Name: Jeasel Mae G.

Miro
Year & Section: BSN-2C

Procedure Guide for Bag Technique

PROCEDURE
RATIONALE
• Health Center

• Arrange articles needed for the In order to minimize time consumption.

visit

• Clip plan of visit outside the corner

To protect the bag from contamination.
of the CHN bag

• Home

• After greeting the family members

and client, enter the room, look for To protect the bag and easily get the
a clean area (table, Chest box, if paper and plastic lining.
none, on the floor) near the patient
where you can perform the
procedures with ease.

• While holding the bag loosen the This will initially open the bag without
lock to partially open it. exposing the materials inside as guided
• by the principle of microbiology.

• Take 14”x 20” paper lining and

This will serve as the initial cover of the
hold the sides to open. Lay outer
materials to the surface to prevent
side flat on the left side of either
contamination.
table, chest box or floor.

• Take 13 ½” x 19 ½” plastic lining

The plastic lining will protect the surface
and hold the sides to open. Lay
from any spillage done during the
inner side flat on the center on the
procedure.
top of the paper lining.

• Lastly remove the 12 ½” x 18 ½” The final cover/lining ensures that all

paper lining and hold the side to materials are not contaminated to avoid
open. Lay outer side flat on the spread of microorganisms to the sterile
center on top of the plastic lining. materials.

Placing the bag there will allow the nurse

• Place the bag on the left side on
• Take 13 ½” x 19 ½” plastic lining
The plastic lining will protect the surface
and hold the sides to open. Lay
from any spillage done during the
inner side flat on the center on the
procedure.
top of the paper lining.

• Lastly remove the 12 ½” x 18 ½” The final cover/lining ensures that all

paper lining and hold the side to materials are not contaminated to avoid
open. Lay outer side flat on the spread of microorganisms to the sterile
center on top of the plastic lining. materials.

Placing the bag there will allow the nurse

• Place the bag on the left side on
easy access without the risk of the bag
top paper lining.
falling.

To avoid distractions while doing the

• Tuck in handles under the bag.
procedure.

• Open the bag fully and take out the

following: soap dish lining, soap
For handwashing, maintain sterility to
dish with soap, apron, hand towel,
prevent contamination.
waste paper box, bottle with Lysol
(if necessary).

• Remove watch or any jewelry. This is to promote the principle of

Place it inside your pocket. microbiology and to have no disturbances
in doing the procedure.

• Bring soap dish, soap dish lining To minimize that are the needs to be
and hand towel to the washing cleaned. The washing area is the right
area. area for these materials to be placed.

PROCEDURE RATIONALE

This will prevent any spillage to the

• Spread soap dish lining with the
surface of the washing area. It also
outer side on the washing area.
prevents contamination.

• Place soap dish and hand towel on This will protect the materials from
top. contamination.

• Open soap dish and put down Facing it upward promotes the principle of
cover facing upward. microbiology.

• Perform medical hand washing. To promote the principle of microbiology.

To prevent the microorganisms in getting

• Cover soap dish.
into the soap.
• Open soap dish and put down Facing it upward promotes the principle of
cover facing upward. microbiology.

• Perform medical hand washing. To promote the principle of microbiology.

To prevent the microorganisms in getting

• Cover soap dish.
into the soap.

To ensure that hands are dry during the

• Wipe and dry hands with towel.
procedure and avoid contamination.

This materials may still be wet so it needs

• Leave soap dish and towel in the
to dry first to avoid getting the other
washing area.
materials wet.

• Hold the apron on the folded part

with left hand and look for the
straps. Hold straps with the right
This promotes the principle of
hand and drop the apron making
microbiology and proper body mechanics.
sure that it will not touch the things
of the patient and specially the
floor.

• Put on the apron. Slip the head To promote cleanliness and the apron will
first and then both hands to the serve as the protection against spillage of
straps. any fluid.

This will allow you to accomplish your

• Open the bag and the inner cover.
plan of visit.

• Remove articles needed for the You should only take the materials
procedure and care of the patient. needed and close the bag to avoid
Close the bag. contaminating other materials.

This will allow you to accomplish your

• Perform nursing procedure.
plan of visit.

• Wash and clean equipment after

To promote safety and quality
procedure. If not possible, place in
environment. Also, to be ready for the
a separate bag to be taken back to
next use of the equipment.
the health center.

• Perform medical hand washing. To promote the principle of microbiology.

