Discharge Instructions: Changing Your Ostomy Pouch
Your healthcare provider showed you how to change your pouch in the hospital soon after your surgery. This sheet helps you remember the steps you need to follow to change your pouch.
You will need to change your pouch every 2 to 3 days to prevent leakage and skin irritation. The pouch should be emptied when it is 1/3 full.
When changing your pouch, always wash your hands for at least 20 seconds before AND after caring for your ostomy pouch (hum “Happy Birthday” twice if you need a timer) and follow the steps below.
Home care
Recommendations for home care include the following:
Gather the following supplies:
- Plastic bags
- Clean towel
- Paper Towel
- Extra skin protection
- Soft washcloth
- Scissors (if needed)
- New pouch
Remove the used pouch:
 |
- Sit on or next to the toilet.
- Empty the used pouch into the toilet if necessary.
- Starting at the upper edge of the skin barrier, carefully push the skin away from the barrier with one hand.
- Slowly peel back the skin barrier with the other hand.
- Peel all the way around the skin barrier until the pouch comes off.
- Seal the pouch in a plastic bag; then put it in a second plastic bag. Throw it away in a trash bin.
|
Carefully push the skin away from the barrier with one hand. Slowly peel back the skin barrier with the other hand. |
Clean around the stoma:
 |
- Wipe any stool off the skin around the stoma with a wet paper towel.
- Gently wipe/clean the skin with warm water and a paper towel. Wash right up to the edge of the stoma.
- Do not use soap, treated body wipes, or lotions when cleaning the skin around the stoma.
- Pat the skin dry with a clean towel.
- After cleansing apply no sting barrier film to protect the skin. Stoma powder can also be used for extra protection if needed for any skin irritation.
|
Wipe the skin around the stoma with a wet paper towel.
|
Put on the new pouch:
 |
- Peel the backing off the skin barrier.
- Place the precut skin barrier over the stoma.
- If you do not use a pouch with a precut skin barrier, size and cut the opening to leave a 1/8 inch space around the stoma and peel the backing off the skin barrier.
- Carefully place it over the stoma.
- The pouch opening should point toward your feet.
- If using a pouch with a clamp at the base, it may be easier to apply the clamp to the pouch first.
- Snap the pouch onto the barrier flange (if you use a 2-piece pouch).
- Press the barrier against your skin. Hold the barrier for 2-3 minutes with your hand over the barrier.
- The warmth of your hand will help to activate the adhesive and help mold the barrier to your skin.
- Clamp the tail of the pouch (if drainable or reusable).
- Wash your hands again for at least 20 seconds when you are done.
|
Place the precut skin barrier over the stoma.
|
When to call your healthcare provider
Call your healthcare provider right away if you have any of the following:
- Pus, foul-smelling drainage, or excessive bleeding from your stoma
- A stoma that separates from the skin or looks like it’s getting longer
- A stoma that is recessing (pulling back) into the belly
- Bulging skin around your stoma
- Blood in your stool
- Change in the color of your stoma
- Fever of 100.4°F (38°C) or higher, or chills, or as advised by your healthcare provider
- Nausea or vomiting
- Increased pain in the belly or around the stoma
- No gas or stool made after 24 hours
- The skin around the stoma is red, weepy, bleeding, or broken.
- The skin around the stoma itches, burns, stings, or has white spots.
- The stoma swells, changes color, or bleeds without stopping.
- The stoma becomes even with or sinks below the skin, or it sticks up more than normal.
|
Discharge Instructions: Changing Your Ostomy Pouch
Your healthcare provider showed you how to change your pouch in the hospital soon after your surgery. This sheet helps you remember the steps you need to follow to change your pouch.
You will need to change your pouch every 2 to 3 days to prevent leakage and skin irritation. The pouch should be emptied when it is 1/3 full.
When changing your pouch, always wash your hands for at least 20 seconds before AND after caring for your ostomy pouch (hum “Happy Birthday” twice if you need a timer) and follow the steps below.
Home care
Recommendations for home care include the following:
Gather the following supplies:
- Plastic bags
- Clean towel
- Paper Towel
- Extra skin protection
- Soft washcloth
- Scissors (if needed)
- New pouch
Remove the used pouch:
 |
- Sit on or next to the toilet.
- Empty the used pouch into the toilet if necessary.
- Starting at the upper edge of the skin barrier, carefully push the skin away from the barrier with one hand.
- Slowly peel back the skin barrier with the other hand.
- Peel all the way around the skin barrier until the pouch comes off.
- Seal the pouch in a plastic bag; then put it in a second plastic bag. Throw it away in a trash bin.
|
Carefully push the skin away from the barrier with one hand. Slowly peel back the skin barrier with the other hand. |
Clean around the stoma:
 |
- Wipe any stool off the skin around the stoma with a wet paper towel.
- Gently wipe/clean the skin with warm water and a paper towel. Wash right up to the edge of the stoma.
- Do not use soap, treated body wipes, or lotions when cleaning the skin around the stoma.
- Pat the skin dry with a clean towel.
- After cleansing apply no sting barrier film to protect the skin. Stoma powder can also be used for extra protection if needed for any skin irritation.
|
Wipe the skin around the stoma with a wet paper towel.
|
Put on the new pouch:
 |
- Peel the backing off the skin barrier.
