1. PRESENTATION ON:- BAG TECHNIQUE PRESENTED BY :- ARUN MISHRA CLINICAL INSTRUCTOR CUM NURSING TUTOR

2. The Community health bag is designed to carry equipment and material needed during a visit to the home, school or factory. Equipment and material are needed to make tests and to demonstrate patient care such as eye irrigation, application of ointments,medications. It contains basic medications and articles which are necessary for giving care. (TNAI) DEFINITION:-

3. PURPOSES:  To carry equipment and material needed during a visit to the home, school or factory.  To carry equipment and materials that are needed to make tests and to demonstrate care such as dressing, eye irrigation, injections, urine testing etc.

4. PRINCIPLES: 1.Prevention of contamination 2. Protection of the caregiver 3. Make articles readily accessible 4. Make follow-up care

5. SPECIAL CONSIDERATIONS IN THE USE OF THE BAG:- 1. The bag should contain all necessary articles, supplies and equipment which may be used to answer emergency needs. 2. The bag and it’s contents should be cleaned as often as possible, supplies replaced and ready for use at anytime. 3. The bag and it’s 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 patients as dirty and contaminated

6. 4. The arrangement of the contents of the bag should be the one most convenient to the user to facilitate the efficiency and avoid confusion 5. Hand washing is done as frequently as the situation calls for, helps in minimizing or avoiding contamination of the bag and its contents. 6. The bag when used for a communicable case should be thoroughly cleaned and disinfected before keeping and re-using.

8. COMPARTM ENTS SMALL OUTER SIDE /MEDICINE COMPARTMENT LARGE OUTER SIDE/CLEAN COMPARTMENT MIDDLE SIDE /STERILE COMPARTMENT LEFT SIDE /ACCESSORY COMPARTMENT INNER SIDE /PAPERS COMPART MENT ITEMS AND MATERIA LS Iron and folic acids tablets Paracitamol ORS packet Multivitami ns Other medicines..5 Hand wash materials Soap with dish or soap solution Towel Nail brush Urine test kit Test tube. Test tube holder Test tube stand Test tube cleaning brush Specimen bottle 2 Spirit lamp Apron Kidney tray…1 Dressing try Thumb forceps toothed and non toothed Artery forceps Scissor Small Bowl Dressing pads Drapper Solutions Betadine Benidict Acetic acid Spirit Thermometer Oral rectal Cotton packs for: Dressing Vital signs Urine test Eye care..4 Stethoscope Inch tape Measuring cups Nail cutter Disposal syringe Bandages Match box Small scissor Dropper..3 Paper bag News paper Flash card,flip card Diary Family folder Survey format Care study sheet..2

10. THE CONTENTS OF THE BAG:- Outer pocket: Hand washing articles(soap with disk or soap solution nail brush towel etc.) and apron.

11. SIDE POCKET(right):-family folder -flash card -case study sheet -news paper -pen,diary -paper bag -Hb test paper (M PADS)(tallquist paper) -litmus paper SIDE POCKET(left):-kidney tray -torch -match box -spirit lamp -test tube holder -specimen bottle -stethoscope, B.P apparatus -tape,weight machine

12. INTERNAL COMPARTTMENT:- CLEAN COMPARTMENT:- Catheter. Rectal tube with funnel Test tube Thermometer (rectal and oral). Syringe, bandage Small scissor, dropper, glass slide Gloves, mucus extractor Specimen bottle SOLUTION COMPARTMENT:- Betadine Benidict Acetic acid Tincture Spirit

13. STERILE COMPARTMENT :- Dressing tray Thumb forceps, toothed & non toothed Artery forceps,scissors Small bowl Dressing pad Cotton pad for dressing, vital sign& eye care Cord clamp

21. PROCEDURE: 1. Open the bag, take the linen or plastic lining and spread over work field. The paper lining clean side out (folded part out). 2.Place the bag on the table or any flat surface lined with paper lining, clean side out (folded part touching the table). Put bag’s handles or straps beneath the bag. 3. Take out hand towel, soap dish, and apron and place them at one corner of the work area (within the confines of the plastic lining).

22. 4. Place waste bag outside of work area. 5. Ask for a basin of water if faucet is not available. Place these outside the work area. 6. Do hand washing. Wipe, dry with towel. Leave the plastic wrappers of the towel in soap dish in the bag. 7. Put on right side out and wrong side with crease touching the body, sliding the head into the neck strap, neatly tie the straps at the back

23. 8. Put out the things most needed for the specific case ( ex. Thermometer, kidney basin, cotton ball, waste paper) and place at one corner of the work area. 9. Proceed to the specific nursing care or treatment. 10. After completing nursing care or treatment, clean and alcoholize the things used.

24. EVALUATION AND DOCUMENTATION:- 1-Record all relevant findings about the client and members of the family. 2- Take note of environmental factors which affect the clients/family health. 3- Include quality of nurse-patient relationship. 4- Assess effectiveness of nursing care provided.

25. CARE OF THE BAG AND NURSING RESPONSIBILITY:- In order to keep your bag ready for use at any time,observe some of the following instructions. 1-Clean the bag daily protect from excessive heat or rain to reserve it in a good condition.

26. 2-Replace the drugs dressing and linen daily in the bag. 3-Empty all the content,wash the bag with soap and water once in a week or more frequently depending on how much it has been used and dry it the sun.

27. 4-Wash the non-expendable articles such as instruments linen and utensils with soap and water and boil them. 5-Repalce cotton or plastic bags containing swabs and dressing with sterile one. 6-Check gloves catheters thermometer and glass articles replace if spoilt or broken. 7-Repack the bag in an orderly way ;keep articles in their usual places to make them easily tracable.

28. ANY QUESTIONS ???????????

29. THANKYOU !!