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Colostomy Irrigation and Appliance Care Checklist
Colostomy Irrigation and Appliance Care Checklist
COLLEGE OF NURSING
Procedural Checklist in
Colostomy Irrigating and Appliance Care.
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.
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