Clinical Hub,Patient Education,Health and Nutrition Facts For You,GI

Your Step-by-Step Skills Checklist (8022)

Your Step-by-Step Skills Checklist (8022) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, GI


Your Step-by-Step Skills Checklist
This handout will help you practice the skills listed below. Share the checklist with your
nurses and surgeon. They will add-in any comments or special instructions.
Patient/Care Provider Evaluation Professional Evaluation
1 I can do this on my own 1 Can do independently
2 I need some help 2 Needs some help
3 I need a lot of help 3 Needs much help and additional review
4 I had no chance to practice 4 No chance to review, home care to
follow up
SKILL-Empty the Pouch (Colostomy/ileostomy Only)
Patient/Provider Professional Comments/Instructions
1. Empty the pouch when it
is ⅓ to ½ full.

2. Gather all supplies before
you empty the pouch
(paper towel, pouch/liner,

3. Assume a correct position
on the toilet or stand by
the bathroom counter with
the measuring container
on the counter.

4. Lift up the pouch and
open it.

5. Lower the opening into
the toilet or measuring
container and empty it.

6. Wipe the opening/tail with
dry paper towels before
you close it.

7. Add pouch deodorant (if

8. Reclamp or reseal the

SKILL- Empty the Pouch (Urostomy Only)
Professional Comments/Instructions
1. Empty the pouch when it is ⅓
to ½ full.

2. Gather supplies (toilet paper,

3. Lift and open the spout/drip
cap. Turn the valve to the open

4. Point nozzle/valve down and
drain into the toilet or urinal.

5. Wipe the end of the pouch with
toilet paper.

6. Close the pouch valve/nozzle
and put a new drip cap on.

SKILL- Remove the Old Pouch (All Stoma Types)
Professional Comments/Instructions
1. Gather supplies: new pouch
system (wafer/pouch, pouch),
adhesive remover and skin
barrier wipes, measuring guide,
paper towels, scissors, garbage
bag, skin filler/paste powder,
and deodorant if needed)

2. Open the adhesive remover and
use it to help lift the corner of
the pouch off the skin

3. Put one hand on the skin and
push down while your other
hand lifts the barrier.

4. Put the old pouch in a garbage

SKILL-Clean and Inspect the Skin (All Stoma Types)
Patient/Provider Professional Comments/Instructions
1. Look at the skin for color,
bleeding, and irritation.

2. Clean the skin around the
stoma with warm water
only (Do not use soaps,
shower gels or foam

3. Pat the skin dry.
SKILL-Measuring and Sizing the Opening (All Stoma Types)
Patient/Provider Professional Comments/Instructions
1. Cover the stoma with
tissue or gauze while you

2. Measure your stoma with
the measuring guide.

3. For Moldable systems:
Keep all the papers on the
back of the wafer.
Work from the front to
shape the barrier with
your thumbs.

4. For Cutting Systems:
Trace the correct size on
the back of the pouch
barrier. Place your fingers
into the pre-cut opening
and push the pouch away
from the barrier. Cut the
traced opening

5. Check for fit by centering
the new opening over the
stoma. Make sure the
whole stoma shows
through the opening, with
just a small amount of
skin showing.

SKILL-Applying the New Pouching System (All Stoma types)
Patient/Provider Professional Comments/Instructions
1. Remove the backing from
the pouch barrier.

2. Date and keep the paper
from the backing to help
you trace for next time.

3. Open the skin barrier and
wipe the skin around the
stoma one time. Allow the
skin to dry for 15 to 30

4. If the skin around your
stoma is raw or weepy
please call your ostomy
or home health nurse.

5. Use skin fillers/paste as

6. Center and apply the
pouch skin barrier around
the stoma. Gently press
onto the skin for 60
seconds. Smooth any

7. For a two-piece system,
apply the pouch to the
barrier flange.

8. Close the bottom opening
of your pouch.

9. For an integrated
closure: Roll the bottom
edges up and tightly press
all the way across the

10. For a Urostomy:
Turn the valve so it is
closed and make sure the
drip cap is tight.

Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor.
This is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because
each person’s health needs are different, you should talk with your doctor or others on your health care team
when using this information. If you have an emergency, please call 911. Copyright © 12/2017 University of
Wisconsin Hospitals and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#8022