ACTION RATIONALE 1. Upon arriving at the clients home, place the bag on the table or any flat surface lined with paper lining, clean side out (folded part touching the table). Put bags handle 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 hand washing and to protect the work field from being wet 3. Open the bag, take the linen/plastic lining spread over work field or area. The paper lining, clean side out folder part out. To make a non-contaminated work field or area 4. Take out hand towel, soap dish and apron and place them at one corner of the work area within the confines of the linen/plastic lining. To prepare for hand washing 5. Do hand washing. Wipe dry with towel. Leave the plastic wrappers of the towel and soap dish in the bag. Hand washing prevents possible infection from 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 eg thermometer, kidney basin, cotton ball, waste paper bag and place at one corner of the work area. To have them readily accessible. 8. Place waste paper bag outside of work area. To prevent contamination of clean area. 9. Close the bag. To prevent contamination of bag and contents. 10. Proceed to the specific nursing care or treatment. URINE TEST FOR ALBUMIN 1. Cleanse and assembles all articles/equipments needed. 2. Prepares 3 or more cotton balls with denatured alcohol or alcohol lamp. 3. Fills the test tube 2/3 of urine. (Note: urine specimen should have been collected early in the morning before breakfast). 4. Heats the upper portion only of the test tube with urine without shaking. Compares the heated to the unheated portion for changes. 5. Read and interprets result correctly. URINE TEST FOR ALBUMIN RATIONALE a. If there is no change on the heated portion, the result is negative. Acetic acid is not added. b. If cloudiness appears: b.1. add 5 drops of acetic acid to the urine. b.2. heats again to rule out presence of phosphates. (Note: if cloudiness disappears, result will still negative: but if it persist in spite of addition of acetic acid or even deepens, the result is positive.) 6. Discard things appropriately. 7. Explains correctly and comprehensively to the client or caregiver the result and interpretation of the test. URINE TEST FOR SUGAR 1. Measure 5ml Benedict’s Solution in medicine glass. 2. Holding the test tube with the holder, heat it over a spirit lamp till the Benedict’s solution boils without overflowing. 3. Drop 8-10 drops of urine into the boiling Benedict’s solution. 4. After again boiling the mixture let it cool down. 5. While cooling the mixtures changes color. 6. The color of the mixtures serves as a guide to the amount of sugar in the urine. 7. Read and interprets the result. URINE TEST FOR SUGAR RATIONALE a. b. c. d. e. Blue- sugar absent Green- 0.5% sugar Yellow- 1% sugar Orange- 1.5% sugar Bright red- 2% sugar 8. Discard things used appropriately. 9. Explain correctly and comprehensively to the client or caregiver the result and interpretation of the test. 10. After completing nursing nursing care or treatment, clean and alcoholize the things used. To protect care giver and prevent spread of infection to others. 11. Do hand washing again. To deter the spread of microorganism. 12. Open the bag and put back all articles in their proper places. To be ready for the next use. 13. Remove apron folding away from the body, with soiled side folded inwards, and the clean side out. Place it in the bag. 14. Fold the linen/plastic lining clean place it in the bag and close the bag. 15. Make post visit conference on matters relevant to health care, taking anectodal notes preparatory to final reporting. To be used as reference for future visit. 16. Make appointment for the next visit (either home or clinic), taking note of the purpose. For ff.-up care 17. Sees to it that the waste receptacle and its content are properly disposed of before leaving the home. 18. Maintains body mechanics throughout the procedure 19. Manifest neatness on the performed procedure. 20. Provides and ensure patient’s privacy throughout the procedure. 21. Observes courtesy. 22. Shows calmness while performing the procedure. 23. Depicts mastery of the procedure. 24. Uses correct grammar and syntax.