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.

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To render effective nursing care to clients and /or members of the family during home visit.

  1. The use of the bag technique should minimize if not totally prevent the spread of infection from individuals to families, hence, to the community.
  2. Bag technique should save time and effort on the part of the nurse in the performance of nursing procedures.
  3. Bag technique should not overshadow concern for the patient rather should show the effectiveness of total care given to an individual or family.
  4. 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.
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 its contents should be cleaned as often as possible, supplies replaced and ready for use at any time.
  3. 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.
  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.
Contents of the Bag
  • Paper lining
  • Extra paper for making bag for waste materials (paper bag)
  • Plastic linen/lining
  • Apron
  • Hand towel in plastic bag
  • Soap in soap dish
  • Thermometers in case [one oral and rectal]
  • 2 pairs of scissors [1 surgical and 1 bandage]
  • 2 pairs of forceps [ curved and straight]
  • Syringes [5 ml and 2 ml]
  • Hypodermic needles g. 19, 22, 23, 25
  • Sterile dressings [OS, C.B]
  • Sterile Cord Tie
  • Adhesive Plaster
  • Dressing [OS, cotton ball]
  • Alcohol lamp
  • Tape Measure
  • Baby’s scale
  • 1 pair of rubber gloves
  • 2 test tubes
  • Test tube holder
  • Medicines
    • beta dine
    • 70% alcohol
    • ophthalmic ointment (antibiotic)
    • zephiran solution
    • hydrogen peroxide
    • spirit of ammonia
    • acetic acid
    • benedict’s solution

Bag Technique

A nursing bag — also known as a healthcare bag, public health bag, medical bag, visiting bag, or supply bag — is a critical part of at-home patient care and has been a staple part of home visits for decades. Visiting medical staff, including nurses, aides, and rehabilitation experts all carry their essentials in a nursing bag during home visits.

There are two important parts to any nursing bag technique: stocking it with the appropriate items and keeping it clean to prevent the spread of microorganisms and infections as you move from visit to visit. Below, we explain the essential items you should always have on hand in your nursing bag, and then break down the best technique for keeping your nursing bag as germ-free as possible.

How to Stock Your Nursing Bag

You don’t want to leave anything out of your nursing bag, so we’ve outlined 12 essential items below, plus tips for choosing the nursing bag itself.

The Bag Itself — the first step to stocking your nursing bag is deciding what type of bag you need. The material of your nursing bag is critical; while many bags have an exterior made of canvas or another type of tough cloth, fabric (even treated fabric) can’t be thoroughly sanitized simply by wiping it down because of the cloth’s porous nature. You should choose a bag with a hard nonporous exterior surface, such as vinyl or leather that can be disinfected with a quick wipe-down. As for the interior, you’ll want a mix of pockets in different sizes to hold all the various items below. Make sure the handles and/or straps are comfortable and easy to grip or wear.

Stethoscope — Stethoscopes allow you listen to the heart, lungs, bowels, and many other body parts for signs of irregularity. They’re some of the most important pieces of equipment for any medical professional, and should be one of the first (if not the first) items you add to your nursing bag. To really take things up a few notches, consider getting an engraved stethoscope so that everyone knows whose bag is whose.

Blood Pressure Cuff — just like checking the heart and lungs with a stethoscope, wrapping a blood pressure cuff around a patient’s arm is a hallmark of any basic medical visit. Every nursing bag should have a blood pressure cuff, and you can even personalize yours with embroidery or emblems for some custom flair.

Thermometer — A thermometer probably brings back memories of childhood fevers, but it’s an essential tool of any nurses’ bag for at-home visits for patients of all ages. Be sure to carefully dispose of plastic covering and otherwise sanitize the unit after each use.

Nursing Scissors and Tape — Scissors can be used to cut a variety of materials, including medical gauze, dressings, bandages, and more. Having nursing scissors on hand means you’re always ready to address any emergency wound care. Right next to your scissors should be your medical tape, which can be used to hold an IV or bandage in place.

Single-Use Items — these items are designed to be discarded after one use for sanitary reasons, and they include alcohol prep pads, adhesive remover pads, disinfectant wipes, paper towels, adhesive bandages, and personal protective items such as gowns, face masks, and face shields.

