). For greater accuracy, collect the urine before meals.  Wipe the specimen bottle before handling it back to you.  Label the bottle with complete name of client. For Benedict’s test Place about 6-8 drops of urine in a 10 mL test tube. Add 3-5 mL of Benedict’s solution. Light the alcohol lamp Using the test tube holder, hold the mixture over the flame, noting the mouth of the test tube is

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away from you. Bring to boil Remove from flame, and then put out the flame. Wait for 1-3 minutes and interpret the result and then record. Blue--- no sugar (means negative Benedict’s test) Positive Benedict’s test Green/yellow precipitate---traces of reducing sugar Orange red precipitate---moderate reducing sugar Brick-red precipitate--- large amount of reducing sugar For Acetic test Fill the test tube about 2/3 full of clear urine. Heat the upper part of the test tube until it boils Add 5 drops of 10% acetic acid, 1 drop at a time. Note for color changes. Rationale: Appearance of turbidity or a precipitate indicates the presence of proteins of either albumin or phosphates. Interpret the result and record. If the turbidity persists even after the addition of acetic acid, then it is positive (which indicates the presence of albumins). Cloudiness indicates albuminuria. After care Clean and put back all things that were used and perform hand hygiene. Record the findings or assessment and discuss the result of the test to the patient and the importance of seeing a doctor for further assessment. ( for positive Benedict’s and acetic test)

DONNING & DOFFING (REMOVING) PERSONAL PROTECTIVE EQUIPMENT (PPE) Procedure Checklist

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Procedures Select the specific type of PPE based on what procedure you will be doing for a certain patient or what type of transmission-based precaution the patient is in. Assemble all the equipment such as gown, face mask or respirator (N95 mask), goggles or face shield and gloves. Perform hand hygiene. Donning PPE Put on the gown by sliding the arms on the sleeves. Secure the gown by tying at the back. Wear the facemask. Place it over the bridge of the nose and put the straps around the ears. Pull the bottom of mask down to wrap around the chin.

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Key points to Remember in donning and doffing PPE:  Put on PPE before entering the patient’s room.  Keep hands away from face, and don’t touch PPE  Avoid touching areas in the patient’s room.  Remove PPE at patient’s doorway or outside of the room, and perform hand hygiene immediately.  Remove the respirator outside of room after closing the patient’s door.  If hands become contaminated during PPE removal, stop and perform hand hygiene, and then proceed with PPE removal

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