Changing an Ostomy Pouch

Changing an Ostomy Pouch

1. Equipment

   • Clamp/Clip
   • Colostomy/Ileostomy pouch
     • Two piece
     • One piece
     • Closed end
     • Open end
   • Clean gloves
   • Gauze pads
   • Washcloth
   • Towel
   • Basin
   • Scissors
   • Pen
   • Skin barrier

2. Patient

   • Emotional response
     • Body image
   • Self -care ability
   • Knowledge & Understanding
   • Nutritional status
     • Hydration
     • Fibre
   • Schedule
     • Timing
     • Frequency

3. Safety

   • Hand hygiene
     • Alcohol based
     • Soap & water
     • Gloves
   • Disposal
   • Positioning

4. Nursing

   • Assessment
     • Abdomen
       • Stoma
         • Measurement
         • Effluent
       • Incision site
     • Pain
   • Knowledge
     • RNAO
       • BPGs
     • Policies
     • Training
     • Experience
   • Evaluation
     • Complications
       • Hemorrhage
       • Necrosis
       • Infection
   • Documentation

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