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IRRIGATING AND CLEANING A STOMA

1. Inspect the stoma or color and texture


2. Inspect the condition of the skin surrounding the stoma
3. Determine the direction of the intestine by digitalization of the stoma
4. Measure the dimensions of the stoma prior to obtaining an ostomy appliance system from central supply
5. Gather equipment
- colostomy irrigation kit
-4x4 gauze or stoma cover
- tape if gauze is used
-clean gloves
-ostomy odor eliminator
-bedpan or basin
6. Hang botton of irrigation bag at height of client’s shoulder, or 18 inches abve the stoma if the client is
supine
7. Check the direction of the intestine by inserting a gloved finger into the orifice of stoma
8. Place irrigation sleeve over stoma and hold in place with belt
9. Spray inside of irrigation sleeve and bathroom with odor eliminator (usual dose is 2 spray)
10. Cuff end irrigation sleeve and place into toilet bowl (if client is in bathroom) or bedpan (if client is in
bed or chair)
11. Lubricate the cone end of the irrigation tubing and insert into the orife of the stoma
12. Close top of the irrigation
13. Slowly run water through tubing into colon
14. Remove cone after all water has emptied out of the irrigation bag
15. Close end of the irrigation sleeve by attaching it bto the top of the sleeve
16. Encourage client to ambulate to facilitate emptying of remaining stool from colon
17. Remove irrigation sleeve after 20-30 mins or when stools is no longer emptying from colon
18. Cleanse stoma and skin with Warm tap water. Pat dry
19. Place gauze pad over the stoma to absorb mucus from the stoma
20. Secure gauze with hypoallergenic tape
21. Remove gloves and wash hand
22. Document
- assessment of stoma, personal skin
-stoma measurement(L,W,H)
-amt of h20 used for irrigation, amt of stool flushed from colon
-type of dressing or ostomy pouch appli\ed following irrigation
23.Peristomal skin care if alteration in skin integrity was noted.