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Ostomy/Ileostomy Assessment and Pouch Change: One- and Two-Pouch System

presented by Amanda Fay, MSN, RN

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Disclosure Statement:

Financial: Amanda Fay receives compensation from MedBridge for this course. She has no other financial interests.

Nonfinancial: Amanda Fay is an employee of Visiting Nurse and Hospice for Vermont and New Hampshire.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Video Runtime: 10 Minutes
Assessing, pouching, and providing stoma care are necessary procedures for patients who require the use of a pouch system for treatment. It is important for nursing staff, physician assistants, physical therapists, and occupational therapists to have a thorough understanding of this procedure to assess the function of the patient's newly formed stoma. In this training, we'll review the equipment and procedures for ostomy/ileostomy assessment and pouch change for the one- and two-pouch systems. This course includes

- Video demonstrations of procedures
- Downloadable procedure guide PDFs
- Tips and best practices for performing these procedures in the home

Throughout the procedure, clinicians must be aware of skin irritation that can occur with an ill-fitting pouching device on an ileostomy, as well as any allergies to adhesives the patient may have.
In this instruction, we will learn how to perform an assessment on a stoma and determine the appropriate output for ostomy type, as well as assist nurses in understanding how to care for a patient with a colostomy or ileostomy.
This course was reviewed by Danielle Pierotti, RN, PhD, CENP, to ensure the content meets current professional guidelines and best evidence-based practices.

Meet Your Instructor

Amanda Fay, MSN, RN

Amanda Fay is a clinical education and evidence-based practice educator, MSN, and RN with more than 21 years of nursing and education experience. She is an innovator with a passion for creating engaging, relevant programs that support individuals' reaching their highest potential in both personal and professional domains. In Amanda's current role as a clinical…

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Chapters & Learning Objectives

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Download the learning objectives for Ostomy/Ileostomy Assessment and Pouch Change: One- and Two-Pouch System.

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1. Introduction

This chapter includes an introduction to ostomy/ileostomy assessment and pouch change, information on all of the equipment needed for these procedures, and recommended infection control policies.

2. Ostomy or Ileostomy Assessment: One-Piece Pouch System

This chapter will provide a step-by-step procedure guide and video demonstration of a one-piece pouch assessment.

3. Ostomy or Ileostomy Assessment: Two-Piece Pouch System

This chapter will provide a step-by-step procedure guide and video demonstration of a two-piece pouch assessment.

4. Tips, Precautions, and Care Considerations

This chapter provides tips and considerations for performing these skills in the home.

5. Documentation Guidelines

This chapter provides recommendations on what to note when documenting for patients receiving stoma care.

6. Patient Education

This chapter provides information on what education the patient needs to support self-management of their care.

7. Quiz and Bibliography

This chapter includes learning assessment questions to assess the learner’s knowledge of skills covered in this course. A bibliography of referenced material is also included.

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