- for the diagnosed/ undiagnosed diseases (eg. Tuberculosis) a. BAG TECHNIQUE Industrial Clinic Visit 2. antepartum - a tool use of a public health bag through which - nurses are hired by agencies or companies to do - for the pregnants the public health nurse, during his/ her home visit a medical assessment on their employees for pre- 3. postpartum can perform nursing procedures with ease; employment check-up and treatment on health -after the mother’s delivery, 6 mos. after knowing he/ she has with them their materials, it problems 4. health supervision saves time & energy with the end view of - used for children under 6 years old & below rendering effective nursing care School Clinic Visit 5. case finding - it’s where students seek health care services - this is without the diagnosis by doctors or b. PLAN OF VISIT from their school physicians - an essential tool in achieving the best results in - most schools have clinic wherein the nurse is 6. geriatric home visiting always in contact with the students who are prone - for the olds, 65 years of age & above to accidents c. HOME VISIT SAMPLE PLAN OF VISIT - a professional face to face contact made by a Name of Student: Dionne M. Perez Type Type of Case: CONTENTS OF CHN BAG: public health nurse to the patient or the family to Case Finding provide health care activities a. FRONT OF THE BAG (left to right) Age: 17 Visit no.: 3 - oral thermometer (facing down) Address: Banilad, Mandaue City Date of Visit: d. FAMILY FAMILY-NURSE CONTACT - rectal thermometer June 30, 2009 - the within or behalf of the particular family & - syringes & needles in a metal container the nurse in achieving an important goal for the General Objectives: success of delivering nursing care b. on the RIGHT SIDE OF THE BAG After 2 weeks of home v isiting, the family will be e. PUBLIC HEALTH BAG - test tube & test tube holder able to acquire adequate knowledge, skills, and - an essential & indispensible equipment for the - medicine dropper attitudes in the promotion of health, prevention of public health nurse which he/she has to carry - match illness and management of common diseases. along he/ she goes home visiting - alcohol lamp & denatured alcohol - contains basic medications which are needed for Specific Objective: giving care c. on the LEFT SIDE OF THE BAG (near to the After 45 minutes of nurse-client orientation, the front) nurse will be able to: f. CASE LOAD - medicine glass w/ suction inside - number & kind of families a caregiver will - baby weighing scale 1. establish rapport with the student nurse handle at a given time 2. explain the purpose and importance of home d. BACK of the bag (left to right) visit - betadine 3. observe family’s behavior and surrounding Purpose: a. CHN Bag - 70% alcohol 4. identify health related problems Serves as a first aid kit - hydrogen peroxide 5. plan appropriate nursing intervention from To work efficiently and swiftly during nursing - Lysol solution identified health problems procedures - spirit of ammonia 6. set another contact of visit To conserve time and energy - Benedict’s solution To minimize or prevent the spread of infection GUIDELINES IN USING THE CHN BAG To render effective nursing care to clients and/ e. on the CENTER OF THE BAG 1. Perform handwashing as frequently as possible or members of the family during home visit - kidney basin or if the situation calls for the help to minimize or - cloth bag: avoid contamination of bag & its contents. b. Bag Technique Technique Kelly curve & Kelly straight To minimize minimize if not to prevent the spread of Umbilical scissors 2. The CHN bag should contain all the necessary infection Bandages articles & equipment which may be used to To work efficiently and rapidly during - cloth bag w/ sterile OS, cotton balls, cotton answer emergency needs. techniques applicators For organization purposes - hand towel - soapdish & soap 3. Contents of the bags should be protected from c. Home Visiting - apron contact of d ifferent unsterilized object. It provides necessary health care activities Impart health teachings to the f amily for f. on the TOP POCKET 4. The arrangement of the contents of the bag maintenance of health - sterile gloves should be the most convenient to the u sers to To evaluate results of the outcomes of the - French 12 catheter facilitate efficiency efficiency & so as to avoid confusion. nursing care given - French 8 catheter To know the health status of an