Quote from CareBayer
I had some issues finding a clear policy regarding how often a colostomy bag should be changed at my hospital. One (seasoned) nurse said to only change it if needed (i.e. leaking) b/c pulling off and reapplying the adhesive can damage the skin surrounding the stoma. But I worry about being able to clean the stoma....what's your take?
Thanks from a new nurse!!!!
1. ALWAYS change if leaking. That includes if you see leakage under the tape collar, not just leaking all over the bed.
2. Change if patient complains of itching or burning.
3. For new colostomies, it is probably good to change every 4 days, or even more frequently. The stoma will shrink in size over the first 6 to 8 weeks.
4. It really depends on the patient, their skin, whether the pouching surface is flat, soft, hard, puckered. If this is an "old" colostomy, ask the patient.
5. NEVER go longer than 7 days. The backing tends to "melt" around the stoma, causing leakage.
6. You may have to change more often if the patient is febrile. The backing can "melt" due to the higher body temperature.
7. Ileostomies and urostomies may have to be changed more often due to the liquid effluent.
8. So, in other words, it depends, on the patient, the age of the ostomy, where the stoma is, etc.
Wound and ostomy RN