1. Prepare Equipment

• It is a good idea to organize your ostomy equipment ahead of time. You will need your measuring guide, scissors, appliance and cleansing equipment.  

 2. Removal of Appliance

• Lift edge of support tape.
• Can use adhesive remover against skin seal to assist in removing wafer.
• Gently push against the skin as you lift the wafer off. 

3. Skin Cleansing

• After removing the wafer, cleanse around the stoma with plain soap and water.
• Avoid lotion or deodorant soaps.
• There may be a little blood on the stoma with cleaning, this is normal. 

 4. Using Sizing Guide

• During the post operative period the stoma size may decrease as some of the swelling goes down.

5. Preparing the Wafer

• Continue to size and cut the wafer smaller as the swelling subsides.
• The wafer should be cut a little larger than the stoma.

6. Preparing the Wafer (cont'd)

• Use scissors to cut the stoma shape on the wafer.
• Use your finger to smooth any rough edges on the opening that you just cut.

 7. Pre Cut Wafers

• There are precut wafers available for your use after the swelling is resolved. This will occur at about 6 weeks post operative. Your stoma needs to be round.

8. Applying the Wafer

• Center the wafer and place on your abdomen.
• Rub the surface to adhere the wafer to your abdomen.
• Hold pressure for at least 5 minutes to assure a good seal.

9. Applying the Pouch

• Line the pouch up with the wafer and snap on. The wafer and pouch attach like tupperware or a ziplock bag.
• Close the opening using the lock n roll closure or your clip.