Stoma Site Marking...

mommy.19, MSN, RN, APRN · Feb 19, 2014

WOCNCB standards

http://www.ostomy.org/ostomy_info/wocn/wocn_preoperative_stoma_marking.pdf

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CWONgal · Feb 19, 2014

Can you elaborate more on what you mean, wanting tips? There are many considerations when performing markings and although I've had formal training I still get nervous and always worry about the best site. Sometimes it's as easy as pie and then sometimes you have your "Oh my Lord" moments when you have an abdomen with multiple folds, a large pannus, or scars. Have you been trained on how to do stoma site markings?

Stoma Siting Procedure

RiverNurse · Feb 20, 2014

Can you elaborate more on what you mean, wanting tips? There are many considerations when performing markings and although I've had formal training I still get nervous and always worry about the best site. Sometimes it's as easy as pie and then sometimes you have your "Oh my Lord" moments when you have an abdomen with multiple folds, a large pannus, or scars. Have you been trained on how to do stoma site markings?
Stoma Siting Procedure

Not yet. In fact, I just finished up the distance learning Ostomy module yesterday (through Emory). I have read about it - now I'm just wondering about the "Oh my Lord" moments that aren't always listed in books.

Thanks ~

RiverNurse

CWONgal · Feb 20, 2014

Emory is an AWESOME program. When you go to Bridge week you'll get some practice there as well. Just remember the guidelines and review before going to mark a patient. If you work with another WOCN it doesn't hurt to go together and eyeball the patient together. You will get a cool little pocket guide that is a good reference as well. As far as suggestions you may want to mark more than one site and mark one w/ a number one and a 2. Additionally, during your assessment if you notice a fold or indentation that appears flat when the patient is supine clean the site with alcohol, mark "NO", and cover with tegaderm. That helps the surgeon out when they are in the OR. You won't always get to have your patient stand, twist, or lift their knees because sometimes the surgeons will call as they are ready to roll in so get a good look at them in a sitting position and look for a pannus. You don't want to have to go through extra adipose tissue which could cause stomal retraction. Good luck to you!