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NAME - DATE - COURSE & SEC - E. Checklist On Colostomy Care Able To With Assistance Unable To

This document contains a checklist for colostomy care procedures with 23 steps divided into sections for assessment, planning, implementation, evaluation, and documentation. It lists the tasks involved in assessing the stoma and waste, preparing supplies, performing the procedure with a client, evaluating results, and recording information. The checklist rates nurses on their ability to complete each step independently, with assistance, or not at all. It also includes spaces for remarks and grades.

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Mozart Olario
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100 views2 pages

NAME - DATE - COURSE & SEC - E. Checklist On Colostomy Care Able To With Assistance Unable To

This document contains a checklist for colostomy care procedures with 23 steps divided into sections for assessment, planning, implementation, evaluation, and documentation. It lists the tasks involved in assessing the stoma and waste, preparing supplies, performing the procedure with a client, evaluating results, and recording information. The checklist rates nurses on their ability to complete each step independently, with assistance, or not at all. It also includes spaces for remarks and grades.

Uploaded by

Mozart Olario
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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NAME__________________________________________ DATE_________________

COURSE & SEC_________________________________ RLE GROUP___________

E. CHECKLIST ON COLOSTOMY CARE

Able to
Unable
Able to Perform
Procedure to
Perform with
Perform
Assistance

Assessment
1. Assess the appearance of the stoma and the
condition of the bag.
2. Assess the characteristics of fecal waste.
3. Determine client’s knowledge and understanding
of colostomy care.

Planning
4. Wash hands.
5. Assemble the equipment needed.

Implementation
6. Identify the client and explain the procedure.
7. Provide for privacy.
8. If using toilet, seat client on the toilet with pouch
over toilet. If using the bedpan, place the pouch
over the bedpan.
9. Put on disposable gloves.
10. Place linen saver on abdomen around and below
the pouch/bag.
11. Remove clamp on the bottom of bag and place
within easy reach.
12. Unfold the end of the pouch and allow feces to
drain into the bedpan or toilet.
13. Press sides of the lower end of the pouch
together.
14. Squirt asepto syringe with tap water into the
bottom of the bag.
15. Roll up the bag and reclamp the bag.
16. Wipe the outside pouch with a clean washcloth.
17. Remove gloves and discard soiled equipment.
18. Spray room freshener, if needed.
19. Wash hands.

Evaluation
20. Evaluate the color, consistency, and amount of
feces in the pouch.
21. Evaluate the condition of the stoma.
22. Evaluate the response and client’s
responsiveness to perform self-care.

Documentation
23. Record the color, consistency, and amount of
feces.
24. Record the condition of the stoma.
25. Record the client’s response to the procedure.

Remarks: __________________________________________________________________
______________________________________________________________________________
____________________________________________________________________________

Grade: __________
Rating Scale:

Excellent : 96 - 100%
Very Satisfactory : 90 - 95%
Very Good : 85 - 89%
Good : 85 - 89%
Fair : 75 - 79%
Poor : 74 & below

___________________________________ ___________________________________
Clinical Instructor Student’s Signature

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