- Place the precut skin barrier over the stoma.
- If you do not use a pouch with a precut skin barrier, size and cut the opening to leave a 1/8 inch space around the stoma and peel the backing off the skin barrier.
- Carefully place it over the stoma.
- The pouch opening should point toward your feet.
- If using a pouch with a clamp at the base, it may be easier to apply the clamp to the pouch first.
- Snap the pouch onto the barrier flange (if you use a 2-piece pouch).
- Press the barrier against your skin. Hold the barrier for 2-3 minutes with your hand over the barrier.
- The warmth of your hand will help to activate the adhesive and help mold the barrier to your skin.
- Clamp the tail of the pouch (if drainable or reusable).
- Wash your hands again for at least 20 seconds when you are done.
|
Place the precut skin barrier over the stoma.
|
When to call your healthcare provider
Call your healthcare provider right away if you have any of the following:
- Pus, foul-smelling drainage, or excessive bleeding from your stoma
- A stoma that separates from the skin or looks like it’s getting longer
- A stoma that is recessing (pulling back) into the belly
- Bulging skin around your stoma
- Blood in your stool
- Change in the color of your stoma
- Fever of 100.4°F (38°C) or higher, or chills, or as advised by your healthcare provider
- Nausea or vomiting
- Increased pain in the belly or around the stoma
- No gas or stool made after 24 hours
- The skin around the stoma is red, weepy, bleeding, or broken.
- The skin around the stoma itches, burns, stings, or has white spots.
- The stoma swells, changes color, or bleeds without stopping.
- The stoma becomes even with or sinks below the skin, or it sticks up more than normal.
|
Discharge Instructions: Changing Your Ostomy Pouch
Your healthcare provider showed you how to change your pouch in the hospital soon after your surgery. This sheet helps you remember the steps you need to follow to change your pouch.
You will need to change your pouch every 2 to 3 days to prevent leakage and skin irritation. The pouch should be emptied when it is 1/3 full.
When changing your pouch, always wash your hands for at least 20 seconds before AND after caring for your ostomy pouch (hum “Happy Birthday” twice if you need a timer) and follow the steps below.
Home care
Recommendations for home care include the following:
Gather the following supplies:
- Plastic bags
- Clean towel
- Paper Towel
- Extra skin protection
- Soft washcloth
- Scissors (if needed)
- New pouch
Remove the used pouch:
 |
- Sit on or next to the toilet.
- Empty the used pouch into the toilet if necessary.
- Starting at the upper edge of the skin barrier, carefully push the skin away from the barrier with one hand.
- Slowly peel back the skin barrier with the other hand.
- Peel all the way around the skin barrier until the pouch comes off.
- Seal the pouch in a plastic bag; then put it in a second plastic bag. Throw it away in a trash bin.
|
Carefully push the skin away from the barrier with one hand. Slowly peel back the skin barrier with the other hand. |
Clean around the stoma:
 |
- Wipe any stool off the skin around the stoma with a wet paper towel.
- Gently wipe/clean the skin with warm water and a paper towel. Wash right up to the edge of the stoma.
- Do not use soap, treated body wipes, or lotions when cleaning the skin around the stoma.
- Pat the skin dry with a clean towel.
- After cleansing apply no sting barrier film to protect the skin. Stoma powder can also be used for extra protection if needed for any skin irritation.
|
Wipe the skin around the stoma with a wet paper towel.
|
Put on the new pouch:
 |
- Peel the backing off the skin barrier.
- Place the precut skin barrier over the stoma.
- If you do not use a pouch with a precut skin barrier, size and cut the opening to leave a 1/8 inch space around the stoma and peel the backing off the skin barrier.
- Carefully place it over the stoma.
- The pouch opening should point toward your feet.
- If using a pouch with a clamp at the base, it may be easier to apply the clamp to the pouch first.
- Snap the pouch onto the barrier flange (if you use a 2-piece pouch).
- Press the barrier against your skin. Hold the barrier for 2-3 minutes with your hand over the barrier.
- The warmth of your hand will help to activate the adhesive and help mold the barrier to your skin.
- Clamp the tail of the pouch (if drainable or reusable).
- Wash your hands again for at least 20 seconds when you are done.
|
Place the precut skin barrier over the stoma.
|
When to call your healthcare provider
Call your healthcare provider right away if you have any of the following:
- Pus, foul-smelling drainage, or excessive bleeding from your stoma
- A stoma that separates from the skin or looks like it’s getting longer
- A stoma that is recessing (pulling back) into the belly
- Bulging skin around your stoma
- Blood in your stool
- Change in the color of your stoma
- Fever of 100.4°F (38°C) or higher, or chills, or as advised by your healthcare provider
- Nausea or vomiting
- Increased pain in the belly or around the stoma
- No gas or stool made after 24 hours
- The skin around the stoma is red, weepy, bleeding, or broken.
- The skin around the stoma itches, burns, stings, or has white spots.
- The stoma swells, changes color, or bleeds without stopping.
- The stoma becomes even with or sinks below the skin, or it sticks up more than normal.
|