Sharps Container — Because it stores used needles and other contaminated items, the sharps container shouldn’t be placed in the bag, but rather in an external pocket; it can also be carried separately. However, the sharps container is a critical part of any home nurse’s kit and should not be left behind.

Tourniquet — you hope you never have the need to use a tourniquet, but if you do, you’ll want to have one or two on hand and easily accessible so you can act quickly in an emergency situation.

Lotion and Hand Sanitizer — Nurses wash their hands multiple times a day, and lotion can fight dryness and prevent the skin from cracking and peeling. Additionally, hand sanitizer will help you get rid of germs of other contagious agents in a pinch.

Hand Soap and Disinfectant — If you have room, bring along hand soap and disinfectant so you can clean up both your bag and yourself if necessary as you go from visit to visit. If you bought a nursing bag with a nonporous, hard exterior, you can simply wipe it down and go.

Gloves — if you find yourself disposing of or otherwise handling contaminated materials, wearing disposable gloves will protect your hands and reduce the need for clean-up afterwards.

Medical Books — whether you have a physical copy or a digital version via an app on your phone, it’s always a good idea to keep reliable medical references with you in some form or fashion. Keep all of your go-to resources at arm’s reach when you stash that pocket-sized version of Gray’s Anatomy in your nursing bag.

Pens and Paper — most nurses like to carry some sort of writing instrument, whether it’s pens, pencils, highlighters, a small notebook, or a nursing clipboard, so they take notes and write down patient observations without having to fiddle with a phone or laptop. Many nurses also like to carry a penlight to provide extra illumination and assess pupil response.

How to Clean Your Nursing Bag

Now you know what to put in your nursing bag — but what’s the proper way to clean everything, and how often should you do it? Proper bag technique revolves around preventing contamination of the bag itself, so keeping it clean and storing it in a clean environment will help you stay compliant with laws and regulations. It will also help reduce your chance of spreading bacteria.

How Often to Clean Your Nursing Bag

There are no nationally or internationally mandated guidelines for how often you must clean your nursing bag; each hospice and home care organization sets its own regulations. At a minimum, the bag should be cleaned once a month, and ideally it should be disinfected once a week. Of course, if the bag is visibly soiled, it should be cleaned immediately, regardless of what schedule you are on.

You should also be cleaning all the reusable items that go inside the bag — your stethoscope, blood pressure cuff, thermometer, scissors and other items — on a regular basis. Ideally, these items should be disinfected after being used on each individual patient, and before you place them back in the nursing bag. Other nurses clean them daily, after the last home visit, or even weekly. As with the bag, these items should also be cleaned immediately if they are visibly soiled.

Some argue that home care nursing bags should have a “clean” side and a “dirty” side, where clean and soiled items are placed back in the bag, respectively. However, “dirty” items should never go back in the nursing bag but rather be disposed of properly; this is why the sharps container is placed in an exterior pocket or carried separately from the nursing bag. Keeping used items outside the bag limits the spread of germs and other contaminants and will make cleaning the bag and its contents easier in the long run.

Step-By-Step Nursing Bag Cleaning

One study found that about 84 percent of nursing bags investigated by researchers tested positive for human pathogens, with more than 48 percent of those pathogens found on the inside of the bags. Clearly, nursing bags can carry infectious agents — so how can we stop them from spreading?

Note: Be sure to wash your hands thoroughly before starting this process, and wash them as needed as you move through the steps to avoid contaminating surfaces you have already cleaned.

