[AMA COMPUTER COLLEGE SCHOOL OF NURSING] BAG TECHNIQUE

Name: Year / Clinical Group: School Year: Semester / Term: Inclusive Dates _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________

Rating Scale: The students performance will be rated as follows:

5 4 3 2 1 Very Good Good Fair Needs Improvement Poor Exhibits competency without guidance and supervision Exhibits competency requiring minimum guidance and supervision Exhibits competency requiring frequent guidance and supervision Exhibits competency requiring close guidance and supervision Does not exhibit expected behavior even under close supervision

COMPETENCIES I. Safe and Quality Nursing Care 1. Identifies and states objectives of the bag technique 2. Explains rationale of each step
3. Monitors the progress of the action taken 4. Performs specific safety measures when doing bag technique 5. Assembles articles completely and quickly with safety a. Front of the bag left to right Digital Thermometer tape measure cotton applicator b. On right rear of bag 2 test tubes and 1 hoder medicine drpper alcohol lamp c. On left rear of bag Medicine glass baby scale rubber suction d. Back of the bag left -right 70% alcohol betadine solution hydrogen peroxide spirit of ammonia Benedict's solution liquid soap cotton in sterile water e. In the center of the bag 2 pairs of forceps (curved and straight) 2 pairs of scissors ( surgical and bandage) sterile dressing (OS and cotton balls) Roller bandage Syringes ( 5ml and 2ml) hypodermic needles ( g 19,22,23,25) sterile cord clamp kidney basin f. On the top file center of the bag

5 5 5 5 5 5

4 4 4 4 4 4

3 3 3 3 3 3

2 2 2 2 2 2

1 1 1 1 1 1

1 Skills Laboratory Performance Checklist

[AMA COMPUTER COLLEGE SCHOOL OF NURSING] BAG TECHNIQUE

Hand towel in plastic bag soap in soap dish Apron plastic /linen lining g. Pocket of bag Surgical gloves waste paper receptacle.

6. States expected outcomes of nursing intervention (bag technique)

maximizing clients competencies 7. Performs bag technique in chronological order effectively and in timely manner 8. Observes safety and asepsis in the use of the articles/ equipments 9. Identifies tasks or activities that need to be accomplished 10. Plans the performance of tasks or activities based on priorities 11. Arranges articles according to us and content of the bag 12. Complies with standards and safety codes prescribed by law 13. Adheres to policies, procedures and protocols on prevention and control of infection 14. Observes proper disposal of wastes

5 5 5

4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4

3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

II. Management of Resources and Environment 5 5 5 5 5 5 5 5 5 5 5 5 5

III. Health Education 15. Completes assessment records appropriately. A good time for
assessment is during the performance of bag technique. 16. Documents outcome of bag technique

IV. Legal Responsibility

17. Acts in accordance with the established norms of conduct of the institution/organization/legal and regulatory requirements 18. Utilizes appropriate client care records and reports 19. Accomplishes accurate documentation in all matters concerning client care in accordance to the standards of nursing practice

V. Ethico-Moral Responsibility
20. Renders nursing care consistent with the clients bill of rights: (i.e. confidentiality of information, privacy, etc) 21. Adheres to the Code of Ethics for Nurses and abides by its provisions 22. Reports unethical and immoral incidents to proper authorities

5 VI. Personal and Professional Development 23. Identifies ones strengths, weaknesses and limitations when doing 5
24. 25. 26. 27. 28. 29. 30. 31. 32. 33. bag technique. Applies learned information for the improvement of care Participates actively in professional, social, civic and religious activities Demonstrates good manners and right conduct at all times Dresses appropriately Demonstrates congruence of words and actions Behaves appropriately at all times Listens to suggestions and recommendations Tries new strategies or approaches Adapts to changes willingly Assesses own performance against standards of practice

5 5 5 5 5 5 5 5 5 5 5 5 5 5 5

VII. Quality Improvement 34. Reports significant changes in bag technique 35. Solicits feedback from students and significant others regarding
bag technique. 36. Encourages to verbalize relevant changes in his/her condition 37. Reports to appropriate person/s significant variances/changes/occurrences immediately

2 Skills Laboratory Performance Checklist

[AMA COMPUTER COLLEGE SCHOOL OF NURSING] BAG TECHNIQUE

38. Documents and reports observed variances regarding bag
technique. 39. Gives an objective and accurate report on what was observed rather than an interpretation of the event

5 5 5 5 5 5 5 5 5 5 5 5 5 5 5

4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 /260

3 3 3 3 3 3 3 3 3 3 3 3 3 3 3

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

VIII. Research
40. Utilizes findings in research in the provision of nursing care for individuals/groups/communities 41. Makes use of evidence-based nursing to enhance nursing practice

IX. Records Management 42. Complete updated documentation bag technique.

43. Applies principles of record management 44. Monitors and improves accuracy, completeness and reliability of relevant data 45. Makes record readily accessible to facilitate client care

X. Communication
46. Creates trust and confidence among the clients who needs bed bath as part of their hygiene routine 47. Spends time with the client/significant others and members of the health team to facilitate interaction 48. Listens actively to clients concerns regarding bathing while on the bed 49. Interprets and validates clients body language and facial expressions

XI. Collaboration and Teamwork

50. Contributes to decision making regarding clients needs and concerns 51. Respects the role of other members of the health team 52. Maintains good interpersonal relationships with clients, especially those requiring bag technique.

Total Score:

The students grade will be computed as follows:

Score for the Competencies (max of 260) -------------------------------------------------------------------------------------Total Score of the Activity (260)

x 100 = ______%

____________________ Signature over Printed Name Professor

___________________ Signature over Printed Name Student

3 Skills Laboratory Performance Checklist