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The Nurse's Bag

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12:15 pm
July 29, 2009


DonnaG

New Member

posts 1

I know this isn't the sexiest topic to start with but it has sparked great controversy in our agency. Specifically, our "Bag Technique" policy (don't tell me you don't have one), states that the nurses' (or therapist's) bag must NEVER be placed on the floor. I have found only one empirical study (Madigan et al) that attempts to address this issue and it was not focused on where to place the bag per se. In fact that study cited the counter top in a patient home as a source of e coli or some other such bad bug. So my question to this group is this: does your policy state that the bag should never be placed on the floor without a barrier? and has your agency ever attemted to culture various fomites in patients homes including the floor? Any responses would be most helpful. No responses? I'll figure this is way too boring to even respond to. Later. dg

12:37 pm
August 12, 2009


Ernestoh

New Member

posts 1

Hi Donna,

We do have a “bag technique” here at VNSNY and the policy reads as follows:

“Select a flat, hard surface to place bag and set up work area. Use discretion and consideration when placing bag on patient’s furniture. Never place a non-rolling bag on floor. Keep bag closed when not in use. (Note: According to APIC, there is no scientific basis for barrier placement; studies have not shown that a barrier placed under a nursing bag in the home is effective against preventing the transmission of infections.)”

As you can see, our policy also mentions that nurses must never place their “non-rolling” bag on the floor. Fortunately, the bags VNSNY uses are backpack/wheeled carry on hybrids, so the bag sits upright on its wheels at all times. Our nurses use a sterile barrier but only to place sterile equipment they use during care (e.g. stethoscope, syringes, etc.), not their bag.

Anyway, APIC is a good source of information about infection control. I would also recommend the CDC website, but many of the docs related to infection control are linked to the APIC website (www.apic.org).

I hope this helps, but if not, I hope my response will help generate a debate in the community about this topic.

3:04 pm
February 14, 2012


melissad

New Member

posts 2

DonnaG said:

I know this isn't the sexiest topic to start with but it has sparked great controversy in our agency. Specifically, our "Bag Technique" policy (don't tell me you don't have one), states that the nurses' (or therapist's) bag must NEVER be placed on the floor. I have found only one empirical study (Madigan et al) that attempts to address this issue and it was not focused on where to place the bag per se. In fact that study cited the counter top in a patient home as a source of e coli or some other such bad bug. So my question to this group is this: does your policy state that the bag should never be placed on the floor without a barrier? and has your agency ever attemted to culture various fomites in patients homes including the floor? Any responses would be most helpful. No responses? I'll figure this is way too boring to even respond to. Later. dg


3:06 pm
February 14, 2012


melissad

New Member

posts 2

Hi Donna,
I read your post with great interest, as this subject is the target of my ongoing anecdotal research. I think we have many antiquated and unsubstantiated beliefs around PHN bag technique and seek to get to the truth about this phenomenon. Do you have any more information about the whole thing? And thanks for thinking critically. We need it.

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