  1. Choose Your Surface – Before beginning, find a hard, nonporous surface that you can disinfect (meaning, not a wood surface). After completing step number two, you can then place your nursing bag and its contents onto the surface.
  2. Clean the Area – After you’ve staked out your spot, thoroughly clean the surface and allow the disinfectant to sit or dry for the full amount of time recommended by the manufacturer. After all, it defeats the whole purpose of cleaning out your nursing bag if you simply set everything down on a contaminated surface.
  3. Remove All Contents – Take every item out of your nursing bag and set it on the disinfected surface. Turn the bag upside-down and shake it to dislodge anything that might be stuck in the bottom. This a great chance to inspect everything and make sure no items have passed their expiration dates, and to throw out any trash that might be hiding in your nursing bag.
  4. Inspect the Bag – Check the bag to make sure it hasn’t been soiled and that it has no cracks, rips, or other signs of wear. If it does, you might want to look into buying a replacement nursing bag — you don’t want it to fall apart on you during a visit.
  5. Wipe Down the Interior – Put on a new pair of gloves to prevent your hand from transferring any contaminants into the bag’s interior. Using a disinfectant wipe, clean the interior of the bag to remove any dirt and kill any germs that may be hiding. As in step two, allow the disinfectant to sit or dry for the full amount of time recommended by the manufacturer.
  6. Clean the Exterior – As with the interior, you can wipe down the exterior of the bag by hand with a disinfectant wipe and allow it to dry for the specified amount of time. If the bag’s material allows, you can also wash it in the washing machine and then either air dry or put it in the dryer; check the bag’s tag and care instructions before putting it in the washing machine.
  7. Clean the Contents – Any vital sign equipment and other reusable items should be wiped down with disinfectant and allowed to dry. The step should also be repeated for any electronic equipment used during a patient visit, such as a laptop or cell phone.
  8. Wash Your Hands – Once you’re done disinfecting the bag and its contents, remove the gloves and thoroughly wash and dry your hands to get rid of any contaminants.
  9. Restock Your Bag – If you haven’t already, throw out any items that have passed their expiration date. Place the remaining supplies back in the bag and restock any items that are getting low. Once the disinfectant is dry, place the vital sign equipment back in the bag.

Why It Matters

Proper nursing bag cleaning technique is critical for ensuring that you don’t carry contagious agents from home to home, potentially exposing a patient (not to mention yourself) to infections. By following these steps on a regular basis and using your best judgment, you’ll keep your nursing bag and its contents clean while cutting down on the spread of germs. These steps will ensure that you’ve disinfected all the areas of your nursing bag and gotten rid of any potential hazards.

Of course, your nursing bag isn’t valuable just for its cleanliness, but also for the contents it holds. Our checklist will help you make sure that you haven’t forgotten anything critical, and help you pick out a sturdy, easily disinfected nursing bag if you don’t own one already. Whether it’s your first home visit or your hundredth, you can be confident that your nursing bag is disinfected correctly and stocked with everything you might need.

    Note: Blood Pressure Apparatus and Stethoscope are carried separately.

Actions Rationale
1. Upon arriving at the client’s home, place the bag on the table or any flat surface lined with paper lining, clean side out (folded part touching the table). Put the bag’s handles or strap beneath the bag. To protect the bag from contamination.
2. Ask for a basin of water and a glass of water if faucet is not available. Place these outside the work area. To be used for handwashing.
To protect the work field from being wet.
3. Open the bag, take the linen/plastic lining and spread over work field or area. The paper lining, clean side out (folded part out). To make a non-contaminated work field or area.
4. Take out hand towel, soap dish and apron and the place them at one corner of the work area (within the confines of the linen/plastic lining). To prepare for handwashing.
5. Do handwashing. Wipe, dry with towel. Leave the plastic wrappers of the towel in a soap dish in the bag. Handwashing prevents possible infection from one care provider to the client.
6. Put on apron 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. To protect the nurses’ uniform. Keeping the crease creates aesthetic appearance.
7. Put out things most needed for the specific case (e.g.) thermometer, kidney basin, cotton ball, waste paper bag) and place at one corner of the work area. To make them readily accessible.
8. Place waste paper bag outside of work area. To prevent contamination of clean area.
9. Close the bag. To give comfort and security, maintain personal hygiene and hasten recovery.
10. Proceed to the specific nursing care or treatment. To prevent contamination of bag and contents.
11. After completing nursing care or treatment, clean and alcoholize the things used. To protect caregiver and prevent spread of infection to others.
12. Do handwashing again.
13. Open the bag and put back all articles in their proper places.
14. Remove apron folding away from the body, with soiled sidefolded inwards, and the clean side out. Place it in the bag.
15. Fold the linen/plastic lining, clean; place it in the bag and close the bag.
16. Make post-visit conference on matters relevant to health care, taking anecdotal notes preparatory to final reporting. To be used as reference for future visit.
17. Make appointment for the next visit (either home or clinic), taking note of the date, time and purpose. For follow-up care.
After Care
  1. Before keeping all articles in the bag, clean and alcoholize them.
  2. Get the bag from the table, fold the paper lining ( and insert), and place in between the flaps and cover the bag.
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.

Community Health Nursing Services in the Philippines, DOH