Show:
Eek, an ostomy!
Pouching
Skin care
Potpourri
Ileostomy, Urostomy, Colostomy, oh my!
100
Proper name for the inside of the intestine which is on top of the skin.
What is a stoma or ostomy. (Ostomy is the procedure, stoma is the opening. Many use the term interchangeably.)
100
1/3 - 1/2 full
When is is a good time to empty the pouch. (Leaving stool over 1/2 full may result in pouch loosening from the skin.)
100
Warm water.
What is generally all that is needed to clean the skin and stoma. (If there is sticky stool on the skin you can use a mild baby shampoo. Just remember to rinse it off as much as possible)
100
Hollister #3777 or Hollister #3778
What are the correct number(s) for ordering neonate pouches here at Panorama City.
100
Geez, you mean one of these is for urine.
What is a urostomy
200
Single most important pre-operative intervention for a new patient with an ostomy.
What is having the WOCN "site" the stoma. (Although it may not be as noticeable with a neonate, selecting the best location for the stoma ensures that the patient/caregiver can see the stoma to care for it).
200
There is a pouch and skin barrier are separate.
What is a two-piece appliance? (Conversely, the one-piece appliance is at the name implies: One-piece. It is generally just a matter of personal preference which to choose. Obviously with the two-piece you can change the pouch as much as you can afford.)
200
The night nurse said she used a no sting barrier as it will keep the skin better protected. Should I do the same?
What is a big "no". (Neonates skin has not developed the necessary layers of those of an adult. This generally occurs at 32 weeks. Therefore, use of these products may strip the epidermis and create bigger problems.)
200
A black or gray stoma
What is an emergency situation. (This may indicate a dying or necrotic stoma).
200
It may be an ascending, descending, loop, sigmoid, double-barrel, or end ostomy.
What is colostomy.
300
3013 or 5061
What are Genevieve or Teresa's extensions.
300
Hey, the stoma is oddly shaped and doesn't match any hole on the paper guide.
When is it necessary to make a template of the stoma. (A template must be made when you have an irregularly shaped stoma as you want to ensure that the barrier opening matches the size of the stoma)
300
This type of ostomy will most likely cause the most corrosive effects on the skin?
What is an ileostomy (The enzymes contained in the digestive contents can be highly corrosive to the fragile neonate's skin)
300
Help. The baby is leaving and I don't know who to call to get my supplies.
Who is the Case Manager. Genevieve or Teresa will write the required product numbers in our note. When the case manager looks in our notes she/he will know what to order the baby when he/she goes home).
300
The ostomy which is located in the ileum of the small intestine.
What is an ileostomy
400
The stoma has no feeling.
What is the correct response when mother asks if cleaning the surface of the stoma will hurt her baby
400
The stool is too thick to get out through the spout on the Hollister #3778.
When may it be necessary to cut the spout off the end of the pouch. (Make sure to cut through the stabilizers inside the pouch and remove them. Use the enclosed clamp)
400
The skin is red, the seal keeps breaking. I am going to try some stomadhesive paste.
What is a bad idea. (The Hollister stomadhesive contains alcohol which will make your baby squeal unnecessarily) Maybe you should call the WOCN.
400
TIGR video # 138
What is the correct channel for the ostomy video. (While this video is geared toward adult ostomates, it is a nice overview for parents to become familiar with some of the terminology, etc.)
400
The most common type of ostomy surgery.
What is a colostomy.
500
Necrotizing enterocolitis
What is the most common reason for placement of neonatal colostomies and ileostomies.
500
Can be used in a drainable pouch to "soak up" liquid stool.
What are cotton balls.
500
Satellite lesions.
What is indicative of a fungal rash. (Usually can be easily healed up with an antifungal powder). Call the WOCN if unsure)
500
No guide, no problem. I can eyeball the size of that stoma.
What is a REALLY bad idea. (It is necessary to cut the actual size of the stoma to esnure a snug fit. Cutting the hole too big can result in skin breakdown. Cutting it too small may lacerate the stoma)
500
You will find a fair amount of mucous with this ostomy type.
What is a urostomy ( Mucous is common with urostomies which have been created from ileal conduits or colon conduits