HHC Health & Home Care Clinical Policy And

HHC HEALTH & HOME CARE Section: 5-19
Genitourinary: Care of Ureterostomy, Transureterostomy __RN
PURPOSE: 6. Using a clean washcloth or gauze squares, cleanse
To protect the skin, contain the drainage and odor.
skin around tubes with warm water. Rinse and pat
dry. Tampon may be used as wick to absorb urine
CONSIDERATIONS:
1. Depending on the type of pouch, all appliances
should be worn with a skin barrier, i.e.,
Stomahesive®, Holihesive®, and wafer.
2. Karaya is never to be used with urostomy, as it is
water-soluble.
3. Bedside drainage system to be used for nocturnal
use.
7.
8.
9.
while applying water.
Apply ostomy paste to skin around tubes to facilitate
molding. Moisten gloved finger when applying
paste.
Apply wafer, making sure the skin is dry and no
urine has dripped onto the skin.
Apply urostomy pouch, making sure pouch is secure
by pulling on pouch after application. Position of
pouch is dependent on facilitation of drainage.
EQUIPMENT:
Correct size of wafer and corresponding pouch
Paste
10. Picture frame wafer with 1" paper tape after
applying skin prep and allowing it to dry.
11. Cap bottom of bag or connect to continuous
drainage system.
Washcloth/gauze squares
Paper tape
12. Discard soiled supplies in appropriate containers.
Skin prep
AFTER CARE:
Tampon (optional)
1. Document in patient's record:
Gloves
Impervious trash bag
a.
b.
c.
Amount, color, consistency of drainage.
Condition of skin.
Condition of stoma.
d. Patient's response to procedure.
PROCEDURE: e. Instructions given to patient/caregiver.
1. Adhere to Universal Precautions.
2. Explain procedure to patient.
3. Prepare equipment at bedside.
4. Pattern wafer to 1/8" larger than stoma, remove
paper backing and set aside.
5. Drain and remove existing appliance from the
patient, saving the valve adaptor if one is used. Be
careful not to pull on tubes.
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