 Procedure Guide for Urine Testing

PROCEDURE
RATIONALE
I. Urine Collection

• Let the client void for urine

collection.
So that the urine will be used for urine
(For Urinalysis: Client is advised to testing. Midstream clean catch is the
perform perineal care prior to the cleanest part of the urine.
collection of urine specimen.
Midstream clean catch is advised.)

• Collect a small amount of urine

(20cc) in a clean container or It needs to be clean so that the data will
specimen bottle. be accurate.

II. Test for Sugar

• Clinitest The urine collection from the patient will

be the one to be used for the procedure.
• Proceed with urine collection

• Holding a dropper upright, put 5

Holding the dropper upright will ensure
drops of urine into a clean, dry test
that the drops of urine will fall inside the
tube.
test tube.
• Rinse dropper. Using the same
dropper, add 10 drops of water into
To promote accurate results.
the test tubes with urine.

• Drop 1 clinitest tablet into the test

The clintiest table will initiate the reaction
tube.
needed to test for sugar/glucose in the
urine.
• Allow reaction to take place until it
stops. The reaction will need to take some time
before the results will be observed/seen.

• Wait for 15 seconds. Shake gently.

Compare color results in the test
tube with chart.

• Blue indicates negative results Shaking it gently will allow the solution to
• Orange indicates highly positive be mixed thoroughly. Compare color
test results to know what findings are seen
 urine.
• Allow reaction to take place until it
stops. The reaction will need to take some time
before the results will be observed/seen.

• Wait for 15 seconds. Shake gently.

Compare color results in the test
tube with chart.

• Blue indicates negative results Shaking it gently will allow the solution to
• Orange indicates highly positive be mixed thoroughly. Compare color
test results to know what findings are seen
• Dark greenish-brown proceeded upon doing the test.
by rapid change in color from
green to orange indicates urine
glucose level above 2%.

PROCCEDURE RATIONALE

• Acetest (Ketone Test)

• Place acetest tablet on a piece of To test for the ketone in urine.

paper towel.

• Place 1 drop of urine on acetest

The dropper should be in an upright
tablet with dropper in upright
position to ensure that the drop of urine
position.
will fall/land on the table.
• Wait for 1 minute and compare
color of tablet with chart:

• Negative result: tablet color

unchanged or turns cream colored
Positive result is purple and may indicate
from wetting.
ketone in urine.
• Positive result: tablet color will
change from lavender to deep
purple depending on amount of
ketone bodies present.

• Benedict’s Test
Proper urine collection ensures that the
specimen used is uncontaminated and
• Follow urine collection.
correct.
• In a clear dry, test tube, place 5 cc.
of Benedict’s solution. Add 8-10
gtts of urine to the solution and
place test tube with mixture over a
direct flame or in a water bath to
boil for 5 min. Compare color with To test for simple carbohydrates in urine
index card where blue is negative, and green, yellow,
yellow orange, and red indicates a
• Blue – negative positive result.
• Green - +
• Yellow - ++
 • Benedict’s Test
Proper urine collection ensures that the
specimen used is uncontaminated and
• Follow urine collection.
correct.
• In a clear dry, test tube, place 5 cc.
of Benedict’s solution. Add 8-10
gtts of urine to the solution and
place test tube with mixture over a
direct flame or in a water bath to
boil for 5 min. Compare color with To test for simple carbohydrates in urine
index card where blue is negative, and green, yellow,
yellow orange, and red indicates a
• Blue – negative positive result.
• Green - +
• Yellow - ++
• Yellow orange - +++
• Red - ++++

III. Aftercare of the materials

• Rinse test tube and dropper

immediately. Put them in the During this procedure at a fast pace will
proper places. Chemicals from prevent spread of microorganisms and
reagent tablet should be removed will also save time and energy.
from test tube quickly. Urine must
be washed out from the dropper.

• Discard specimen in the

receptacle, rinse and dry
To promote cleanliness and it must be
immediately. Specimen bottle must
received only with fresh urine so that the
always be clean and must receive
tests that will be performed are accurate.
only fresh urine.

• Store specimen bottle in the

patient’s comfort room labeled Proper labeling is a must to avoid
properly with patient’s name. confusion in getting the specimen.

• Keep the Index card in the

patient’s cubicle, if personally Keeping it in one place will ensure that it
owned by the patient. will not be misplaced or lost.

• Discard any waste paper used. To ensure safety and cleanliness to the
patient.
• Record result of test in the To serve as the baseline data for other
patient’s chart. health care team in assessing the patient.