Ostomy Management

Holly Hovan's picture
peroperative ostomy siting

By Holly Hovan MSN, APRN, CWOCN-AP

When marking a patient for a stoma, it is important to consider the practice based on evidence acquired by the WOC nurse during training and experience. Stoma siting procedures are based on evidence-based practices. As Mahoney (2015) discusses, a transparent film dressing, marker, and stoma location disks should be gathered prior to marking the patient.

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Diana Gallagher's picture
ostomy care 101

by Diana L. Gallagher MS, RN, CWOCN, CFCN

In order to teach patients, it is important to have some basic knowledge about ostomies. Sadly, as I shared last month, the majority of nursing students learn very little about ostomies or ostomy management. Most nurses have a good understanding of basic anatomy and physiology so this is not the focus of this blog. Instead, we are going to focus our attention on basic information that every nurse should know and competencies that every nurse should develop in order to provide quality care to their patients.

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Diana Gallagher's picture

by Diana L. Gallagher MS, RN, CWOCN, CFCN
Part 1 in a series focused on ostomy management.

As a CWOCN® (Certified Wound Ostomy Continence Nurse), I have always been surprised that not everyone shared my passion about caring for and about ostomy patients. Ostomy management is one of my chosen specialties. Parents love each of their children and should not have a favorite. Managing multiple specialties is a lot like being a parent. I love each of my specialties for different reasons but, if I were forced to choose only one, caring for ostomy patients would be the winner.

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Diana Gallagher's picture

by Diana L. Gallagher MS, RN, CWOCN, CFCN

I frequently write about the value and rewards of being a WOCNCB® certified nurse. It is an amazing job that allows me to save limbs and change lives on a daily basis. After decades of working in acute and outpatient care, I now work as an independent consultant. I teach, I write, and I see patients on a daily basis. Where I live, we currently do not have a single home health agency that employs a Certified Wound and Ostomy Nurse (CWOCN®). Routine wound and ostomy care can be easily managed but when there are those challenging patients with difficult wounds or unusual ostomies, there is a clear need for the care of a CWOCN.

Janis Harrison's picture


To read the previous chapter, click here.

by Janis E. Harrison, RN, BSN, CWOCN, CFCN

My husband was insistent that I go home the first night he was on the surgical floor. He had a roommate, therefore the hospital policy forbade me to stay the night with him.

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Lindsay Andronaco's picture

by Lindsay D. Andronaco RN, BSN, CWCN, WOC, DAPWCA, FAACWS

Public policy is an aspect that affects every day practice for most wound, ostomy and continence nurses, but is something that we do not generally think about. One health policy topic that is in the forefront of my mind is how the Centers for Medicare and Medicaid Services (CMS) is looking to change the process for how patients access durable medical equipment, or DME products. This change in public policy would affect the access of these necessary products to our patients.


Janis E. Harrison, RN, BSN, CWOCN, CFCN

My Path to Becoming a Wound, Ostomy and Continence Nurse

"What did I get myself into?" There were several times over the first 10 years of my 20 year marriage to a person with an ostomy that I had to ask myself that question. Then came the revelation of the old saying "if you can't beat 'em…. join 'em." I decided that after major problems my spouse had with several surgeries – which included ostomy revisions, fistulae, abscesses, and surgical wounds – I would need to learn much, much more if I was going to spend the rest of my life with my husband, Daryl, and his maladies.