Concordia Home Care and Nursing Services LLC Concordia Health Mobile Lab
The Agency provides guidelines for the use of the bag used to carry equipment and supplies into the client’s home. It is the policy of this Agency that all staff shall utilize proper bag technique, following the agency procedure, when conducting home visits. This procedure is reviewed during Agency orientation and with competency evaluations.
To maximize infection control and minimize the potential for cross-contamination of infectious microorganisms.
ALL FIELD STAFF ARE EXPECTED TO:
- Select and prepare an adequate workspace from which to use the bag. Since floors are considered to be highly contaminated, bags are never to be placed on the floor.
- To keep the bag as clean as possible, the bag is to be kept zipped and in a clean protected area in the home and car.
- When carrying a bag into the home it is to be kept on the shoulder until a barrier can be placed on a table or a hard chair. The barrier is discarded after use.
- When virulent organism infections or vermin are present, place the supplies you will need in 2 plastic bags to take into the home. After caring for the patient/client, take your supplies by pulling the inside bag out of the outside one. The outside bag becomes “dirty” and is discarded in the home.
- The most effective form of infection control is good hand washing. Employees must cleanse their hands before entering/removing supplies from the bag, before the examination, and place them on the clean side of the barrier.
- To minimize the need for rummaging through the bag and decrease the potential for the introduction of organisms, the bag is to be kept as orderly as possible, with a minimum of necessary items, so that items can be easily found and reached (such as tape measure or flashlight).
- If additional supplies are needed during the visit, hands are to be cleansed before re-entering bag. Alcohol-based hand sanitizer gel may be used. Careful planning limits this occurrence.
- Thermometer technique: To minimize cross-infection, thermometer covers are always used. The thermometer is cleansed with a disinfectant wipe in between patients/clients.
- Non-critical patient-care devices such as blood-pressure cuffs, stethoscopes, and scissors should be cleansed when visibly soiled, after each use on a patient, daily during the last visit, and weekly.
- All equipment is cleaned with disinfectant after use and before returning to the bag. Example: scissors after removal of a dressing and bell of stethoscope. A disposable tape measure is used if the part measured is an open wound.
- It is recommended to use plastic measuring sheets to measure pressure sores, etc., and that these sheets should be left in the home.
- To keep the bag as clean as possible, once a week (or as indicated), the outside of the bag is wiped with a disinfectant solution such as Lysol wipes.
- Once a month (or as indicated), all supplies are removed from the bag and the bag is thoroughly cleansed, dried, and clean equipment returned.
- When breaks in technique occur all staff will be instructed by the Director regarding proper bag technique and will be required to perform a return demonstration of the correct bag technique. A joint visit with the Director is required. An additional joint visit is made in six months to ensure continued compliance.