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Diabetic Corner
13157 March way
Corona CA 92879
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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. Assura, AutoLock, Drainable Ostomy, Drainable Ostomy Supplies, Drainable Pouch, Medical Supply, Ostomy Supplies, Piece Drainable Ostomy, Piece Drainable Pouch, Standard Drainable Pouch, Supplies Urostomy, Supplies Urostomy Pouches, Urostomy Pouches, Urostomy Supplies.
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