OBJECTIVES: Identify what public health bag is Considerations in the use of bag technique, contents and arrangement Know how to perform bag technique Identify different tests done at the health center
OBJECTIVES: Identify what public health bag is Considerations in the use of bag technique, contents and arrangement Know how to perform bag technique Identify different tests done at the health center
PUBLIC HEALTH BAG An essential and indispensable equipment of the public health nurse which he/she has to carry along when he/she goes out of home visit Contains basic medications and articles necessary for giving care
BAG TECHNIQUE A tool making use of a public health bag through which the nurse bring during a home visit. Minimize or prevent the spread of any infection It saves time and effort in performance of nursing procedures Performed depending on the agency’s policy and home situation
PURPOSE To prevent contamination of bag and equipment, avoid cross infection and establish a clean work area Protect client, family members, and health care workers from the spread of infection Demonstrate compliance with agency, and local laws and regulations, accreditation, standards, infection control, principles, and standard precautions
DON’T FORGET! Bag should contain all necessary articles, supplies and equipment before leaving for visits All contents should be cleaned & is well protected in contact with any article in the patient’s home Contents are arranged most convenient to the user Bag soiled reusable items that cannot be cleaned in the client’s home Plan where you discard disposable items ahead of time Clean and disinfect the health care bag weekly by wiping down inside of bag with a clean cloth. Outside of the bag must be washed in mild soap and warm water, air dry on monthly basis
BAG TECHNIQUE
NURSING CONSIDERATIONS Instruct the client on infection control precautions Consider referring client who have active infectious organisms Try to visit these client last or at the end of the day When possible, use disposable equipment or keep needed equipment in the home with these client
CONTENTS Paper, Plastic, Linen Lining Extra paper for making waste bag / Kidney Basin Apron Hand Towel Soap in soap dish Cotton balls 1 Sterile & Clean gloves Alcohol Lamp (2) 10 mL test tube Dropper Test tube holder Benedict’s reagent Acetic Acid Bandage Scissors / Clamp Micropore Tape Sterile Gauze
CONTENTS AND ARRANGEMENT OF BAG Front of the bag – left to right Thermometer Right rear of the bag 2 test tubes (medium) Test tube holder Medicine dropper Penlight
CONTENTS AND ARRANGEMENT OF BAG Center of the bag a. Kelly forceps (curve/straight) b. Sterile dressings (gauze) c. Cotton applicator d. Tape measure e. Tongue depressor l. kidney basin f. Syringes (1cc, 3cc, 5cc) g. Hypodermic needles (G19, 22, 23, 25, 26) h. Alcohol lamp i. Tongue depressor j. Micropore tape k. Sterile cord clamp
CONTENTS AND ARRANGEMENT OF BAG Top pile center of the bag Hand towel in a plastic bag Soap in a soap dish Apron Paper lining Surgical gloves Clean gloves Pocket of the bag Plastic lining Paper waste bag
BENEDICT’S TEST simple and effective method of ascertaining the presence or the amount of glucose in the urine Procedure: take 5ml of the solution in the test tube Heat it over a lamp til the benedict’s solution boils without overflowing Drop 8-10 drops of urine into the solution After again boiling the mixture, let it cool down While cooling the mixture will change color R+++ O++ Y+ G+/- B -
ACETIC ACID TEST A test that detects the presence of albumin/proteins in the urine. Procedure: Fill the test tube of 3/4th urine and boil the top portion Add 5 drops of acetic acid and reheat. If cloudiness increases ,the test is positive for albumin.