Incontinent Urostomy Care Checklist

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Questions and Answers

What should be placed under the patient to ensure cleanliness?

Cotton blanket

Plastic sheet

Towel

Waterproof pad (correct)

What should be done with the contents of the pouch before removal?

Seal it tightly

Throw it in the bin

Flush it down the toilet

Empty it into a jug (correct)

How should the skin barrier be removed from the skin?

Soak it in water first

Peel off with gentle pressure (correct)

Quickly yank it off

Use scissors to cut it

What should be done if mucus is found on the stoma?

Wipe it with a damp tissue Signup and view all the answers

What is one of the first steps after removing the pouching system?

Examine the stoma and skin Signup and view all the answers

What should be used to clean the skin and stoma?

Warm water Signup and view all the answers

What is recommended if the patient is able to go to the toilet?

Help them empty the pouch into the toilet Signup and view all the answers

What should be noted regarding the drainage characteristics?

Both color and consistency should be noted Signup and view all the answers

What is the first step in the urostomy care checklist?

Prepare self Signup and view all the answers

Which action involves ensuring the patient is ready for the procedure?

Assess overall condition of patient Signup and view all the answers

Why is it necessary to wear personal protective equipment?

To protect oneself from contamination Signup and view all the answers

What should be done to ensure patient privacy during the procedure?

Close curtains around the bed Signup and view all the answers

How should the patient be positioned for the procedure?

Comfortably and within a view of the procedure Signup and view all the answers

What is essential to explain to the patient beforehand?

The procedure that will be performed Signup and view all the answers

What is an important step prior to performing the urostomy procedure?

Asking for consent from the patient Signup and view all the answers

What should be ensured regarding the environment before starting the urostomy procedure?

It is well-lit and ventilated Signup and view all the answers

What is the measurement adjustment made when cutting the stoma opening?

1/8 inch larger than the stoma size Signup and view all the answers

How long should skin protectant be allowed to dry around the stoma?

30 seconds Signup and view all the answers

What should be done with soiled supplies after use?

Discard in appropriate containers Signup and view all the answers

What action should be taken first before applying a new pouching system?

Remove contaminated clothes Signup and view all the answers

Which step involves rinsing the pouch with water?

After discarding soiled supplies Signup and view all the answers

What should be used to rinse the pouch?

Water using a jug or under flushing water Signup and view all the answers

What position should the patient be in when applying a new pouching system?

In a suitable and comfortable position Signup and view all the answers

What is a necessary step after applying the skin protectant?

Allow it to dry completely Signup and view all the answers

What is the first step in preparing for urostomy care?

Revise the patient file Signup and view all the answers

When should gloves be removed during the urostomy procedure?

After applying stoma covering Signup and view all the answers

Which of the following is NOT a component of documentation in the patient record?

Patient's pre-existing conditions Signup and view all the answers

Which step involves assessing the stoma and surrounding skin?

Remove old dressing Signup and view all the answers

What is the main purpose of wearing personal protective equipment during the procedure?

To avoid cross-contamination Signup and view all the answers

What should be done immediately after cleaning the equipment used for urostomy care?

Wash hands Signup and view all the answers

What characteristic should be noted when documenting the drainage?

Characteristics of drainage Signup and view all the answers

What position should the patient be in during the procedure?

Supine Signup and view all the answers

Which action follows the insertion of the catheter into the stoma?

Leave catheter in situ until urine flow stops Signup and view all the answers

What should always be done before beginning the urostomy procedure?

Ensure patient privacy Signup and view all the answers

What is required to clean reusable equipment adequately?

Sterilization with heat Signup and view all the answers

At what stage should the patient’s tolerance and reaction to the procedure be documented?

After the procedure is completed Signup and view all the answers

What action is taken after urine is allowed to flow into the container?

Measure the urine volume Signup and view all the answers

Which step involves informing the patient about the procedure details?

Prepare the patient Signup and view all the answers

Study Notes

Checklist for Incontinent Urostomy Care

Preparation:
- Prepare self:
  - Revise the patient's file
  - Wash hands
  - Wear personal protective equipment
- Prepare Equipment: (Details not provided)
- Prepare Environment:
  - Good lighting and ventilation
  - Close curtains or close the door to maintain patient privacy

Preparing the Patient

Identify the patient
Explain the procedure to the patient
Put the patient in a comfortable position
Obtain patient consent for the procedure
Assess the overall condition of the patient
Place a waterproof pad under the patient
Empty pouch contents into a jug, noting drainage characteristics.
If possible, help patient to toilet to empty pouch and note drainage characteristics.
Remove the pouching system and peel skin barrier off, while applying gentle pressure with the other hand
Remove any excess mucus from the stoma with a damp tissue.
Examine the skin and stoma for unusual appearance.

Stoma Care

Clean the stoma and skin with warm water and dry thoroughly
Measure and then cut the stoma opening 1/8 inch larger than the stoma size.
Apply skin protectant around the stoma and allow to dry (30 seconds)
Apply a clean new pouching system.
Remove any contaminated waterproof pad and clothes
Place the patient in a comfortable position
Discard soiled supplies in appropriate containers. Rinse the pouch with water if using a jug, or under running water. Wrap in a disposable bag before discarding.
Clean reusable equipment
Remove gloves and wash hands

Documentation

Document the date and time of the procedure
Document the appearance of the stoma
Document the condition of the peristomal skin
Document drainage characteristics (amount, color, odor, consistency)
Document patient tolerance and reaction to the procedure

Continent Urostomy Care (Checklist)

Similar steps to incontinent care are listed but different patient preparation and procedure steps are listed as well.

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Description

This quiz covers essential steps for incontinent urostomy care, including preparation, patient identification, and the procedure itself. Review the checklist to ensure proper techniques are followed to maintain patient hygiene and comfort. Ideal for healthcare professionals in nursing or surgical settings.