Republic of the Philippines

UNIVERSITY OF NORTHERN PHILIPPINES

Tamag, Vigan City
2700 Ilocos Sur

College of Nursing
Name: Date:
Year & Section: Return Demonstration: OSTOMY CARE
Legend:
3 – Very Satisfactory 1 – Needs Improvement
2 – Satisfactory 0 – Did not perform the Procedure

Procedure 3 2 1 0
1. Check for the doctor’s orders for irrigation. Bring
all the necessary equipment at bedside and place
on bedside stand or overhead table

2. Perform hand hygiene and don on PPE if

necessary

3. Identify the patient

4. Explain the procedure and the need for the

intervention to the client. Answer any enquiries if
needed

5. Warm irrigating solution at room temperature or

slightly higher.
 Test the solution temperature using
the inner wrist.

6. Pour irrigating solution to the container and

release clamp to allow fluid flow through the
tube, then place the clamp back.

7. Hang the container bag where the bottom is at

the patient’s shoulder level once seated.

8. Do non-sterile gloves.

9. Remove the ostomy appliance and replace it with

the irrigation sleeve, ensure that the drainage
end is place into the toilet bowl or bedside
commode.

10. Lubricate end of stoma cone

11. Insert stoma cone into the stoma and introduce
solution slowly for a period of 5 to 6 minutes.
 Republic of the Philippines
UNIVERSITY OF NORTHERN PHILIPPINES
Tamag, Vigan City
2700 Ilocos Sur

College of Nursing
a. Ensure to hold the cone and tubing all
the time during the instillation of the
solution. (patient can hold it if he/she is
able)
b. Control the solution flow by closing or
opening the clamp

12. Once the solution is infused, hold the cone in

place for another 10 minutes

13. Remove the cone and let the patient remain

seated on the bedside commode or toilet bowl.

14. When majority of the solution has returned,

closed the bottom of the irrigating sleeve with
the clip and patient may continue with his/her
daily activities.

15. Once the flowing of the solution from the stoma

has stopped, remove irrigating sleeve and ensure
to clean the skin along the stoma opening with
mild soap and water then pat dry.

16. Attach new stoma appliance or cover as needed.

17. Remove gloves, assist patient to a comfortable

position on bed. Use the linen to cover the
patient.

18. Ensure to raise bed siderails and lower bed

height.

19. Remove PPE if used and perform hand hygiene.

Remarks:
__________________________________________________________________________________
__________________________________________________________________________________
_________________________________________.

APRIL ANN F. FLORES, RN, LPT

Clinical Instructor