1. colostomy undertaking
maintenance and ileostomy
1. 1. Greetings
therapeutic delivered to the client / family friendly
upon meeting
1.2. Action plan described to the client / family understand
1.3. Program plan validated again
1.4. The need for tools and materials are identified
1.5. Readiness client be re-examined
upon meeting
1.2. Action plan described to the client / family understand
1.3. Program plan validated again
1.4. The need for tools and materials are identified
1.5. Readiness client be re-examined
2. preparing patients
2.1. Describe the action procedure to be performed
2.2. Assess the patient's readiness and participation
2.3. Give the patient tone privacy by locking doors or curtains / blinds
2.4. Assist patient in a comfortable position
- Tracheotomy semi-Fowler position
- Colostomy and colostomy supine position
3. carry out preparatory tool
3.1. Treatment colostomy
- Colostomy bag
- Plastic bags for dirty place
- Hydrogen Piroksida (H 0)
- Tweezers anatomically I
- Tweezers cirugis 2
- Com sterile
- Drug disinfectant (Bethadine)
- Scissors
- Plaster hypo allergic
- Sterile Gauze
- pedestal
- Nierbekken
3.3. Treatment illeostomy
- Physiological fluid (NaCl, Normal Copy)
- Tweezers anatomical 1
- Tweezers cirugis 2
- Com sterile
- Drug disinfectant (bethadine)
- Scissors
- Plaster hypo allergic
- Sterile Gauze
-pedestal
- Kasa suppressor (deeper)
- Handscoen 1 pair
- curtain
- Nierbekken
4. action procedures
4.1. colostomy care
3.3. Treatment illeostomy
- Physiological fluid (NaCl, Normal Copy)
- Tweezers anatomical 1
- Tweezers cirugis 2
- Com sterile
- Drug disinfectant (bethadine)
- Scissors
- Plaster hypo allergic
- Sterile Gauze
-pedestal
- Kasa suppressor (deeper)
- Handscoen 1 pair
- curtain
- Nierbekken
4. action procedures
4.1. colostomy care
- Assist patients in a comfortable position, supine
- Laying the pad under the patient's back
- Put sampiran
- Nurses wash their hands and put handscoen
- Removing the bandage and the old colostomy bag and put it into a dirty plastic bag
- Clean the wound with H 0 and using sterile physiological fluids, repeat until clean
- Dry the wound using sterile gauze
- Measure the stoma mouth, according to a large mouth plastic bag and place directly on the skin
- Removing handscoen
- Glue the end of the plastic bag on the skin with a plaster hypoallergenic
- Equipment cleared
- Position the patient is returned to the original position
- Nurses wash their hands
4.2 ileostomy care
- Assist patients
in a comfortable position, supine
- Laying down the back of the patient pengalas
- Put sampiran
- Nurses wash their hands and wear handscoen
- Conducting exploitation ileostomy
- Remove the dirty bandage and place it on nierbekken
- Clean the wound using sterile physiological fluids and repeat
until clean
- Blood Drain-wound with a sterile gauze cloth using
- Wound smeared with a solution desinfecktan, Bethadine and closed view of sterile gauze and plaster
- Handscoen opened.
- Equipment to clean
- The patient's position on the starting position is returned
- Nurses wash their hands
5. documentation
- Laying down the back of the patient pengalas
- Put sampiran
- Nurses wash their hands and wear handscoen
- Conducting exploitation ileostomy
- Remove the dirty bandage and place it on nierbekken
- Clean the wound using sterile physiological fluids and repeat
until clean
- Blood Drain-wound with a sterile gauze cloth using
- Wound smeared with a solution desinfecktan, Bethadine and closed view of sterile gauze and plaster
- Handscoen opened.
- Equipment to clean
- The patient's position on the starting position is returned
- Nurses wash their hands
5. documentation
- Documented patient response
- The timing of the nursing assessment
- Documentation note with clear / easy to read
- Documentation signed and the full name and clearly
