BAY AREA COLLEGE OF NURSING Nursing Assistant Program Module 8: Resident Care Skills

EQUIPMENT: bedpan clean colostomy appliance prepared to fit stoma cleansing agent or soap (cleansing agent is ordered by team leader) disposable bed protector gloves skin barrier as ordered by team leader toilet tissue washbasin washcloth and towel BEGINNING STEPS: 1. 2. 3. 4. 5. 6. 7. 8. Wash hands. Knock and pause before entering the residents room. Introduce self. Identify resident. Explain procedure. Gather equipment, if applicable. Provide for privacy. Apply gloves, if necessary.

MANUAL SKILL: Colostomy Care

SKILL STEPS: 1. 2. 3. 4. 5. 6. Raise bed to working position. Lower side rails. Place disposable bed protector under resident. Fill washbasin half full of warm water. Gently remove soiled stoma bag and place in bedpan. Wipe area around stoma with toilet tissue to remove feces or mucus.

_________________________________________________ Do Not Reproduce. BACN Property/2010

BAY AREA COLLEGE OF NURSING Nursing Assistant Program Module 8: Resident Care Skills
7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17.

MANUAL SKILL: Colostomy Care

Place dirty tissue in bedpan. Clean skin around stoma with water or prescribed cleaning agent. (Report any evidence of skin breakdown or redness). Rinse entire area well to remove any residue. Pat area dry with towel gently but thoroughly. Apply skin barrier if ordered. Remove adhesive backing on appliance. Center appliance over stoma; apply gentle pressure to adhesive surface from stoma outward. If used, connect belt to appliance. Cover bedpan and take it to the bathroom, maintain resident safety and privacy. Measure as directed; empty pouch and bedpan; note color, amount, consistency, and odor. Put pouch in disposable bag.

ENDING STEPS: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Clean and return equipment and supplies, if applicable. Remove bed protector. Remove gloves, if wearing. Position resident comfortably. Place call light within reach. Lower bed to safe position for the resident. Leave room neat. Wash hands. Document. Report abnormal findings to licensed nurse.

_________________________________________________ Do Not Reproduce. BACN Property/2010