Urostomy Care Checklist PDF

## Check list for Incontinent, Standard urostomy care | Steps | Allotted degree | Observation 1 | Observation 2 | Final evaluation Degree | | ---------------------------------- | -------------- | -------------- | -------------- | ------------------------ | | **Preparation...

## Check list for Incontinent, Standard urostomy care | Steps | Allotted degree | Observation 1 | Observation 2 | Final evaluation Degree | | ---------------------------------- | -------------- | -------------- | -------------- | ------------------------ | | **Preparation** | | | | | | 1-Prepare self: | | | | | | a-Revise the patient file | 1 | | | | | b-Wash hands | | | | | | c-Wear personal protective equipment | 1 | | | | | **2-Prepare Equipment** | | | | | | **3-Prepare environment** | | | | | | -Good light and good ventilation | 1 | | | | | -Close curtains around bed or close | | | | | | the door of the room to keep patient | | | | | | privacy | | | | | | **4-Prepare the patient** | | | | | | -Identify the patient | 1 | | | | | -Explain procedure to the patient | | | | | | put patient in comfortable position | 1 | | | | | -Take consent from the patient to | | | | | | perform the procedure | | | | | | -Assess overall condition of patient | 1 | | | | | 5-Put the patient in a suitable and | 1 | | | | | comfortable position where he/she | | | | | | will be able to watch the procedure. | | | | | | If well enough a mirror may be used | 1 | | | | | to aid visualization. | | | | | | 6-Put waterproof pad under the | 1 | | | | | patient | | | | | | 7-Empty the contents of pouch into a | 2 | | | | | jug before removing the pouch and | | | | | | note characteristics of drainage. | | | | | | If patient condition permits help/ask | | | | | | him/her to go to toilet, empty pouch | | | | | | inside toilet and note characteristics of | | | | | | drainage. | | | | | | 8-Remove the pouching system; peel | 1 | | | | | the skin barrier off the skin with one | | | | | | hand while exerting gentle pressure | | | | | | on the skin with the other. | | | | | | 9- Remove excess mucus, If found, | 1 | | | | | from the stoma with a damp tissue. | | | | | | 10-Examine the skin and stoma for | 1 | | | | | unusual appearance. | | | | | | 11- Clean with warm water and dry | 1 | | | | | the skin and stoma gently and | | | | | | thoroughly. | | | | | | 12-Measure the stoma opening using | 1 | | | | | the measurement guide then cut the | | | | | | opening 1/8 inch larger than the stoma | | | | | | size. | | | | | | 13-Apply skin protectant to a 2-inch | 1 | | | | | around the stoma and allow it to dry | | | | | | completely, which takes about | | | | | | 30 seconds | | | | | | 14- Apply a clean new pouching | 1 | | | | | system. | | | | | | 15-Remove waterproof pad and any | 1 | | | | | contaminated clothes and/or bed | | | | | | clothes. | | | | | | -Put patient in suitable and | | | | | | comfortable position. | | | | | | 16-Discard soiled supplies in | 1 | | | | | .appropriate containers | | | | | | Rinse pouch with water using a jug or | | | | | | by holding it under the flushing water, | | | | | | wrap it in a disposable bag before | | | | | | discarding it. | | | | | | -Clean reusable equipment | 1 | | | | | 17-Remove gloves and wash hands | 1 | | | | | 20- Documentation in patient | 2 | | | | | record: | | | | | | A-Date & time of procedure. | | | | | | B-Appearance of stoma. | | | | | | C-Condition of peristomal skin. | | | | | | D-Characteristics of drainage | | | | | | (amount, color, odor, consistency) | | | | | | E-Patient's tolerance and reaction to | | | | | | procedure. | | | | | | **Total** | 20 | | | | | Student signature: | | | | | | Evaluator signature: | | | | | ## Check list for Continent urostomy care | Steps | Allotted degree | Observation 1 | Observation 2 | Final evaluation Degree | | ---------------------------------- | -------------- | -------------- | -------------- | ------------------------ | | **Preparation** | | | | | | 1-Prepare self: | | | | | | a-Revise the patient file | | | | | | b-Wash hands | 1 | | | | | c-Wear personal protective equipment | | | | | | **2-Prepare Equipment** | 1 | | | | | **3-Prepare environment** | | | | | | -Good light and good ventilation | 1 | | | | | -Close curtains around bed or | | | | | | close the door of the room to keep | | | | | | patient privacy | | | | | | **4-Prepare the patient** | 1 | | | | | -Identify the patient | | | | | | -Explain procedure to the patient | | | | | | -put patient in comfortable position | | | | | | 5-Wear clean gloves and remove | 1 | | | | | old dressing | | | | | | 6-Assess old dressing for any | 1 | | | | | abnormalities and assess stoma | | | | | | skin and peristomal skin | | | | | | 7-Open sterile kit and wear sterile | 1 | | | | | gloves | | | | | | 6-Prepare catheter and lubricate it | 1 | | | | | 6-Gently insert catheter into stoma | 2 | | | | | until urine starts to flow | | | | | | 7-Advance catheter about one | 1 | | | | | inch (2.5cm) | | | | | | 8-Allow urine to flow into | 1 | | | | | container or toilet | | | | | | 9-Leave catheter in situ until | 1 | | | | | urine flow stops then withdraw | | | | | | catheter slowly | | | | | | 10-Measure urine and record | 1 | | | | | volume (if required) | | | | | | 11-Clean equipment and clean or | 2 | | | | | discard container used for urine (if | | | | | | used) and dispose of catheter | | | | | | appropriately | | | | | | 12-Apply stoma covering (sterile | 1 | | | | | dressing) | | | | | | 13-Remove gloves and wash | 1 | | | | | hands | | | | | | 14-Assist patient with adjusting | 1 | | | | | clothes(if required) | | | | | | 15-Record procedure and any | 1 | | | | | observations and report any | | | | | | changes or concerns | | | | | | **Total** | 20 | | | | | Student signature: | | | | | | Evaluator signature: | | | | |