Now, let's talk about changing the appliance,
we talked about making sure we
check that stoma, we give good skin care.
We talked about how we maintain it.
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.
Now, this is going to vary.
It could be maybe a one-piece, for example,
or a two-piece.
Each client's going to use something
Also, they may have different needs.
So make sure you get familiar with their
You may need gauze or a washcloth or
something like that to remove any excess or
feces. Also, your stoma-measuring guide.
So this is usually going to come with your
Also, you may or may not need stoma paste to
just kind of help adhere
the wafer or part of the pouching system to
Now, before we get started, don't forget to
perform your hand hygiene and make sure you
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.
And again, we want to assist the patient to
the correct positioning.
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.
So maybe tilt them back just a bit.
We want to perform hand hygiene again.
Put on your gloves. Now with gloves,
this is a great time to take that and remove
that old ostomy or soiled ostomy.