Collect Supplies
Gather pouch, skin barrier, disposal bag, tissue and/or cloth for cleaning, and water. Optional: scissors, pen, measuring guide, and/or accessories.
Remove Used Pouching System
Carefully lift an edge of the adhesive and peel downward, gently pushing the skin away from the skin barrier. Properly dispose of used pouch and skin barrier. Do not flush down toilet.
Clean and Dry
Clean the skin with water or with gentle soap as recommended by your healthcare professional. Rinse and dry thoroughly. Do not use oils, powder, lotion, or lotiontype soaps on the skin.
Prepare the Skin Barrier and Pouch
Measure the stoma using a stoma measuring guide before every barrier application (if using a pre-sized barrier opening, go to step 6).
Trace the determined barrier size opening onto the skin barrier. The skin barrier should fit where the skin and stoma meet. Verify that no skin is showing between the skin barrier and the stoma to help prevent leakage and skin irritation.
Using small curved scissors, carefully cut an opening in the skin barrier to match the pattern. Do not cut beyond the line on the release liner.
Remove the release liner from the skin barrier.
Apply the New Pouching System
Measure the stoma using a stoma measuring guide before every barrier application (if using a pre-sized barrier opening, go to step 6).
Apply gentle pressure to the skin barrier for about a minute for best adhesion.
Attach the pouch to the skin barrier by engaging the lower edges of the pouch flange and the skin barrier flange. Press the two flanges together. A series of “clicks” will confirm you are doing it correctly. No more “clicks” means the pouch is secured.
Close bottom of pouch. If using a drainable pouch, close the Lock ’n Roll microseal closure at the bottom of the pouch or apply a pouch clamp. Refer to the Lock ’n Roll Microseal Closure Care Tip for more information on how to use this closure system.
If using a urostomy pouch, make sure the drain valve is closed. The teardrop on the drain valve should face the body side of the pouch. If desired, apply the cap provided in the box.
