BAG TECHNIQUE.pptx RESPONSIBILITIES OF COMMUNITY HEALTH DURING HOME VISIT OF FAMILIES

COMMUNITY HEALTH NURSING ROLES & RESPONSIBILITIES - BAG TECHNIQUE DURING HOME VISIT

1. BAG TECHNIQUE PROF.CHITHRAVEL V PRINCIPAL MMNC RANCHI

2. BAG TECHNIQUE The bag technique is a tool by which the nurse, during the visit, will be able to perform a nursing procedure with ease and agility, to save time and effort to render effective nursing care to clients. It is a systematic approach used by nurses, particularly those working in home health care and community settings, to prevent the spread of infections and ensure the safe, efficient delivery of care. It involves the careful organization, use, and maintenance of a nursing bag that contains all the necessary medical supplies and equipment needed for patient care.

3. DEFINITION -BAG TECHNIQUE Bag technique- A tool making use of public health bag through which the nurse, during his/her home visit, can perform nursing procedures with ease and deftness, saving time and effort with the end in view of rendering effective nursing care. Public health bag  – is an essential and indispensable equipment of the public health nurse which he/she has to carry along when he/she goes out home visiting. It contains basic medications and articles which are necessary for giving care. Rationale To render effective nursing care to clients and /or members of the family during home visit.

4. Principles The use of the bag technique should minimize if not totally prevent the spread of infection from individuals to families, hence, to the community. Bag technique should save time and effort on the part of the nurse in the performance of nursing procedures. Bag technique should not overshadow concern for the patient rather should show the effectiveness of total care given to an individual or family. Bag technique can be performed in a variety of ways depending upon agency policies, actual home situation, etc., as long as principles of avoiding transfer of infection is carried out.

5. Special Considerations in the Use of the Bag The bag should contain all necessary articles, supplies and equipment which may be used to answer emergency needs. The bag and its contents should be cleaned as often as possible, supplies replaced and ready for use at any time. The bag and its 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 patient as dirty and contaminated. The arrangement of the contents of the bag should be the one most convenient to the user to facilitate the efficiency and avoid confusion. Hand washing is done as frequently as the situation calls for, helps in minimizing or avoiding contamination of the bag and its contents. The bag when used for a communicable case should be thoroughly cleaned and disinfected before keeping and re-using.

6. Paper lining Extra paper for making waste bag Plastic/linen lining Apron Hand towel Soap in a soap dish Thermometers (oral and rectal) 2 pairs of scissors ( surgical  and bandage) 2 pairs of forceps (curved and straight) Disposable syringes with needles (g. 23 & 25) Hypodermic needles (g. 19, 22, 23, 25) Sterile  dressing Cotton balls Cord clamp

7. Micropore plaster Tape measure 1 pair of sterile gloves Baby’s scale Alcohol lamp 2 test tubes Test tube holders Solutions of: Betadine 70% alcohol Zephiran solution Hydrogen peroxide Spirit of ammnonia Ophthalmic ointment Acetic acid Benedict’s solution *BP apparatus and stethoscope are carried separately and are never placed in the bag.

8. 1. Upon arrival at the patient’s home, place the bag on a table lined with clean paper, ensuring the clean side is facing out and the folder part touches the table. Placing the bag on a clean surface prevents contamination and maintains the integrity of the supplies within the bag. 2. Request a basin of water or a glass of drinking water if tap water is not available. Access to clean water facilitates proper  hand hygiene , a crucial step in infection prevention during patient care. 3

9. 3. Open the bag, take out the towel and soap, and wash hands using soap and water. Dry hands thoroughly. Handwashing  removes pathogens from the hands, reducing the risk of transmitting infections to the patient or contaminating supplies. The Home Care National Patient Safety Goal 7, as outlined by The Joint Commission in 2007, advocates for minimizing the risk of healthcare-associated infections in homecare settings and adhering to the current hand hygiene guidelines provided by the CDC. The nursing bag has historically been advocated as a resource for promoting regular handwashing practices.

10. 4. Put on the apron with the clean side facing outward, protecting the nurse’s uniform. Wearing an apron prevents soiling of the nurse’s clothing and minimizes the risk of contamination during care delivery. 5. Lay out all necessary articles needed for the specific care task, ensuring they are readily accessible. Having supplies readily available streamlines care delivery and reduces the need for unnecessary  movement  during the procedure. 6. Close the bag and place it in a designated corner of the working area to prevent contamination. Proper bag management minimizes the risk of contamination and maintains the cleanliness of the supplies within the bag.

11. 7.Proceed with performing the necessary nursing care treatment according to the patient’s needs. Providing appropriate care promotes patient  comfort , security, and recovery while addressing health needs effectively. 8. After providing treatment, clean all used items and perform handwashing to prevent infection transmission. Cleaning used items and practicing hand hygiene reduces the risk of cross-contamination and ensures the safety of both the  caregiver  and patient. 9. Open the bag and return all used items to their proper places after cleaning them. Close the bag securely. Organizing the bag and closing it securely maintains the cleanliness and organization of supplies for future use.

12. 10. Remove the apron, folding it with the soiled side in and the clean side out. Place it in the bag for disposal. Proper disposal of the apron prevents contamination and maintains cleanliness in the patient’s environment. 11. Document all necessary data, observations, care rendered, and instructions for patient care in the record. Provide education and instructions for patient care in the nurse’s absence. Documentation ensures continuity of care and facilitates communication among healthcare providers, while  patient education  promotes  self-care  and  adherence to treatment  plans. 12. Make an appointment for the next visit, whether at home or the clinic, noting the date and time. Scheduling follow-up appointments ensures ongoing monitoring and continuity of care for the patient’s health needs.

13. References and Sources Pamela Aaltonen ; Elizabeth (Libby) Richards; Kay Webster; Lynn Davis (2009). Use of the Public Health Nursing Bag in the Academic Setting. , 26(1), 88–94. doi:10.1111/j.1525-1446.2008.00757.x