individual or a - cord clamp 5. Bag technique should be performed in different family - paper waste bags ways depending upon the policies. - plastic bags DIFFERENT TYPE OF FAMILY FAMILY- NURSE 6. Bag should be placed in a clean & warm g. TOP OF THE INNER COVER CONTACT: temperature. - 5’- 8” paper soapdish lining Home Visit - 12 ½’ – 18 ½” paper lining 7. Avoid Avoid shaking or swaying the bag when - health caregiver visits a home in the community - 13 ½’– 19 ½” plastic lining carrying it. - 14’ – 20” paper lining- for the bottom Clinic Visit 8. The bag should be thoroughly cleaned & - clients visit the health clinics to inquire or to disinfected after using esp. if there is a TYPES OF CASE LOAD: seek health center consultation, check-ups or 1. morbid communicable case in the area. DEFINITON OF TERMS:
treatments of health problem visit
- time & effort should be budgeted wisely so that efficient plan of procedure can be achieved 5. SOCIOLOGY - nurse & family interaction should occur always 1. MICROBIOLOGY 3. PHARMACOLOGY during the procedure - CHN bag and its content should be well - CHN bag contains disinfectants, such as protected from contact with any article in the betadine which is used in cleaning wounds 6. PHYSICS home. Do medical handwashing as frequently as - avoid swinging the bag to prevent breaking of the situation calls 4. PSYCHOLOGY contents - Utensils & other materials should be sterilized - bag technique shouldn’t overshadow but rather should show the effectiveness of the total care 2. TIME & ENERGY given to an individual or family GENERAL PRINCIPLES:
Definition 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.
5. Hand Hand washin washing g is done done as frequ frequent ently ly as as the situation calls for, helps in minimizing or avoiding contamination of the bag and its contents. 6. The bag bag when when used used for a commu communic nicabl ablee case should be thoroughly cleaned and disinfected before keeping and reusing.
Public health bag - is an essential and Contents of the Bag indispensable equipment of the public health nurse which he/she has to carry along when Paper lining • he/she goes out home visiting. It contains basic Extra paper for making bag for waste • medications and articles which are necessary for materials (paper bag) giving care. Plastic linen/lining • Apron • Rationale Hand towel in plastic bag • To render effective nursing care to clients and /or Soap in soap dish • members of the family during home visit. Thermometers in case [one oral and • rectal] Principles 2 pairs of scissors [1 surgical and 1 • 1. The use use of the the bag bag techni technique que shoul should d bandage] minimize if not totally prevent the 2 pairs of forceps [ curved and straight] • spread of infection from individuals to Syringes [5 ml and 2 ml] • families, hence, to the community. community. Hypodermic needles g. 19, 22, 23, 25 • 2. Bag tech techniq nique ue shoul should d save time time and Sterile dressings [OS, C.B] • effort on the part of the nurse in the Sterile Cord Tie • performance of nursing procedures. Adhesive Plaster • 3. Bag tech techniq nique ue shoul should d not oversh overshado adow w Dressing [OS, cotton ball] • concern for the patient rather should Alcohol lamp show the effectiveness of total care • given to an individual or family. Tape Measure • 4. Bag tech techniq nique ue can can be perfor performed med in in a Baby’s scale • variety of ways depending upon agency 1 pair of rubber gloves • policies, actual home situation, etc., as 2 test tubes • long as principles of avoiding transfer Test tube holder • of infection is carried out. Medicines • betadine • Special Considerations Considerations in the Use of the Bag 70% alcohol • 1. The bag should contain contain all all necess necessary ary ophthalmic ointment • articles, supplies and equipment which (antibiotic) may be used to answer emergency zephiran solution • needs. hydrogen peroxide • 2. The bag bag and and it’s it’s conte contents nts shoul should d be spirit of ammonia • cleaned as often as possible, supplies acetic acid • replaced and ready for use at any time. benedict’s benedict’s solution 3. The bag bag and and it’s it’s conte contents nts shoul should d 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. 4. The arrangemen arrangementt of the contents contents of the the bag should be the one most convenient to the user to facilitate the efficiency and avoid confusion.
