Changing an Ostomy Pouch: Pre-Procedure (Nursing)

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.