Implentation.

IMPLEMENTATION

1.-Identify patient using two identifiers according to agency policy.

2.-Position patient in semireclining or supine during assessment and pouching

3.-Perform hand hygiene and apply clean gloves

4.-Place towel or disposable waterproof barrier under patient and across patient’s lower abdomen.

5.-If not done during assessment, remove used pouch and skin barrier gently by pushing skin away from barrier.

6.-Clean peristomal skin gently with warm tap water using washcloth; do not scrub skin.

7.-Measure stoma. Expect size of stoma to change for first 4 to 6 weeks after surgery.

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 larger than stoma to avoid pressure on it

10.-Remove protective backing from adhesive.

11.-Apply pouch over stoma. Press firmly into place around stoma and outside edges. Have patient 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

COMPLETE.