Colostomy or Ileostomy Change Performance Checklist

Changing a Colostomy or an Ileostomy Pouch

Prepare

• Check care plan for direction and client needs.
• Perform hand hygiene.
• Apply gloves.
• Assess the client’s status before undertaking the activity.
• Explain the procedure to the client.
• Provide for privacy.
• Check pouch to determine if routine care or changing is needed.
• If not changing pouch, collect syringe or cup, warm water, tissue and bedpan for routine care. Remove clamp and empty contents of pouch into bedpan or toilet, rinse with water to remove debris, and replace clamp.

Gather equipment for changing pouch:

• Pouch
• Measuring device
• Scissors
• Skin barrier
• Powder or paste if client prefers
• Basin of warm water
• Towel
• Washcloth
• Toilet tissue
• Bedpan

Steps

• Position client correctly and comfortably.
• Place towel across lower abdomen.
• Remove used pouch and skin barrier. Place in bedpan.
• Wipe away stool with tissue.
• Gently clean peristomal skin using warm water and soft cloth, pat dry.
• Observe stoma and peristomal skin for color and condition.
• Measure stoma using guide if required.
• Cut opening, apply paste or powder if client uses, remove backing from barrier and apply without gaps. Smooth barrier with hand for approximately 30 seconds to 1 minute.
• Secure clamp to pouch.
• Properly dispose of old pouch and soiled equipment.

To finish

• Perform hand hygiene.
• Provide for safety and comfort.
• Tidy area.
• Report and record observations, according to agency policy.