Are Cnas Supposed To Change Colostomy Bags

Learn how to change an ostomy pouch. Patients who have experienced inflammatory bowel disease or trauma to the gastrointestinal organisation may have a GI ostomy (colostomy or ileostomy).

As the nurse, you must know how to change a pouching system.

In this article, y'all will learn how to alter a pouching arrangement. If you're studying for NCLEX don't forget to review our NCLEX review for colostomies and ileostomy.

How to Modify an Ostomy Pouch

What supplies will you need?

Ostomy supplies
- Skin Bulwark (besides called wafer, flange or base-plate). This volition attach to the pouch went using the jumpsuit organization. It volition be separate when using the 2-piece system.
- Pouch (fastened on the one-piece or separate on the two piece-organisation)
- Pouch Clip: used to close the handbag….some pouches snap or Velcro shut and some pouches are closed systems where you discard the bag instead of emptying information technology.
Stoma Measuring Card: if the patient recently had surgery yous volition desire to measure out the stoma with every pouch modify because the stoma will shrink over time (it will be large and swollen after surgery and accept a few months before information technology turns into normal size)
Ostomy Scissors: these are specially designed to brand a round cut when cutting the peel bulwark…..they help prevent making jagged edges which can crusade trauma to the stoma
Pen: to outline the measurement on the peel bulwark (if not already pre-labeled)
Barrier Ring: If the pare surrounding the stoma has a lot of intermission down then it is a good idea to use a barrier ring around the site (in addition to the pare bulwark) to assistance add actress protection to the skin.
Towels and Launder Cloths: use warm water to cleanse the peel and stoma…may utilize balmy soap just no soaps with perfumes, lotions, or alcohol in them
Gloves: two pairs

Things to Keep in Listen before Changing the Pouch

Attempt to change when gut is least active (morning earlier breakfast…all people are different…inquire the patient)
Alter system every iii-5 days (date and time information technology) and empty handbag when 1/3 to ½ full
Permit the patient to participant every bit much equally possible; recall they will have to become contained with doing this
Don't use soaps with lotions or powders/creams, baby wipes or booze containing products on or around the stoma
Appraise for skin break down

Skin suspension down around the stoma

Steps for Changing an Ostomy Pouching Organization

Gather supplies
Perform hand hygiene and don gloves
Identify a towel under the site to protect patient'south skin and clothing
Remove quondam pouching system by removing adhesive backing. Yous may have to employ agglutinative remover if you are having problem removing it.
Discard the system properly
Clean around the skin and then the stoma with warm water and wash cloth (may mild soap without perfume or lotions)
Dry pare dry out (may demand to trim hair if site is hairy which will permit the new pouch system to stick easily)
Doff gloves, perform paw hygiene and don a new pair of gloves
Measure stoma with measuring bill of fare…pick a measurement that is 1/eight inch larger than the stoma. The measurement should not be too big (which would allow stool to leak under the skin barrier) or too small (would constrict the stoma).
Trace measurement onto peel barrier
Use ostomy scissors to cut the measurement onto the skin barrier.

12. May apply barrier ring around the stoma, if needed
thirteen. Brand sure the ostomy pouch is sealed close past using the clip or Velcro snap
14. So utilize peel barrier around the stoma (make sure y'all press down all the edges)…if using a two-piece system apply the bag to the skin barrier.