Ostomy pouch, drainable, for use on faceplate, rubber, each
HCPCS code
Name of the Procedure:
Common name(s): Ostomy Pouch Change
Technical/Medical term: Ostomy Pouch, Drainable, for Use on Faceplate, Rubber, Each (A4378)
Summary
An ostomy pouch change involves replacing a drainable, rubber ostomy pouch attached to a faceplate on the patient's body. This is a common routine for individuals who have had ostomy surgery to create an opening (stoma) for waste elimination.
Purpose
An ostomy pouch change is essential for patients with colostomies, ileostomies, or urostomies. The main goal is to maintain hygiene, manage waste efficiently, and protect the skin around the stoma from irritation or infection.
Indications
- Presence of a stoma due to surgical removal or bypass of parts of the gastrointestinal or urinary systems.
- Patients experiencing leakage, odor, or detachment of their current ostomy pouch.
- Signs of skin irritation or infection around the stoma.
Preparation
- No special dietary restrictions or fasting required.
- Ensure skin around the stoma is clean and dry.
- Gather all necessary supplies: new ostomy pouch, adhesive remover, skin barrier, and cleaning materials.
Procedure Description
- Wash hands thoroughly with soap and water.
- Gently remove the old pouch using an adhesive remover if needed.
- Clean the skin around the stoma with warm water and a soft cloth, avoiding soap or alcohol-based products which can irritate the skin.
- Dry the area completely.
- Apply a skin barrier around the stoma to protect against irritation.
- Attach the new rubber, drainable pouch to the faceplate securely.
- Ensure there are no leaks or creases in the pouch.
Duration
The procedure typically takes about 10-20 minutes.
Setting
This procedure can be performed at home, in a hospital, or in an outpatient clinic.
Personnel
Primarily conducted by the patient or a caregiver. In some cases, a nurse or ostomy specialist may assist, especially for new ostomy patients.
Risks and Complications
- Skin irritation or infection around the stoma.
- Pouch leakage leading to potential hygiene issues.
- Discomfort if the pouch is not properly fitted.
Benefits
- Maintains hygiene and prevents infection.
- Enhances comfort and confidence in daily activities.
- Improved management of waste elimination.
Recovery
- Follow standard skin care routines around the stoma.
- Monitor the stoma and surrounding skin for any signs of irritation or infection.
- Change the pouch as instructed, typically every 3-7 days.
Alternatives
- Different types of ostomy pouches (e.g., closed-end pouches for colostomy or urostomy).
- Use of customized faceplates or pouches depending on stoma size and location.
Patient Experience
- Patients may feel more at ease as they become accustomed to routine pouch changes.
- Initial discomfort might be managed with guidance from healthcare professionals.
- Pain management is generally not required for this procedure, as it is typically non-invasive and painless.