CARE OF STOMA AND CHANGING OF POUCH

REQUIREMENTS #

1. A trolley containing the following:
   • New stoma pouch
   • Sterile gloves
   • Disposable gloves
   • Wipes or tissue
   • Measuring template
   • Gallipot with gauze swabs
   • Mackintosh and dressing towel
   • Towel
   • Bowl of tepid water
   • Barrier cream
   • Large receiver
   • Deodorizing tablet or liquid
   • Plastic bag
   • Scissors
   • Soap/mild detergent

STEPS #

1. Establish rapport with patient (Refer to steps)
2. Explain procedure to patient (Refer to steps)
3. Provide privacy
4. Prepare and send trolley to bedside
5. Position the patient and turn down top sheet to expose stoma
6. Protect site with mackintosh and dressing towel
7. Preform hand hygiene and put on disposable gloves
8. Gently remove soiled pouch and places in large receiver/plastic bag
9. Remove disposable gloves and perform hand hygiene
10. Put on sterile gloves
11. Examine the stoma and note any abnormalities
12. Clean the stoma with the wipes/tissue
13. Wash area around the stoma with mild soap/detergent and tepid water
14. Dry area gently with sterile swabs
15. Cover the stoma with a swab while you prepare a new pouch
16. Estimate stoma using the measuring template and cut the desired opening on the pouch
17. Apply barrier cream
18. Put few drops of the deodorizing liquid or tablets in the pouch if available
19. Attach the one side of the edge of the pouch to the skin, rolling it up and over the stoma
20. Press the edges of the pouch to secure it in position
21. Remove gloves and perform hand hygiene
22. Reposition patient
23. Remove mackintosh and dressing towel
24. Dispose off, decontaminate, clean and stores used items
25. Document procedure and report findings to appropriate officer