Viewing: Ostomy » 2 Piece Drainable

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Assura Ac Pediatric Base Plate COL14308 (Qty of 10)
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Assura Ac Pediatric Pouch 1in COL14682 (Qty of 10)
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Assura EasiCloseâ„¢ Pouch Opaque 60m COL159860 (Qty of 10)
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ASSURA PCH PEDI 2PC
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Assura Pouch Xxl 2 Piece Drain COL14355 (Qty of 30)
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Assura Standard Drain Convex .875 Tr COL13723 (Qty of 10)
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Assura® AC Drainable Pouch with EasiClose™ Outlet COL14361 (Qty of 20)
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Assura® AC Drainable Pouch with EasiClose™ Outlet COL14362 (Qty of 20)
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Assura® AC EasiClose™ Drainable Pouch, Midi COL14341 (Qty of 20)
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Assura® AC EasiClose™ Drainable Pouch, Midi COL14348 (Qty of 20)
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Assura® AC EasiClose™ Drainable Pouch, Midi COL14349 (Qty of 20)
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Assura® Convex Light Extended Wear Baseplates with Belt Loops COL14281 (Qty of 5)
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Assura® Easi-Close™ WIDE Outlet, Maxi Pouch COL15976 (Qty of 10)
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Assura® EasiClose® Drainable Pouch with Filter COL13974 (Qty of 10)
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Assura® EasiClose® Drainable Pouch with Filter COL13976 (Qty of 10)
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Description:

Changing an ostomy appliance

ALL OSTOMY SYSTEMS consist of a skin barrier and a pouch; with a one-piece system, they're already connected. Some skin barriers are presized and others must be cut to fit.

DO

* Ensure your patient's privacy. Have him lie supine to smooth his abdomen for easier application. Wash your hands and put on clean gloves.

* Empty the current pouch. Remove it and place it in an appropriate biohazard container or leave it attached to the skin barrier.

* Clean the peristomal skin with warm water or special clear-rinsing cleanser. Pat it dry with a clean towel or gauze.

* Observe the stoma color (which should appear reddish pink and moist) and note whether the stoma is a budlike protrusion or flush with the skin. Assess for edema, trauma, and skin breakdown.

* Using the manufacturer's guide, measure the stoma and document the size.

* Choose the appropriate appliance for your patient. Using the manufacturer's guide as a template, cut the opening to fit his stoma.

* Check the manufacturer's recommendations for using a skin sealant. If using a skin sealant for better adhesion, apply it where you'll apply the skin barrier and let it air dry.

* Have your patient immediately place his hand over the barrier so the warmth can activate the adhesive.

* If the system has a drainable pouch, fold the open end up once and close and clamp it.

* Remove your gloves and wash your hands.

* If the patient uses an ostomy belt, make sure it's snug and horizontal over his stoma.

* Document your care and the patient's response.

DON'T

* Don't scrub the peristomal skin.

* Don't apply lotion, which would prevent adhesion.

* Don't apply the system to wet skin.

Don't apply skin sealant unless it's indicated for the system. 0   Medical Supply.

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