8. ostomy objectives study set
assessment verified to pass
pouching an colostomy or ileostomy -1. Identify pt
2. Position patient in semi reclining or supine during assessment and
pouching
3. Hand hygiene and clean gloves
4. Place towel or disposable waterproof barrier under pt and across pts lower
abdomen
5. Remove used pouch and skin barrier gently by pushing skin away from
barrier, empty pouch and dispose o f in an appropriate receptacle, measure
output if needed
6. Clean peristomal skin gently with warm tap water using washcloth, do not
scrub the skin, if you touch stoma, minor bleeding is normal. Pat skin dry,
when pouching an ileostomy place disposable washcloth over stoma
7. Measure stoma
8. Trace pattern of stoma measurement on pouch backing or skin barrier
9. Cut opening on backing or skin barrier wafer be sure that opening is at least
1/8 inch larger than stoma to avoid pressure
10. Remove protective backing from adhesive
11. Apply pouch over stoma. Press firmly into place around stoma and outside
edges, have pt hold hand over pouch to apply heat to secure seal
12. Close end of pouch with clip or integrated closure, remove drape from
patient
13. Remove gloves, perform hand hygiene
pouching a urostomy -1. Identify pt 2 identifiers
2. Position pt in semireclining or supine position
3. Perform hand hygiene and apply clean gloves
, 4. Place towel or disposable waterproof barrier under pt and across pt's lower
abdomen
5. Remove used pouch and skin barrier gently by pushing skin away from
barrier, if stents are present, pull pouch gently around them and lay towel
underneath, empty pouch and measure ouput dispose of pouch in appropriate
receptable
6. Place rolled gauze at stoma opening, maintain gauze at the stoma opening
continuously during pouch measurement and change
7. While keeping rolled gauze in contact with the stoma cleanse peristomal
skin gently with warm tap water using washcloth, do not scrub skin, if you
touch stoma minor bleeding is normal
8. Measure stoma, be sure opening is at least 1/8 inch larger than stoma to
avoid pressure on stoma
9. Trace pattern on pouch backing or skin barrier
10. Cut opening in pouch
11. Remove protective backing from adhesive surface, remove rolled gauze
from stoma
12. Apply pouch. Press adhesive barrier firmly into place around stomas and
outside edges. Have pt hold hand over pouch 102 minutes to apply heat to
secure seal
13. Use adapter provided with pouches to connect poucgh to bedside urinary
bag
14. Remove drape from pt remove gloves and hand hygiene
colostomy -: large opening in the large intestine or colon, results in stool
similar to that normally passed through the rectum
ileostomy -an opening in the ileal portion of the small intestine, the fecal
effluent will be watery-to thick liquid and contain some digestive enzymes
assessment verified to pass
pouching an colostomy or ileostomy -1. Identify pt
2. Position patient in semi reclining or supine during assessment and
pouching
3. Hand hygiene and clean gloves
4. Place towel or disposable waterproof barrier under pt and across pts lower
abdomen
5. Remove used pouch and skin barrier gently by pushing skin away from
barrier, empty pouch and dispose o f in an appropriate receptacle, measure
output if needed
6. Clean peristomal skin gently with warm tap water using washcloth, do not
scrub the skin, if you touch stoma, minor bleeding is normal. Pat skin dry,
when pouching an ileostomy place disposable washcloth over stoma
7. Measure stoma
8. Trace pattern of stoma measurement on pouch backing or skin barrier
9. Cut opening on backing or skin barrier wafer be sure that opening is at least
1/8 inch larger than stoma to avoid pressure
10. Remove protective backing from adhesive
11. Apply pouch over stoma. Press firmly into place around stoma and outside
edges, have pt hold hand over pouch to apply heat to secure seal
12. Close end of pouch with clip or integrated closure, remove drape from
patient
13. Remove gloves, perform hand hygiene
pouching a urostomy -1. Identify pt 2 identifiers
2. Position pt in semireclining or supine position
3. Perform hand hygiene and apply clean gloves
, 4. Place towel or disposable waterproof barrier under pt and across pt's lower
abdomen
5. Remove used pouch and skin barrier gently by pushing skin away from
barrier, if stents are present, pull pouch gently around them and lay towel
underneath, empty pouch and measure ouput dispose of pouch in appropriate
receptable
6. Place rolled gauze at stoma opening, maintain gauze at the stoma opening
continuously during pouch measurement and change
7. While keeping rolled gauze in contact with the stoma cleanse peristomal
skin gently with warm tap water using washcloth, do not scrub skin, if you
touch stoma minor bleeding is normal
8. Measure stoma, be sure opening is at least 1/8 inch larger than stoma to
avoid pressure on stoma
9. Trace pattern on pouch backing or skin barrier
10. Cut opening in pouch
11. Remove protective backing from adhesive surface, remove rolled gauze
from stoma
12. Apply pouch. Press adhesive barrier firmly into place around stomas and
outside edges. Have pt hold hand over pouch 102 minutes to apply heat to
secure seal
13. Use adapter provided with pouches to connect poucgh to bedside urinary
bag
14. Remove drape from pt remove gloves and hand hygiene
colostomy -: large opening in the large intestine or colon, results in stool
similar to that normally passed through the rectum
ileostomy -an opening in the ileal portion of the small intestine, the fecal
effluent will be watery-to thick liquid and contain some digestive enzymes
