00:05
Now let's talk about emptying the waist pouch,
okay so there's some variations of this that we're
going to walk through and there's also different
reasons why we actually need to empty the pouch so
let's talk about those, so first, okay when you even
need to empty an ostomy bag if you take a look
at this appliance this has got a great level here
for you but really think about the more full this
thing is, you don't want stool or feces backing up
and sitting on that stoma right, so we really need
to be diligent about emptying this ostomy bag. So
if you look here about like one third about one
half full is ideally on making sure we empty that
ostomy bag if it gets about that full, and again
think about it, this is probably going to be most
likely setting on the patient's stomach you don't
want a lot of weight either here and pulling on it,
that excess weight's uncomfortable, it's going to
be much heavier on the patient's stoma, it's also
going to pull on the device and we don't want that.
01:08
Now let's take a look specifically at how we
empty it, so just know with patient stoma a lot
of times your patients are really familiar with
how to care for these so the more independence
that they can do please allow them to do so, it
gives them some ownership of taking care and
providing self-care for themselves. Okay, so if
the patient's at home or even in the hospital
if they can do this themselves please allow
them to do so. The patient can simply go to
the toilet and empty the pouch directly into the
toilet so this is really a great way to do this.
Now sometimes of course the patient can't sit on
the toilet like they can't ambulate for example
out of the hospital bed or they can't ambulate
to go to the toilet then we're going to need to
assist them with this. Now to do so, if you're
going to need to assist you want to take the
bottom of the ostomy pouch because this is where
everything's going to dump out so of course we
don't want to hold the bottom down, we want to hold
it up a little bit, now typically there's going to
be a closure or some velcro that's going to keep
this close and we want to remove this and set
that aside, now don't lose the clamp! Now we want
to slowly unroll the top or the opening of that,
put it over maybe a basin or graduated cylinder
and then we want to empty it from there. So one way
to empty it, you can take your fingers and kind of
slide it down the pouch to make sure you push all
of the stool out. Now we just talked about ending
a pouch or burping the pouch sometimes we may need
to clean this if there's any excess stool or feces
around that, now we just want to really take the
ins take some toilet paper wipe the inside and
the outside of the tail with toilet paper; this
is going to help remove any excess odor. Now it's
important to check both sides of that pouch for
any tears or holes, now if there's anything like
this you may need to replace the new pouch. Now
if the pouch closes with a clamp make sure if they
clamp a soil to rinse that before you apply it. Now
how many times a day do you think the clients with
ostomies may need to empty this? Now this is going to
vary a lot on the patient's diet for example
but most patients are going to need to empty this
anywhere from like 4 to 10 times a day in a 24
hour period so again this is going to vary client to client.
03:34
Hi guys, I want to show you how we want to empty
an ostomy bag for a client also when we get done
anytime we empty it we definitely want to make
sure we clean the pouch as well so I'll show
you that as well. Now again if the patient can
empty the ostomy bag on their own that's great
and we want to encourage them to do so, they would
simply do this by going to the nearby bathroom
setting over the toilet and also emptying the
contents. However, many times as a nurse you may
have to help a client do this so I'm going to show
you how we would do that here. So before we get
started make sure your patients in a comfortable
position also make sure you've got your equipment
and the patient is, is supported or protected, sorry,
excuse me with a pad or a towel that way excess
stool or anything else don't get on their linens
or their bed sheet. So now let's go ahead and take
a look at this, so I've got here again an absorbent
towel just to make sure we don't we catch anything
and it doesn't get on the patient's linen, I've also
put a bedpan here so I've decided to do this
because especially in the hospital once we empty
the contents many times you can go to the bathroom
and also rinse this out for future use, so that's
what we'll use here today. So now I've got my
patient's ostomy, now there's going to be a difference,
this one we're looking at is a one-piece ostomy
so sometimes there's two-pieces and those are
really convenient. Now if a patient has a two
pouch or a two-piece ostomy, if the patient has
stool or feces in this we can simply just remove
that pouch piece rinse it out for the patient and
reapply so that makes that really nice. However,
sometimes you're working with a one-piece like
you see here and I'll show you how to do that now.
Okay so we've got our patients
one-piece, one thing to remember
is hold on to the tail especially you've got to hold
on to the tail if you were going to
put this into a stool or toilet or if the
patient was going to do this themselves.
05:38
So now we need to remove the clamp don't lose
this clamp because we're going to need this.
05:45
So I've got the tail of the ostomy bag, I'm going to
direct it into my bed pan here and I want to
make sure that goes into the bed pan, so what I
want to do now is take one hand or use your hand
or your fingers, you want to be able to push as
much of the stool as possible down into the bedpan.
06:13
It's a good idea to kind of support the top
so it's not pulling on the patient too much
and now once we get towards the bottom
now I can just kind of milk this down
and try to get as much as the ostomy
contents down as much as possible.
06:45
Okay so once I've emptied my bag sometimes
you may need to change out your glove so I'm
going to do that now. Now once we've emptied our
contents we can move that aside but also before
I leave I want to make sure I empty or excuse me
clean out the bottom of the pouch, so you can use
a washcloth or toilet paper but I also like to
use those bath wipes those are really helpful.
07:21
So I'm going to take my towel make
sure I cleanse off the bottom, also
it's a good idea to wipe the inside
of the pouch right at the tail.
07:49
And you want to do this as much as possible
and don't forget it's really important
to make sure you reapply the clamp.
08:00
Now that we've reapplied the
clamp to the end of the ostomy bag,
we want to make sure we remove
everything from the patient's bed.
08:16
Now of course we want to make sure we rinse this
out thoroughly for future use so I'm going to
take this to the bathroom and or set it aside to
make sure we can rinse this out thoroughly later.
08:30
Now don't forget before we leave the patient make
sure they're comfortable so now
I'm going to remove my gloves,
I'm going to perform my hand hygiene
then I'm going to make sure that I
make the patient comfortable
again before I exit the room.
08:48
So make sure our patient's linens are back pulled
up and then we're going to make
sure we put up that side rail,
and again check with your patient and make sure
they're in a comfortable position
and they're call lights within reach.