00:04
Now, let's talk about changing the appliance,
we talked about making sure we
check that stoma, we give good skin care.
00:12
We talked about how we maintain it.
00:15
Now we need to talk about, hey, what if
there's a leak or if we just need to change
out the bag? So let's take a look at what
we're going to need: our pouching system.
00:24
Now, this is going to vary.
00:26
It could be maybe a one-piece, for example,
or a two-piece.
00:29
Each client's going to use something
different.
00:32
Also, they may have different needs.
00:34
So make sure you get familiar with their
system first.
00:37
You may need gauze or a washcloth or
something like that to remove any excess or
feces. Also, your stoma-measuring guide.
00:45
So this is usually going to come with your
packaging system.
00:48
Also, you may or may not need stoma paste to
just kind of help adhere
the wafer or part of the pouching system to
the patient.
00:56
Now, before we get started, don't forget to
perform your hand hygiene and make sure you
provide privacy.
01:02
Now, this is really important here to
explain the procedure to the patient and
before we start working, raise that bed to
an appropriate height level.
01:12
And again, we want to assist the patient to
the correct positioning.
01:15
So if we're getting to their abdomen,
sometimes all the way 90 degrees really isn't
very helpful. We really need to be able to
reach the patient's abdomen.
01:23
So maybe tilt them back just a bit.
01:26
We want to perform hand hygiene again.
01:29
Put on your gloves. Now with gloves,
this is a great time to take that and remove
that old ostomy or soiled ostomy.