William Nye Rhinoplasty Surgeon in Las Vegas

Prevention / Precautions

Preoperatively:
Ensure that the location of the future ostomy is identified and marked by the clinical nurse specialist in stomatherapy and / or the surgeon. Alternatively, click here if you are looking for a Las Vegas rhinoplasty.
Postoperatively:
Caring for the privacy of the patient
Clean but not sterile
Separating wound care from ostomy care
Use non-sterile equipment
The use of soap is not necessary, otherwise use a neutral soap, without dye or perfume
Measure the stoma and observe its shape in order to adapt the orifice of the pocket or the plate to its size: + 2 to 3 millimeters for the colostomy and 1 to 2 mm for the ileostomy.
A protective paste and / or a sealing ring can be applied to ensure the seal and protect the skin, these can be applied to the stitches. The paste should be spread out under the entire plate or pouch, but should be applied around the stoma or around the cutting hole of the plate or pouch.
Immediately after surgery, use a base plate as an integral protector and a clear empty bag without filter.
Do not use other substances such as benzine, alcohol, ether, dyes, ointments that can weaken the skin and prevent the appliance from sticking
Wear non-sterile gloves, apron and mask if risk of splashing biological fluids
Check the expiry date of the material
Ventilate the room after care.

monitoring

The appearance of the stoma: color, shape, position
The stitches, the peristomal skin
The resumption of transit: emission of gas, type and quality of effluent
Check the equipment for leaks frequently and change if there is a leak or if the bag is full

Process of care

Rub hands with hydro-alcoholic solution
Install the patient
Protect the bed
Rub hands with hydro-alcoholic solution
Prepare the necessary equipment for the care
Rub hands with hydro-alcoholic solution
Put on non-sterile gloves
Empty the pocket (if empty)
Gently peel off the pocket from top to bottom
Observe the contents and throw the pocket into the waste bag
Wash the stoma and skin with water with wipes or compresses
Observe ostomy, stitches and skin
If necessary, shave the periphery of the stoma
Carefully dry the skin with compresses
Change non-sterile gloves
Cut the base plate or pocket according to the cutting pattern
Check the size of the cutout
Replace the gloves
Thoroughly dry the skin with wipes or compresses
Apply protective paste and / or the ring to the periphery of the stoma, if liquid stools
Glue the pocket or base plate by pulling the skin to prevent wrinkles (which could promote leakage)
Smooth the plate or pocket so that it adheres well to the skin.
Adapt the pocket on the base plate (2-piece switchgear)
If empty pocket, close the integrated clamp or pinch the bottom of the pocket with the clamp, do not wrap it or fold it under the clamp (except pocket specific pediatric)
Fit the seat belt, if necessary
Ensure proper adhesion or fastening of the pocket
Remove the gloves
Rub hands with hydro-alcoholic solution

Equipment maintenance – Waste disposal

Disposal of waste according to the institutional procedure for infectious waste and / or contaminated with biological fluids.
Do not expose plates or pockets to direct sunlight or heat.