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  • Colostomy Irrigation and Appliance Care Checklist

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    Alma Janella TOSINO
    197 views3 pages
    1. The document provides a procedural checklist for students to demonstrate proper colostomy irrigating and appliance care. 2. The specific objectives are to empty the large colon of stool and fecal materials and to distend the bowel to stimulate evacuation. 3. The 15 step procedure includes preparing the patient and equipment, inserting an irrigating cone and tube, irrigating for 10-15 minutes, removing the old appliance, cleaning the skin, measuring and applying a new pouching system, and documenting the procedure.

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    Original Title

    COLOSTOMY IRRIGATION AND APPLIANCE CARE CHECKLIST

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    1. The document provides a procedural checklist for students to demonstrate proper colostomy irrigating and appliance care. 2. The specific objectives are to empty the large colon of stool and fecal materials and to distend the bowel to stimulate evacuation. 3. The 15 step procedure includes preparing the patient and equipment, inserting an irrigating cone and tube, irrigating for 10-15 minutes, removing the old appliance, cleaning the skin, measuring and applying a new pouching system, and documenting the procedure.

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    © All Rights Reserved
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    197 views3 pages

    Colostomy Irrigation and Appliance Care Checklist

    Uploaded by

    Alma Janella TOSINO
    1. The document provides a procedural checklist for students to demonstrate proper colostomy irrigating and appliance care. 2. The specific objectives are to empty the large colon of stool and fecal materials and to distend the bowel to stimulate evacuation. 3. The 15 step procedure includes preparing the patient and equipment, inserting an irrigating cone and tube, irrigating for 10-15 minutes, removing the old appliance, cleaning the skin, measuring and applying a new pouching system, and documenting the procedure.

    Copyright:

    © All Rights Reserved
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    of 3

    DE LA SALLE LIPA

    COLLEGE OF NURSING

    Nursing Care Management 116


    Care of Clients with Problems in Nutrition and Gastro-Intestinal, Metabolism, Endocrine, Perception and
    Coordination (Acute and Chronic) LAB/RLE

    Procedural Checklist in
    Colostomy Irrigating and Appliance Care.

    Name: _____ Date: ______Year/Sec: ___ Rating: ___________

    General Objective:
    Given simulated situations/conditions, the students will be able to demonstrate the proper procedure in
    Colostomy Irrigating and Appliance Care.

    Specific Objectives:
    1. To empty the large colon of the stool and fecal materials.
    2. To distend the bowel sufficiency to stimulate peristalsis which stimulates evacuation.

    CRITERIA
    Item Weight Descriptors Verbal Interpretation
    1 Excellent Performed the procedure with great ease and confidence, observing work ethics
    (prudent, accepts criticisms and suggestions), able to rationalize scientifically
    and shows diligence in documenting observations at all times .
    0.75 Very Performed the procedure with less confidence, observing work ethics (prudent,
    Satisfactory accepts criticisms and suggestions), able to rationalize scientifically and shows
    minimal diligence in documenting observations.
    0.5 Satisfactory Performed the procedure but requires close supervision and shows potential for
    improvement.
    0.25 Needs Failed to perform the procedure, unable to function well and needs repeated
    Improvement specific/ detailed guidance or direction.

    Step by step procedures: 1 0.75 0.5 0.25 REMARKS


    1. Wash hands and don gloves and      
    Close room curtains or door.
    2. Prepare the patient and the      
    equipment:
     Explain the procedure to the
    patient.
     Hang irrigator with 500-1000 of
    water about 12-18 inches high.
    Prime tubing and then clamp
    irrigating tube.
     Put Kelly pad alongside colostomy
    bag.
     Place patient in side-lying position.
     Make a hole in the colostomy
    appliance.
    3. Lubricate tip of your little finger then      
    insert it into the stoma followed by
    the lubricated cone, insert cone 2-4
    inches deep into the stoma.
    4. Attach irrigating tube to the cone.      
    5. Make a small cut in to colostomy      
    bag.
    6. Open clamp and irrigate stoma for      
    10-15 minutes, close. After 10-15
    minutes, close clamp and remove
    DE LA SALLE LIPA
    COLLEGE OF NURSING

    cone
    7. Remove old appliance gently as      
    one piece.
    8. Wash skin gently with skin cleanser      
    or with regular soap and water.
    Remove from the skin. Wipe with
    gauze or washcloth and rinse soap
    thoroughly. Blot dry.
    *If blood appears when washing,
    reassure the client that small amount
    is normal. Continues bleeding is
    abnormal after pouch is in place
    “refer to health care provider.”
    9. 9. Observe condition of skin,      
    stoma, sutures; encourage patient
    to make these observations at time
    of pouch changes or if skin feels
    irritated. Skin must be absolutely
    dry (paper towel) and Apply (karaya
    powder per agency and/or per
    doctors order).
    10. 10. Measure the size of the stoma      
    and cut the center of the new
    pouching system approximately
    atleast 2 cm wide on the actual size
    of the stoma.
    11. Have pouch ready by removing      
    backing from barrier. Apply the
    pouch to skin after cleaning and
    drying skin. Smooth out from
    center. Hold in place firmly for 1-3
    minutes. Apply position that
    facilitates emptying.
    12. Apply hypoallergenic tape as      
    needed to edges of faceplate over
    skin barrier. Some manufacturer
    pouches are with tape in place.
    (optional)
    13. Fold bottom edges of pouch over to      
    fit over clamp. Secure clamp.
    14. Dispose old appliance in plastic      
    bag or trash can. Remove gloves
    and do “Handwashing.”
    15. Document the procedure and      
    Evaluate the patient condition.”
    Total points = 15 points     Passed: Failed:
    DE LA SALLE LIPA
    COLLEGE OF NURSING

    Comments: (Strengths & Weaknesses)

    Conforme: Evaluated by:

    Student’s Signature Clinical Instructor’s Signature


    Date: Date:

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