OSTOMY CARE
A Brief Overview
Catherine Walsh
RN,BSN,CWOCN
Types of Ostomies
• Colostomy= large intestine
• Ileostomy = small intestine
• Ileal Conduit/Urostomy=urine
Appliances Available
• One piece-Active Life=Cut-to-fit
• Two piece=Natura wafer and
pouch, must match, cut-to-fit
• Pediatric Pouches=urostomy
and drainable (colostomy), one
piece
• Preemie=Newborn pouches-up
to 10lbs
Additional Ostomy
Supplies
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Stomahesive Paste
Stomahesive barrier=4x4, 8x8
Colostomy clamps
Colostomy deodorant
Stoma dressing-Stomaseal-for
non-producing stomas
• Skin prep (Coloplast),
Care
• Measure stoma with measuring
guide. Cut wafer/base same size
as stoma. If measuring guide
not available, cut small then
enlarge opening as needed.
Never leave exposed skin to
contact with effluent.
Care…continued
• Clean skin with water only
• Do not use perineal wipes or
bath wipes around area for
appliance when system is off pt
Care… Continued
• Paste is applied only to
immediate area around stomalike caulking a pipe
• Remove paper backing thick
base first
• Apply to skin
• Skin prep only where tape goes
• Remove remaining paper.
Care…continued
• Fold pouch over clamp only
once-more folds will break lock
of clamp and leak
• Deodorant may be placed in
pouch before clamping
• Urostomy pouches must be
opened when attached to foley
bag
Care…continued
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•
•
•
Empty ½ full
Do not let fill to top-will leak
Replace when leakage occurs
Ileostomy and Urostomy not
connected to foley bag will fill
quickly-2 hours
• Empty/burp gas frequentlyteach pt-can detach completely
Weartime:
• One piece pouch: 3-4 days or
longer
• Two piece system: 5-7 days
• Contact WOCN nurse if
changing more often